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Fistula related doubt
I have taken MRI Fistulogram on yesterday. This 6'o clock issue there since long but now no pus and pain. But yesterday scan sudden 5'o clock and 7'o clock issues discussed I am worried on these. Will I go for surgery or not? I am confused. Please help me
Answers (7)
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You need to be operated. No doubt. You can try Conservative approach but will still end up more complicated for surgery. Better to do get operated and wide excision with draining of all collections and lay open of tracts is best. Even if it is problematic for couple of weeks, it is a permanent solution. Done hundreds of such cases and trust me you won't be disappointed.
Next Steps
get operated at nearby center.
Health Tips
avoid constipation to prevent prigression
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As an young male it's unusual to find multiple fistulois tracts..
So first rule out any inflammatory diseases of intestine..
Get sigmoidoscopy done first
Rule out TB also
Now coming to Fistula repair..better get it done as non invasive methods like VAAFT,LIFT ,Plugging of fistulous tract
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Get examined and rule out all possibilities like above mentioned
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Clinical examination followed by decision of surgery if needed
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Fistula is a blind tract which can get infected and can lead to abscess.
So if its long standing it won't heal by itself
Next Steps
surgery is necessary - fistulectomy
Health Tips
check your blood sugar level, total leucocyte counts.
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MRI report shows new tracts/branches are forming at 5 and 7 ‘o’ clock.
Next Steps
Your next course of action should be:
1.Antibiotic course for a week
2. Consultation with a surgeon i/v/o MRI report - surgical intervention - Laser/VAAFT/Open Fistulectomy, because if MRI is showing signs of new tracts forming - it dictates surgical management of fistula.
Health Tips
*Chances of recurrence are present in case of any fistula surgery (15-30%). It increases patient morbidity.
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such long standing disease usually wont heal spontaneously now. it is better to get operated.
surgery is mostly curative if done adequately.
post op care should help you stay disease free
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Hello Good Evening..
Dr Mohit Singh this side..
I have got few questions for you
What are your Presenting complaints and how is your job profile..i mean is it sedentary or field work
Also if there is any associated history of diabetes or any other chronic illness
Also give details about bowel habits like complaints of constipation if present?
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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.