I really need some advice. about 3 months ago I developed an abscess a few cm from my anus. I got it drained at the ER and they couldn't find a fistula. It wouldn't heal after 2.5 months so I went into see a colo-rectal specialist. He booked me for an examination under GA and they found a fistula. Since the fistula went through quite a bit of muscle they decided not to do a fistulomoty & instead put in a seton drain, which is to stay in for six weeks, and then I will go under a GA again where my specialist said he will likely do a LIFT procedure. He told me that the biology of the fistula looks good for the LIFT technique. I don't have Chrons or any other issues, though my tummy has always been a bit sensitive.
I have two questions:
Firstly, I've read the success rate for the LIFT technique can be anywhere from 60% to 90%. Has anyone had success with LIFT? I've also read that even if it doesn't work it can lessen the fistula into a more simple track so they can then perform a fistulotomy.
Secondly, I was having throbbing pain around my anus after a bowel movement since my initial drainage but it was never awful and when I went to see my specialist it was at about 3/10. Uncomfortable with drainage but manageable. After having the draining seton put in 8 days ago the throbbing pain around my anus after a bowel movement is AWFUL, around 8/10 for the first half of the day, settling to about 5/10. It's almost unbearable. I really can't go 6 weeks with that sort of constant pain. I read that they like to create a bigger track with a seton prior to LIFT surgery and I was wondering if that's causing more fecal matter to get in, hence the increase of pain.
Any answers I would GREATLY appreciate!