Posted 9/13/2020 6:29 AM (GMT -7)
I had a seton off and on for my RV fistula. So if your fistula is filled and just needing ot heal over, then you shouldn't need a seton.
A seton is there because the skin on the outside heals before the skin on the inside, meaning it re-infects itself regularly and needs to be left open to drain.
Were you seeing a regular surgeon or a colo-rectal surgeon? Because regular surgeons are completely incompetent when it comes to fistulas, etc. Especially for people with IBD.
As for all your other questions, it will just depend on the course your fistula takes. Unfortunately there's no way to know. Some people have zero problems with continuing to live their normal life. Others almost have it worse with continual drainage and pain. It's a 50/50 crapshoot.