Posted 1/7/2016 6:56 PM (GMT 0)
Dear All,
I am 37 year old male and in the beginning of the year I had a developed boil/cyst inside ano canal cause either infection in ano glands or perhaps anal fissure which with the passage of time got bigger and extremely painful. It was very difficult to go to the toilet and even sit down. Went to the A&E and my GP and was given a course of antibiotics and some cream to apply to reduce inflammation, itchiness. Pain and the boil got so worsen I had to visit A&E again was given painkillers and the doctor said that it should erupt on it's own and I will have immediate relief. Luckily the same night after sit baths the boil busted and I had immediate relief. All the abscess and infection got drained and I was very much relieved. I was experiencing some yellow and white discharge sometimes bit reddish in color and doctor said it is normal. For the next few months there was no discharge but sometimes there was a stain on my undergarments. Although there was no pain associated with discharge I sometimes felt damp in the anal area and saw my GP again which referred to me to the colorectal department.
Waited nearly over 2 months to see the specialist and when I saw him he did inspection and said surgery is required because it has turned into a fistula. Luckily he reckoned in my case it wasn't deep and surgery should be fairly simple and was given date straightaway after 2 weeks. In hospital surgery was performed under EUA and was sent home same day. I was told to take painkillers, sit baths, laxatives to ease passing stool. I was in pain for few days but pain gradually decreased. Only in the mornings when I went to the toilet I felt very fast throbbing pain like electric shocks. Went to see surgeon again and he explained I had a insertion of seton because my fistula was quite high and when the located it during surgery it was filled with pus. Now it has been nearly 5 weeks and seton is still there and surgeon tightened it on the other day which was the most excruciating pain I had ever felt.
Friends I would like to ask if anybody had a fistula surgery and had seton inserted. Basically the way seton works is, it cut through the sphincter muscle and gradually drops off whilst muscle is being repaired naturally. Its a long process but I still feel pain especially in the morning although I have no problems passing stool.
How long will it take for the seton to cut through and fall off. Do I need to pull the seton at home. How successful is cutting seton surgery. I put a cottong gauze between the buttcheeks which is bit wet in the morning. Any feedback/information or further comments will be much appreciated and thanks for reading this.