I am from Sri Lanka, I had an anal abscess and did surgery about 3 1/2 months ago but did not successful and it developed in to recto anal fistula. Again I go to a surgery about 3 month ago, but the fistula is not completely cured, it is still there. Pl. Tell me what can you do for me.

Dr. Adnan MattooGeneral Surgeon8yrs exp

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Hello. First I want to clarify your doubt that it's not that your surgery was unsuccessful. Perianal abscess is an emergency procedure to drain the pus out, nothing else. Second it's not that your abscess developed into fistula rather it's reverse that you already had an underlying fistula which presented as an abscess. I would recommend you to get an Mr. fistulogram done and then consultant a good general surgeon or a proctosurgeon. A complete fistulectomy or fistulotomy is the best treatment for you to prevent recurrence.  

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