Conventional treatment
In the case of superficial fistula tracts, the surgeon usually opts to cut them open. Deeper fistula tracts are cut out. Treatment is rather arduous for the sufferer.
The challenge for the surgeon: The more sphincter tissue is affected during this procedure, the more likely that quality of life after the operation will be reduced. In other words: The risk of incontinence increases with the complexity of the operation.
Anal fistulas and anal abscesses take a few weeks or months to heal. To avoid infection, the anal region must be kept very clean after the operation. Hip baths with chamomile can help healing.
If chronic inflammatory bowel disease is also present, surgical removal of fistulas is not always possible. The persons affected must live with and tolerate the fistulas, which can greatly decrease their quality of life. Treatment with antibiotics often provides some relief for these patients.
