Everything you need to know about Setons!

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Everything you need to know about Setons! | Anal Fistula and Abscess

Рет қаралды 34,349

Күн бұрын

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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

Пікірлер: 136

@barbmckinnon1283 11 ай бұрын

I’ve had 12 surgeries over the last 16 years and every surgery gets more and more complex. It’s quite hard to live with to be honest. I like that this doctor does not sugarcoat over everything. I’ve been told mine will never go away it is not curable and to expect more surgeries.It’s what kept me single for the last 15 years. That’s my choice

@inquisitivesoul3618 8 ай бұрын

This is literally my life right now. It’s the most debilitating thing ever. I’m also afraid to even get a job because dealing with the day to day of it on top of a job is hell in of itself. Been 5 surgeries for me within the last three years. I’m just so done with it all…

@josephinedaoud8887 7 ай бұрын

did they put seton for u

@barbmckinnon1283 7 ай бұрын

@@josephinedaoud8887 I have five setons

@drjaymakadia3519 4 ай бұрын

it has a permanant cure for sure

@gallager2116 3 ай бұрын

Wow i felt like i was the only one going through this. I was misdiagnosed for a year. Was told cysts then went elsewhere found fistula was cause. Now have setons in and i feel like a disgusting person and life sucks dealing with these. I got 2 myself and they not much fun

@mikenewwave4298 3 ай бұрын

I had a complex anal fistula surgery 3days ago. Three openings on left buttocks. Constant abscesses for 4 years with draining. It sucks living with this issue. Good luck to everyone dealing with this…

@ratkinson5160 Жыл бұрын

Just had a fourth Seton placement yesterday. Looks like a pony tail holder. They come in fashionable colors. These little things are amazing. I have Fistulizing Crohn's so the name says it all. Has never been a negative impact on my daily activities.

@DeeDeeReveals 10 ай бұрын

i'm due to get a seton stitch and worried about daily activities i just had a baby and only 5 weeks out. any pain?? or issues with movement

@josephinedaoud8887 7 ай бұрын

hello i did put seton for six months or 7 months i dont feel it @@DeeDeeReveals

@virtuallyme2518 Ай бұрын

Are you fn serious???

@rockandblues3635 Жыл бұрын

I use to have 2 setons for 2 years then 2 clip for 1 year and now completed healed

@tinymabasa4717 Жыл бұрын

Hi. Please tell me. Is it painful how much painful. I'm scheduled to have it on Monday, but I am not sure. I'm scared. I had hemmoroidectomy 6 weeks ago and developed a possible fistula and abscess. Still to be confirmed. My BMs still pain after hemorrhoidectomy.

@mdshakil-oc3fq Жыл бұрын

😢Its very very painful 😢

@oo0itsmaria 11 ай бұрын

@@tinymabasa4717That same thing happened to me. I’m on my 2nd seton drain for a 2nd abscess.

@MattBuck777 Жыл бұрын

Heavy drinking causes mine to drain like crazy . Heavy drinking is what kept causing my abscess. When I eat clean and stay away from alcohol I’m good. I can’t wait to get this seton out.

@josephinedaoud8887 7 ай бұрын

hello did u take the seton out??

@virtuallyme2518 Ай бұрын

Would love to know if you had it out??? It’s usually risky and 50% likely to become infected and have to be put back in again… I’d greatly appreciate knowing what happened with yours.

@tysons8759 2 ай бұрын

Don’t live with a fistula like I did for two years. Get the damn surgery. It’s an outpatient procedure and not that bad at all. I was out of surgery, on a plane, and back home in less than 5 hours. I was so afraid of fly home the same day I was having anxiety attacks leading up to the surgery. It was a waste of time. I felt no pain leaving the hospital and felt no pain till two days later. Advil every 6 hours did it for me. It worked fine. I was so afraid of the pain during recovery I had my surgeon prescribed oxycodone just in case. The surgeon prescribed me 12. I didn’t take one. I was tripping out of my mind. Don’t let being afraid of pain/recovery stop/postpone your surgery. It’s not that bad.

