I've had a perianal fistula for about
a year. I've had an advancement flap operation, which closed one internal
opening but didn't close another, which was found on an MRI. After that, I had a draining seton followed by another advancement flap. I'm 6 weeks into recovery from that operation and it's definitely failed. I am getting the same pain and drainage post bowel movement. I went for a couple of weeks with little to no drainage but everything is back to square one now, perhaps with the pain even worse (with my draining seton I'd get pain and drainage for a few hours after a bowel movement but then it would subside, whereas now it hurts for a few hours then feels uncomfortable most of the day.
My question is this, where do I go from here? I read studies that suggest a follow up advancement flap after a failed one is often successful, yet people also just seem to exist with a draining seton forever. I don't have chrons but my fistula is high up.
I'm feeling really low and despondent. My CRS hasn't talked about
a cutting seton or a LIFT. He is a very renowned CRS in this country.
Has anyone got rid of their fistula after multiple surgeries? So long as the surgeries are done well, does the inside of your rectum hold up to multiple operations? Or is there a limit they can do before possible incontinence becomes an issue?
I am so fearful of having to live with this forever with pain and just be seeping pus all day, every day.
Post Edited (dbrookenz) : 10/30/2018 4:15:50 PM (GMT-6)