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Regular Member

Date Joined Feb 2007
Total Posts : 48
   Posted 10/28/2007 7:05 PM (GMT -6)   
Hi i had a question if you have your anus and rectum removed is it possible to get an abcess or fissure in the area again  when there is no opening no more

Regular Member

Date Joined Aug 2007
Total Posts : 65
   Posted 10/28/2007 7:26 PM (GMT -6)   

I was told by my doctor that it would Not be possible to develop any fistualas in the rectum/anus area if these parts were removed. (I had a perianal fistula once many years ago, it came out to the skin just near my bum hole, and developed into an abscess--sorry if that is too much info...!).

Anyway, the idea is that since all the diseased digestive tract tissue has been removed (CD and UC only will affect the digestive tract tissues), then there is no place for inflammation to begin, which is the root cause of a fistula.

This, at least, is what I was told by my doc. (I was happy to hear that, as my fistula and resulting abscess was probably the most painful thing I have ever gone through in my life. When I went to have the abscess drained, the surgeon told me he had never seen one so big (lucky me, what do I win?!). The whole side of my bum was swollen up...!

Veteran Member

Date Joined Aug 2007
Total Posts : 1998
   Posted 10/28/2007 8:54 PM (GMT -6)   
I have the same understanding ---- once the digestive tract tissues are removed.. there is no where for the fistulas to begin. I had my anus, rectum, the last bit of colon, and several feet of small intestine removed in 1984 when they did my perm. ileostomy. No recurrence of CD or any more fistulas for me. AND NO more Hemorrhoids!!! YIPPEEEE! No more pain the butt~~
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 

Veteran Member

Date Joined Jul 2007
Total Posts : 2765
   Posted 10/29/2007 5:28 AM (GMT -6)   
Once the diseased colon and rectum are removed, the problems that were once associated with them go away. Before surgery, I had a fistula that caused an abscess on my right butt cheek, and it was the most pain I've ever experienced. Since my proctocolectomy surgery one year ago, I've had no pain or problems whatsoever.
Take care,
Dx'd w/ Crohn's in '99 at age 28. Proctocolectomy and ileostomy in '06.
Pain-free, med-free, and very thankful to be healthy again :)

Regular Member

Date Joined May 2004
Total Posts : 277
   Posted 10/29/2007 9:37 AM (GMT -6)   
I guess this is all good to know since i'll soon be finding out. My doc did say it might take longer to heal up once the rectum is removed due to the fistulas. True?
Crohn's for what seems like forever
Bagged in August 2006
We cheer for 2 teams. The Red Sox and whoever is
playing the Yankees.

Veteran Member

Date Joined Jul 2007
Total Posts : 2765
   Posted 10/31/2007 7:10 PM (GMT -6)   
My surgeon said that Crohn's patients tend to heal slower than others. Oh yay for us!
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