Hi DBrookenz, I hope all is well.
I re-read a very interesting study which should give you some serious hope. It's Irish and called " The role of loose seton in the management of anal fistula: a multicenter study of 200 patients" - you can find it as a free PDF if you google it.
This was a multi-institutional study, including data from four institutions in Ireland (St Vincent’s University Hospital, Dublin; St Vincent’s Private Hospital, Dublin; St Michael’s Hospital, Dun Laoghaire; Blackrock Clinic, Dublin).
It includes both Extransphicteric (8%) and Suprasphincteric (6%) Fistulas, which as you know are the toughest (extremely high in the rectum entailing the whole external sphincter).
The therapy consists of a draining seton for about
8 months on average (including it being three times replaced and tightened). Something like a long-term cutting seton with three long-term tightenings... In the end the fistula was taken out with a superficial fistulotomy. Success was 100% recurrency 5%. Minor Incontinence for 4% (only urgency).
Please read it because in case your fistula is really high in the rectum as you describe, then this could be a good choice for you. Don't get dissapointed my friend - there is cure for all types of fistula if you persist.
Post Edited (Dimitri71) : 3/12/2018 3:22:27 AM (GMT-6)