@maxmm-bn8qm Жыл бұрын

I had abcess drained 5 weeks ago in er 4cm deep, and now a seton inserted today for a few weeks as fistula discovered .then they need to decide on a surgery procedure to heal it.this is just too long of a treatment and discomfort for any being! Not forgetting a skintag removal in march which possibly caused all of this. 😅😢i wish i could wake up when all is healed, it can mentally drain you. They need to discover a better way to heal these.❤I really feel for all that suffer with this.

@EggEEHL Жыл бұрын

thank you for giving information about seton as a treatment for fistula. I have had put a seton 4 months ago and it all went well until a few days ago where the seton has been giving me a lot of pains. I take painkillers for it, but it is very annoying. I am a student so i sit down a lot to study but has been rough. So when I heard in this video that it is normal that the pains can come back, it relaxed my mind.

@caseythelion46 Жыл бұрын

Just had a seton placement surgery. Hoping for a speedy recovery 🤞🏼

@tinymabasa4717 Жыл бұрын

@NK Typist not sure if it's directed to me. But I'm better. I didn't receive seton but fistuloyomy done. I'm back to work. The pain is still there on sitting too long

@beccap2298 Жыл бұрын

You’re amazing. You’ve given me faith I can return to normal one day. I’ve started the Panicura challenge today. I’m still using the dilt and was wondering how long I should leave each type of cream on. Also, did you ever make that video on why we shouldn’t each too much fiber?

@yourfriendlyproctologist Жыл бұрын

Sure did!

@baybay7898 Жыл бұрын

Panicura doesn't work well on chr fissure. Most people waste money on those medications in the hope to avoid surgery but ended up having a procedure.

@andrejasabutyte6736 Жыл бұрын

Thank you very much! I was lost before with some things, but your videos helped me a lot😁

@peterobrien2537 Жыл бұрын

Hello dr Chung could you please make a video on how to relieve hemorrhoid burning and pain when sitting for long distance travelling? thanks

@Kimmy-pw8tm Жыл бұрын

I've been wearing a Seton since I got Necrotizing Fasciitis. I survived that, now it's been 2.5 years. My Seton is between my bottom and I use a combine gauze. I hope to go swimming again. Horse riding is out of the question.

@revivol Жыл бұрын

Great information!

@fray25yt 6 ай бұрын

Big thank you Dr. excelente information!!

@DNAatWork Жыл бұрын

Hey Dr. Chung, guess who made it to this video ? I think I’m open to setons now, after a year. I think it might be a better option for me but it scares me. Video helps.

@arpancoc9735 Ай бұрын

Video Starts 1:10

@bonegrubber 8 ай бұрын

I have severe anxiety about keeping clean so I either shower or use a bidet squeeze bottle EVERY time. I have a go bag with the bottle and extra underwear for any accidents. Yes farting takes on a whole new meaning because the fart will find EVERY opening and it pushes out that nastiness where it can

@Whodaleewho Жыл бұрын

Hello Dr. thank you so much for your information it has helped me tremendously. Once a Seton is placed is it there forever? Or at some point is it normally removed. Thank you very much. I had fistula surgery one week ago today with seton placement.

@youtubekutiapa2678 Жыл бұрын

My doc said, it will be removed auto

@clarinportiaar795 10 ай бұрын

How is ur condition now?

@josephinedaoud8887 7 ай бұрын

m seton in for 7 months still in but my doctor said i should take pills after 2 months he will take it out@@youtubekutiapa2678

@iccc998 Жыл бұрын

Thanks. Just had a fistulotomy today and was placed a seton

@04RockDoll Жыл бұрын

How is that going?

@inktothepast Жыл бұрын

Man.. I got 4 of them right now. And my life is hell. I cry myself to sleep and wake up to immediate pain every day. It’s infinitely more painful than the 3 abscess that were there.

@exploringnaturalbeauty2102 Жыл бұрын

@@inktothepast how are you now ?? I had a partial fistulectomy along with Seton placement..so how are you I am losing faith in my life 😭 I am already broke..

@aamirhussain9611 10 ай бұрын

@@exploringnaturalbeauty2102 How are you now? Are you ok

@drydz8670 Жыл бұрын

What happens to the tract left behind after pulling out the seton?

