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Fistula MRI and surgery needed now?
Hi Doctor, I had a chronic fissure for 6 months, which has now healed, with no pain or symptoms for the past 1.5 months. I noticed a small bump, so I consulted a colorectal surgeon. He said it is intersphincteric fistula likely to be about 2 cm and advised an MRI fistulogram and surgery.
Since I have no pain, discharge, or discomfort, is the MRI & surgery necessary now, or can it be observed and when discomfort arises do MRI and then surgery ? Could leaving it untreated cause a bigger issue later? What would you recommend?
Answers (3)
An anal fistula rarely heals spontaneously on its own, even if it is currently asymptomatic or quiescent. An MRI fistulogram is the standard non-invasive imaging step to confirm whether the tract exists, measure its exact length, and map its relationship to the anal sphincter muscles.
Early Investigation and Treatment Are Recommended to avoid:--
1. Risk of Recurrent Abscess.
2.Secondary Branching and Complexity.
3. Tissue Preservation.
Please do a MRI Fistulogram. Once the MRI maps the exact anatomy, discuss the findings with your colorectal surgeon. If a simple intersphincteric tract is confirmed, planned elective treatment is safer than waiting for an emergency infection to develop.
Next Steps
Consult a G.I. Surgeon or a General Surgeon.
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Yes, you should do a MRI fistulogram for confirmation and take proper treatment for this otherwise consequences can occur.
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Dr. Pooja Patnaik
General Surgeon
5 yrs exp
Bhubaneswar
Yes Mri is very much needed here just to know the extent of the fistula tract.
And they donot resolve on its own.
Next Steps
please consider mri and then surgery
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.