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Hello - I had the seton placement surgery for a fistulaAnorectal fistulas Esophageal atresia Pulmonary arteriovenous fistula Tracheoesophageal fistula repair - series back in August of 2000. It is also called the "rubberband" procedure. The purpose of the procedure is to place a rubberband down there, not sure exactly how they do it. But the purpose of the procedure is for the rubberband to slowly cutCuts and puncture wounds through the muscle without causing a person to become incontinent. The procedure itself took about 15 minutes. You are put out for them to do this. You are sent home a couple hours later. You will feel like you need to live in the bathtub for a few days and will be told to get a tube of Nupercanal ointment. This will help with the pain. Once a week you will go to your surgeon's office (hopefully a colon/rectal specialist) and they will tighten the rubberband. I had to go back for 5 tightenings of the rubberband. I'm not going to lie to you, when they do this it hurts like hell. But it does get rid of the fistulaAnorectal fistulas Esophageal atresia Pulmonary arteriovenous fistula Tracheoesophageal fistula repair - series which don't really want down there anyway. If you have any other questions, please feel free to email me. Best of luck. ***@****