@barbmckinnon1283 3 ай бұрын

Personally I’ve never had my sessions removed. My surgeon says if they’re not causing any problems we’re gonna keep them in because they’re working. Some doctors removed them and it could cause a re-inflammation. Every case is different and it’s a horrible disease

@drydz8670 3 ай бұрын

My partner had a seton placed in his fistula. The fistula never healed even after 6 months post op. You know what he did? He went to India to have DLPL done. He stayed there for 4 months. The proctologist there said the seton wasn't even in the right spot. He had the surgery done, had a doctor's follow up 3x a week initially for cleaning and checks, then down to 2x and then finally just once a week. 10 days before he flew back home here in Canada he was already fistula free and fully healed after 3 failed surgeries, months and months of ostomy follow up, and daily dressing changes which I did for him. I could not fly with him to India because I dont have enough vacation hours. Thankfully the care he received there is top notch. 2 years of dealing with this ended after he went there.

@barbmckinnon1283 3 ай бұрын

@@drydz8670 That is certainly good news! I’ve been dealing with this for 15 years and right now I’ve got a horrible infection. I can’t afford to go to India. I too live in Canada.

@virtuallyme2518 Ай бұрын

@@drydz8670please, I beg of you… can you provide the name of the Indian doctor and hospital??? 🙏🏼🙏🏼🙏🏼

@virtuallyme2518 Ай бұрын

Does your partner have Crohn’s? Mind if I asked what prompted him to go to India? Wasn’t the procedure available where you are?

@hamidfaghiri1278 Жыл бұрын

Can a Laser treatment be done after placement a seton? If i understood correctly treatment with seton takes long time but how about combination with a laser treatment?

@joeyjojo-ff2es Жыл бұрын

Dear Dr. Chung, I have had a recurring anal abscess for the last 6 years. It comes in the exact same spot every time and I notice that it is aggravated by certain dairy products, as well as if I touch it too firmly when checking to see if it has come back. I have needed to have incision and drainage 6 times and I am losing my mind, as it seems to be starting up again just over the last 2 days. I have had exploratory surgery under general anaesthesia once last year as my general surgeon was convinced there was a fistula. He could not find one. In the past I also had a colorectal surgeon in his office look for a fistula, but he could not find one. I am wondering if you have any opinion on the matter. Of note, I did have trauma to the inner part of my rectum when a drunk woman used a sex toy on me (without lubricant by accident) and a few days later I did develop the initial abscess and it is from the same side as the trauma. I can no longer and definitely wish to no longer engage in that anymore. Please Dr. Chung, please help me. Thank you, Joey

@awjake137 Жыл бұрын

Great info.

@asif80 Жыл бұрын

Can I remove my own seton cut it from the knot and pull it out it's been in for a year and it's been there not moves or tightened. Had no pus or problems. I wanted gone

@josephinedaoud8887 7 ай бұрын

hello doctor thank u for that helpful information , i feel very comfortable with it but my question can we leave it on all life instead to take pills to take it out and this pills for long life an thank u

@barbmckinnon1283 3 ай бұрын

Hello friendly proctologist! I’m wondering if you could do a video on complex horseshoe fistula? I’ve had this for almost 15 years and I’ve had more surgeries than I can count. I am currently in a very bad flare with an infection in the size of an orange. I’m on antibiotics but I have a feeling I’ve got another surgery coming my way. My surgeon is recommending a stoma surgery. Anyways I’m just wondering if you could share your thoughts on Horseshoe fistulas. As there’s not much information out there. I basically had it go from my right side around my tailbone and over to the left side and I had a litre of infection. You’re just always so positive about this horrible disease and I thank you for that❤

@Shazzerseses 23 күн бұрын

Hope you've had intervention since. But get the stoma. Get the bag and then have the procedures done on your fistulas. Once they've healed, consider keeping or removing the stoma. You might find the stoma easy to live with. I had mine for 5 years, no problems. Reversed it and 3 months later had a flare up of crohns

@LatifCreations Жыл бұрын

Hello Dr Chung. Hope you are doing well. I had a Perianal abscess about 7 months ago. I had an incision and drainage performed, however it turned out to be fistula, following an MRI. I consulted my surgeon, and decided to evaluate and decide on what procedure to perform. About 2 weeks ago, The surgeon performed fistulectomy, and noted "low fistula -- non communicating". I'm just worried about what is"non communicating", did he miss the internal opening, or was it just a sinus, or anything else. I am just worried about it coming back.

