Namaste Doctor ji,
Anal issue deected from MRI Perianal region.
Pain, discomfort , constriction , injury wound type lump
No constipation , no blood . MRI REPORT attached.
MRI report indicates: CRYPT ABSCESS AND NO OBVIOUS FISTULA COLLECTION. mri report attached.
But Proctologist doctors saying ; intersphincteric fistula posterior low is present where as MRI report by radioogist says no.
As a patient how do i go about , yes or no or any ,
Further investigation guodance needed.
Treatment guidance needed, further investigation direction, advice needed.
Thank you 🙏🏻🤝🏻
Respected Doctors , Proctologists,
Need advice , guidance:
Issue: Intersphincteric Fistula in ano : Posterior Low
Fistulotomy without Laser is adviced.
However , now a days many Laser procedure are there.
Why non laser treatment ?
So many laser procedures are advertised heavily like FILAC , VAAFT+FILAC , EFLA Laser procdure , etc etc
Main point : sphincter- sparing .
Please guide how do i go about to choose.
Thank you very much 🙏🏻🤝🏻
I got my MRI yesterday of a fistulogram and that shows I have fistula..however last month I did one and that showed 1.5 cm long 3mm in width.. now it's 3.8 cm long and 2 mm width ...also attached picture
Please let me know if this is simple one or complex or is it moving to scortum region?? I am having little discomfort near inguinal area since few days bot sure because of fistula or other reasons...
MRI of perineum done with T1 weighted, T2 weighted & Fat suppressed sequence in axial, coronal and sagittal planes of pelvic outlet. Post contrast study done.
FINDINGS:
A thin hyperintense track with surrounding inflammatory changes is seen originating in the natal cleft in right paramedian location extending for length of 3.5 cms traversing the transphincteric plane with internal opening at 6 o clock. The internal opening is around 1.9 cms from anal verge. No supra-levator extension of the track.
No evidence of collection/abscess seen in the present study.
The pelvic organs appear normal.
No obvious significant pelvic lymphadenopathy.
Rest of the pelvic organs appear normal.
Visualized bones appear normal.
IMPRESSION:-
This examination reveals trans-sphincteric fistula with internal opening at 6' o clock position (Grade III fistula).
This report is six months old. I have no pain, but sometimes pus comes out, white or watery, without other problems. Please help me i dont want surgery.
My father has undergone a mandibulectomy surgery where the fibula bone was used as a donor. The skin graft at the donor site is now (after 5 weeks) is said to be at partial loss, am worried how the area will heal now. Kindly provide opinion on the healing process now and whether any extra treatment is needed.
