Can anal fistula be resolved by enema after surgery?

Many elderly people may suffer from anal fistula due to anal injuries or intestinal diseases when they are older. Anal fistula is a very common disease nowadays. Patients with anal fistula must clean their bodies frequently for a long time to ensure that no odor is produced. However, the pain of anal fistula is very serious. In addition to paying attention to treatment in daily life, patients with anal fistula should also undergo enema surgery.

What is the best way to treat anal fistula?

[Symptoms] How to determine whether you have anal fistula? my country's famous anorectal disease expert, Deputy Chief Physician Zhao Quansheng of Yuanda Anorectal Hospital, will help you analyze your condition:

1. Pain : When the anal fistula is unobstructed, there is generally no pain, only a local feeling of heaviness and distension. However, it may also cause pain due to a large internal opening and the flow of feces into the tube, especially during bowel movements or when there is inflammation.

2. Itching : In addition to pain, what other symptoms of anal fistula are more obvious? Itching is also one of the common symptoms. The constant irritation of the skin around the anus by pus can cause perianal pruritus, which may also be accompanied by perianal eczema.

3. Purulence : In the early stage of anal fistula, there is a lot of pus discharge, which is yellow and thick, with a strong fecal odor. Over time, the pus gradually decreases, sometimes appears and sometimes disappears, and becomes as thin as water. If you are too tired, the pus increases and feces may flow out. Sometimes the outer opening of the fistula can be temporarily closed, but the patient will soon have a fever, local swelling and pain, and the closed outer opening may be ruptured again. The symptoms will gradually disappear after the pus flows out.

4. Systemic symptoms : Acute inflammation or chronic complex anal fistula may be accompanied by systemic symptoms such as fever, anemia, weight loss and loss of appetite.

[Treatment] What are the treatments for anal fistula? Is drug treatment effective?

Unless anal fistula is in the active stage, it can be treated with appropriate medication. Non-surgical treatments include inserting drugs into the fistula tract, injecting sclerosing agents into the fistula tract, etc. However, clinical practice has shown that no non-surgical method can achieve a radical cure.

Traditional surgical treatment: "If you open anything, it will leak"

With traditional treatment methods, not only do patients have to endure the pain of several subsequent surgeries, but "everything opened will leak," which is also a headache for general surgeons. In addition, even if the anal fistula is cured, anal incontinence is something that the patient cannot accept, which is also a big "difficulty". Traditional surgical treatments cause great pain to patients and are associated with numerous complications. Such as: fecal incontinence, sphincter damage, etc. The essence of it is nothing more than incision or resection of anal fistula and thread hanging therapy, all of which are prone to recurrence.