@rizkikacaribu Жыл бұрын

How about you now? Me also same must do 2 times surgery

@Oh1steve Жыл бұрын

@@Paula-pm1fv The sinus refers to the track/channel the fistula makes.

@virtuallyme2518 Ай бұрын

I suspect you found answers to your questions but just in case you haven’t and also for the benefit of other readers: In the context of fistula surgery, "low fistula" refers to the location of the fistula near the anus or rectum. "Non-communicating" means that the fistula is not currently connected to the anus or rectum, and is not actively draining. This can be a result of the Seton placement, which helps to control the flow of pus or infected material. So, "low fistula non-communicating" likely indicates that: 1. The fistula is located near the anus or rectum (low). 2. The fistula is not currently draining or connected to the anus or rectum (non-communicating). This terminology is often used to describe the status of the fistula before or after surgery, and can help guide further treatment decisions. If you have any specific questions or concerns, it's always best to consult with your healthcare provider or surgeon for clarification. Recurrence of a fistula is a common concern for patients who have undergone treatment. The risk of recurrence varies depending on several factors, such as: 1. Type and complexity of the fistula 2. Effectiveness of the treatment 3. Presence of underlying conditions (e.g., Crohn's disease, ulcerative colitis) 4. Lifestyle factors (e.g., diet, hygiene) To minimize the risk of recurrence, patients can take the following steps: 1. Follow post-operative instructions carefully 2. Attend regular follow-up appointments with their healthcare provider 3. Maintain good wound care and hygiene 4. Avoid activities that may exacerbate the condition (e.g., heavy lifting, straining during bowel movements) 5. Consider lifestyle changes (e.g., dietary modifications, stress management) It's essential for the patient to discuss their concerns and any questions they have with their healthcare provider. The healthcare provider can: 1. Assess the risk of recurrence 2. Provide guidance on preventive measures 3. Monitor the patient's condition regularly 4. Address any underlying conditions or factors that may contribute to recurrence. I hope you are doing well…

@shimmer8289 8 ай бұрын

I had a fistula /abcess that i could not get looked at ɓecause even tho i couldnt sit, my wbc count was elevated the 3 doctors i encountered at ER dismissed it because they couldnt reach it. Finally i was bleeding profusely ie 3 toilet bowels of blood in an hour at Er they finally admitted me a dictor saw it said i dont like this cat scan stat. I was hooked up to liquids as i had not voided or had a bm in 7 days. I had surgery seto. Now 6 months later with constant on the hour diareahea the genersl surgeon wants to do a fistuloytmy. He said the wound is 3 inches long right now. My q is with my super frequent bms will wound healing be a possible ptoblem ? I want to keep the seton. Anyone ??

@Oh1steve Жыл бұрын

Hi Dr have you seen the knotless seton drain from a company called AMI in Austria. Only Seton drain made for Fistulas.

@larrydemonte2218 Жыл бұрын

I’ve had two incidents with my fistula, but each time it ruptured by the time I got to the doctor and he says it would be more difficult to find a canal. If it’s not infected, on the second incident is ruptured so he wasn’t able to do the procedure now this morning I have a smaller filled sac so I’m going to see him at 10 o’clock and I’m hoping that he could just do it today. I wanna get it over with.

@ZillaTheTegu Жыл бұрын

Hi, not about this topic, but I really need your help. I had a hemroidectomy surgery done exactly a week ago, and am still in agonizing pain. I REALLY HOE YOU READ THIS. I wish I had you for my surgeon, you seem to care so much. My surgery has been the most excruciatingly painful thing in my entire life, and Im only 7 days in. I had to go to the ER for pain, and they didnt do anything but give me Lidocaine. BUT MY BIGGEST ISSUE, is that I go to the bathroom to much. I have about 4-5 bowel moments per day. Its hard to judge the quantity, but it seems average sized poop. I am on Mirilax stool softener, and the poop itself is very soft, almost like soft serve ice cream constancy. But its sooo painful as its passing, it feels like razorblades. I can handle 1 or 2, but I poop at least 4 times a day. Practicly every time I walk by the bathroom, my body wants to go. I eat a normal amount of food. A bowl of bran flakes cereal in the morning, a pp&j sandwich for lunch, and some chicken breast and green beans for dinner. With little variations like broccoli and carrots and peas, and a home made burger. Also some snacks between meals like apples and bananas and whole grain granola bars. I also drink the occasional Ensure Protein drinks, as well as much water as I can stomach. I was told to eat a high fiber diet (but not overly high), so I sticked with bran flakes and fruits and veggies with fiber. But I just keep pooping, it feels like I go a lot more then what I eat. What can I do? I feel like I wont survive another day, if I have to use the bathroom so often.

