Here is my seton story. I went into surgery knowing I had an abscess, and possibly a fistula. If he did find the fistula during the abscess drainage then I knew that I would wake up with a seton. When I went into surgery I had no eternal
opening at the time. I did wake up with a seton. So when the abscess is drained an eternal is
opening is made at that time. The abscess is drained, cleaned out, and then dye is injected into the
opening while the surgeon looks on in the inside through an anoscope to see if he can find an internal
opening. If an internal
opening is found, a seton is placed. My seton is by my anus.
It is a fairly easy recovery. The surgery itself is outpatient. I didn't need any pain pills at home, and was back to normal within a few days. There is really no need to be "anal" about keeping it clean. I was until I went back to my follow up apt., and my surgeon told me not to be so "anal" about it. :) If you think about it, it is connected to your intestine at some point, so it is used to having stool in it. In the beginning, I used a shower head after a bowel movement just because it was tender, but after a couple of weeks, I just wiped as normal. I keep a couple of 4x4 gauze sponges folded in half over the opening to keep the drainage off of my skin. I change the gauze wheneve I use the bathroom. I have been doing this ever since I got my seton, 4 years ago.
Your surgeon will probably wnat to see you a couple of weeks after surgery. And then I think I went a month or 6 weeks after that, then maybe every 3 months for a little while. Then once a year. Hopefully, I was able to anser some of your questions.