Mayo Clinic doctors trained in colon and rectal surgery, gastroenterology, and infectious disease, as well as wound care experts, work together to evaluate and treat people with anal fistula. If you have Crohn's disease or another medical condition, Mayo Clinic specialists will collaborate with your primary care doctor to form the best treatment plan. Having all this expertise in a single place means that your care is discussed among the team, test results are available quickly, appointments are scheduled in coordination and the most highly specialized experts in the world are all working together for your health. Knowing the complete path of an anal fistula is important for effective treatment. The opening of the channel at the skin external generally appears as a red, inflamed area that may ooze pus and blood. This external opening is usually easily detected.
Information and Treatment for Anal Fistula | Lifespan Pelvic Floor Disorders
Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula. Certain conditions that affect your lower digestive tract or anal area may also increase your risk. These include:. The specialist will ask about your symptoms and your medical history. During your physical exam, the doctor will look for a fistula opening near your anal opening. He or she may press on the area to see if it is sore and if pus comes out.
Anal Fistulotomy: What to Expect at Home
Your care will be adapted to meet your individual needs and may differ from what is described here. It's important that you follow your surgeon's advice. Anal fistula usually occurs as a result of an infection or an abscess collection of pus in the anus. It can also be caused by conditions that affect the bowel such as inflammatory bowel disease or Crohn's disease.
Back to Anal fistula. There are several different procedures. In many cases, it's not necessary to stay in hospital overnight afterwards. The most common type of surgery for anal fistulas is a fistulotomy. In cases where the risk of incontinence is considered too high, another procedure may be recommended instead.