@Twinski98 10 ай бұрын

How are u doing now

@zaibakhtar2650 8 ай бұрын

Please upload festula procedure

@Pausha 2 ай бұрын

You can do anything.... Except cycle. 😭 The ONE physical activity that brings be joy. 😰

@nileshanvekar 8 ай бұрын

Hi, what should one do if the Seton is unable to feel after 4 days of treatment. Is it risky ?

@gracegonzalez4981 Жыл бұрын

Hi Dr. how long do you leave a seton in a patient?

@ares9748 6 ай бұрын

Hello doctor, i'am just worried because recently my seton dropped down and went out ,i have a second surgery and i don't know if it is normal or not

@kerwincarreon7621 11 ай бұрын

Hi Dr Chung....the seton was cut loose,,,now i have problem what to do....from Philippines

@gone.golfing 3 ай бұрын

Really? I'm shocked the Philippines know what a seton surgery is. There's literally no cases of Crohns or UC in the Philippines. The Gastro doctors in the Philippines are nowhere near as experienced or have seen as much as Western gastros have seen. I just hope they make many advances in the Gastro field in the Philippines and Asia as a whole.

@annplans3303 4 ай бұрын

How long would you say the adaptation period is?

@DaveMasters1121 Жыл бұрын

I've just been told that I have a complex fistula. They have no idea what the treatment will be as they need another MRI and other tests to rule out chrons. They said I'd definitely need seton

@josephinedaoud8887 7 ай бұрын

same here i got that i did put setons after i did colonoscopy they found crohn my doctor said this caused u fistulla

@virtuallyme2518 Ай бұрын

Just wondering how you’re both going? I was just wondering if either one of you were diagnosed with Crohn’s and whether it was actually a complex fistula. I have a complex fistula due to Crohn’s and I’ve had a seton for two years and each time I go to the specialist for a check up to see if it’s healed and whether he’ll be able to remove the seton he tells me that there’s a likelihood that it will become reinfected within two weeks and that there’s a 50% chance that this will happen I am so distressed fearing that I may end up having to have the seton in place for the rest of my life :(((((((

@DaveMasters1121 Ай бұрын

@@virtuallyme2518 Still waiting for treatment on the NHS. It's gradually got better, so much that I don't notice it anymore. The things that helped me were COVID and buying a portable electric ass spraying machine (portable bidet) The colonoscopy showed no chrons or other anolomolies

@CharlieJohnson963 11 ай бұрын

I've had mine in for 3 years now. On my second seton. Had two surgeries so far and one more to go.

@ramranchcowboy4408 4 ай бұрын

Hows it going? I'm going in for my 3th and hopefully last surgery in a couple days. Also can't wait to get this seton out!

@virtuallyme2518 Ай бұрын

@@ramranchcowboy4408 if I asked whether you’re Satan is related to Crohn’s disease? If you had one removed did it not get reinfected? This is that I heard that there’s a 50% likelihood for reinfection… 😢

@ivanbilandzic6571 11 ай бұрын

I got my nou..when it and hau go out?Doctor pull it out or it come out in time?

@gosu84moba74 Жыл бұрын

Hi Doc, i really do enjoy watching your video, may i share a bit of experience regarding fistula and wanted to ask solution or opinion from you. I had operation for fistula around 7 times, im currently recovering from surgery last week using seton by my doctor. But when it was dec 21 i went for FILAC METHOD SURGERY, The weirdest thing from FILAC METHOD was it occured once a month the abscess, so on january the abscess exploded by itself and on february my doctor made an incision on my recovered skin that already closed, he cut me open again forthe pus to come out... I thought that will be over right, but on march came back again, abscess every 25- 30 day exactly... My doctor said oh dont you worry it will healed up within a month, then at night the wound getting bigger and painful, so i swithed hospital and doctor using seton method. But the question is during december - january i drank a lot of alcohol then boom abscess, jan - feb i ate a lot of spicy food, feb - march yes i drank alcohol but only a bottle. Do spicy food and alcohol allowed during recovery? Or do i have to ban those 2 all my life?

