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All appointments are prioritized on the basis of medical need. You should follow up with your colorectal surgeon in 6 weeks following your surgery to review your wound and discuss further management if indicated. Twice daily warm to hot salt water Sitz bathing to the anal region is soothing and antiseptic, and should be done for 1 -2 weeks following your procedure. The most common type of surgery for anal fistulas is a fistulotomy. The goals are to repair the anal fistula completely to prevent recurrence and to protect the sphincter muscles. Mayo Clinic in Scottsdale, Ariz. The opening of the channel at the skin external generally appears as a red, inflamed area that may ooze pus and blood.

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If you have Crohn's disease or another medical condition, Mayo Clinic specialists will collaborate with your primary care doctor to form the best treatment plan.

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Following your procedure, you will recover for an hour until the effects of sedatives have worn off. Mayo Clinic specialists use state-of-the-art imaging technology to trace the pathways of anal fistulas, including endoscopic ultrasound, fistulography, magnetic resonance imaging MRI and flexible sigmoidoscopy. There is some evidence suggesting that long tracts greater than 4cm in length are more likely than short tracts to heal with these techniques [11]. If the internal opening of the fistula tract is high, it involves too much of the internal sphincter, and it is not safe to incise, as loss of this vital muscle will result in incontinence. A vast number of plugs and glues have been used to try to seal fistula tracts.

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