Hi guys, I was after some advice. I have had an anal fistula since Feb this year. After a few I&Ds I got an advancement flap in July. It didn't work, I don't think, as the external opening never healed and I continued to drain and have pain in my anus. I got an MRI done about 3 weeks ago which showed an internal opening, a low posterior rectal lumen communication at 6 oclock. I'm not sure if this is the same opening that the flap surgery failed to close or if it's a different one they missed first time (this is my first MRI).
Anyway, my specialist is away for 2 weeks and I've been put on a wait list for a seton. I've had one seton prior to my flap surgery and it was awful. It throbbed and was uncomfortable and fell out after 3 weeks of its own accord.
My question is, how do I treat this thing?! I don't want to go with a seton because it hurt so much first time around and to be honest the throbbing due to the fistula after a bowel movement doesn't go away with a seton. I need to get this opening closed somehow. It feels like it's settled a bit with pain and drainage since the MRI. Shall I just turn up to the ER, say I'm in pain, and ask for a second flap or a LIFT?
This has ruined my life and I'm at wits end. All I seem to be doing is waiting for examinations.