@shimmer8289 Жыл бұрын

Nurses told me food really matter with what seens to be a complex fistula. I was on a restricting Diet 8 months ate brtn 700 to 800 calories list weight BUT developed n abcess fistula. My instructions eat 20 fibre day, eat adequate calories, avoid alcohol and spices foods. I've done this have been regular ea h day since surgery.

@gosu84moba74 Жыл бұрын

@@shimmer8289 it cured? No more fistula afterwards? Dieting works?

@shimmer8289 Жыл бұрын

@gosu84moba74 I was restricting to 4 ounces chicken 4 egg whites per day that's not recommended. Now I eat fruit veg and small amount chicken I still lose weight at higher calories. The fustula us not cured the surgeon only drained the abcess in emergency surgery and placed a drain in the fustula that will be in me many many many months.

@virtuallyme2518 Ай бұрын

@@shimmer8289do you have Crohn’s disease? 😊

@shimmer8289 Ай бұрын

@virtuallyme2518 hi there since I made that comment the surgeon who was gonna do a fistulotomy just cut the seton out at a check up in may. I've been fine ever since so my guess no I don't have chroens. Dang it was one the most difficult physical experiences I had tho.

@syielding70 Жыл бұрын

Just got home. They place 4. Yea I’m screwed. I do like the channel though.

@katienaidoo6097 Жыл бұрын

Dr Chung can you please do a video on anusitis as well as proctitis and their treatment.

@yuichan5 Жыл бұрын

I just did seton today😢😢😢

@mschampagnediva5303 Жыл бұрын

How are you doing with this?

@1hiphopnow Жыл бұрын

The only place I’ve heard completely reversed peri anal fistulas is in Indian. Gotta get the money to get there

@praveenakrishnan4581 9 ай бұрын

Its ayurvedic ksharasutra. Any reputed ayurvedic college do. Its basically medicated cutting seton.

@virtuallyme2518 Ай бұрын

@@praveenakrishnan4581❤

@OutdoorLance 10 ай бұрын

How can I deal with fistula drainage

@shopnstuff8228 Жыл бұрын

colon surgeon wants to put setons in :( i am very scared should i not be so nervous? is it a good idea to put them in and can i go about my daily living without feeling these little twist ties down there?

@marneelong3322 3 ай бұрын

How long does it take to recover from seton placement surgery

@virtuallyme2518 Ай бұрын

Recovery time for Seton placement surgery can vary depending on individual factors, such as overall health, age, and the complexity of the procedure. Generally, patients can expect: 1. Immediate recovery: 1-2 hours after surgery, patients are typically monitored in a recovery room for any complications. 2. Hospital stay: Usually, patients are discharged the same day or require a 1-2 day hospital stay. 3. Pain management: Patients may experience discomfort, pain, or numbness in the affected area, managed with pain medication. 4. Activity restrictions: Patients are advised to avoid heavy lifting, bending, or strenuous activities for 1-2 weeks. 5. Follow-up appointments: Regular check-ups with the surgeon or healthcare provider are necessary to monitor healing and remove any sutures or staples. 6. Full recovery: Most patients can resume normal activities within 2-4 weeks, with complete recovery typically taking 6-8 weeks. It's essential to follow the post-operative instructions provided by your healthcare team to ensure a smooth and safe recovery. Keep in mind that everyone's recovery pace is different, and some patients may take longer to recover. If you have concerns or questions, don't hesitate to reach out to your healthcare provider.

@drseanpatrick696 Жыл бұрын

Can autophagy eat up an abscess and fissure?

@virtuallyme2518 Ай бұрын

Would be grateful to hear if you’ve had any success finding answers to your question on autophagy??

@Levitevi 8 ай бұрын

Hello! So i under went a fistulectomy surgery then i had a seton placed. What i don’t understand isnt a fistulectomy suppose to be an incision of the fistula tract? Then why do i still have a seton? Shouldn’t the tract be removed during surgery and closed? Please can anyone answer and help me understand thanks 🙏🏼

@virtuallyme2518 Ай бұрын

I'm sorry to hear about your experience. In a fistulectomy, the primary goal is to remove the fistula tract and any infected tissue while preserving the sphincter muscles. However, in some cases, the entire fistula tract may not be completely removed during surgery due to the complexity of the fistula tract or potential risks to surrounding structures. Additionally, the healing process after a fistulectomy can vary from person to person, and it's not uncommon to have some residual tissue or debris left behind after surgery. This can sometimes lead to the formation of a residual or recurrent abscess, which may present as a new or persisting sinus or opening (fistula). It's essential to follow up with your healthcare provider to discuss any concerns or changes in your condition post-surgery. They can provide you with a more personalized explanation based on your specific situation and recommend further treatment options if needed.

@FoolishPrankster Жыл бұрын

I only person I see 'eye to 'eye' with is my Proctologist. -Rodney Dangerfield

@cynthiacerqueira9190 Жыл бұрын

Can you exercise normally with a fistula?

@nabakantaboruah7018 Жыл бұрын

Sir plz help me??? I have fissures for 5 months.Now my internal anal spinchter does not heal.when small soft hard stool passing,the anal close down its door.how to repair and relax my spincter muscles.

@abrahamchidiac1152 Жыл бұрын

hi try sitz bath I put half cup baking soda half cup pink salt sit in warm water do that at least twice a day or after bowel movements and use the cream

@maroonenterprise677 Ай бұрын

I have seton placement before 1 week. It sucks. I don't know when will it be removed?

@virtuallyme2518 Ай бұрын

In most cases, a seton is left in place for a specific period to help the fistula heal properly. The duration can vary based on individual healing processes and the complexity of the fistula. Typically, setons can be in place for a few weeks to a few months. It's essential to follow up with your healthcare provider regularly to monitor the progress of the healing process and decide on the appropriate time for seton removal based on your specific situation. They will be able to provide you with a timeline for when the seton is likely to be removed.

@maroonenterprise677 Ай бұрын

@@virtuallyme2518 actually my fistula contains spincher muscles and worst possible hence it might take a long time. Now discharge from fistula is reducing day by day just uncomfortable with everyday life

@vinayg968 Жыл бұрын

Hello Dr.. please let know your opinion on Cryo surgery to anal fistula.

@Deepsidhu1233 Жыл бұрын

Hlo sir I have to treatment in USA I’m new here how much first it cost or which insurance should I get

@S.Alonzo Жыл бұрын

My question for you doc. Are you single. You are very handsome and smart. I love your videos.

@NOCallerID00 Жыл бұрын

That boil will have u reconsidering life 😢

@kartik5265 Жыл бұрын

Hi dr., ihad a blind ending sinus tract . First i had an anal abscess. 1 month after drainage, got a fistula but it didn't had an internal opening. My dr. Did fistulectomy + placed a cutting seton on the inner end so that it can drain as well as cut the inner end as surgically it might have damaged my Spinchter muscles, so a seton was used. Now in few days, there will be seton tightening, will it hurt? Anyone else?

@clarinportiaar795 10 ай бұрын

Me also in same situation... Does that seton hurts u lot?

@cherylkopec1625 10 ай бұрын

Helpful hint: don't wait for your doctor to do all the tightening. Within your comfort level, try to "play" with it, jiggle it around, pull gently, etc.

@clarinportiaar795 3 ай бұрын

@@cherylkopec1625 Thank god... Seton fell within 1 mnth and cured completely... Now i am ok🤝🏽

@citg9464 Жыл бұрын

Doc I remember using soap on anus before 2-3 years but after that I experienced anal itching and moist down there hence I searched about it and knew that Soap is probably the cause so I stopped using it , but since then I have dead-skin flaking on the anus area which I haven’t experienced before , when ever I rub that area or just touch it some dead-skin would be there , I don’t know if this is normal because I grew since that incident but like is it normal to have some dead-skin coming from the anus area when you rub/pat it ?

@brianharris4275 Жыл бұрын

Forks over knives! Pears.

@MusicOfDestruction Жыл бұрын

Dr chung please help.. what can i do to.induce a drain ... its drained each time it fills.. . Its never been infected either.. it usually just fills with blood and clear fluid... but right now its filled again and it hurts