Apparent Fistula

[dstuart]

I have a tear in my rectum (the result of an injury). It has resulted in what has been diagnosed as an anal fistula. I have had a cetin inserted in the past. This resulted in the abcess draining, the incision never completely closing up, further pain, and fluid again filling the abcess. A doctor told me (after an external exam), that he wants to cut into my sphincter muscle. I have read that this can cause permanent incontinence, and may not even heal the fistula. I have also read of other methods of treatment that seem to carry less risk of on-going or permanent damage. However, since I have no health insurance, no doctor (in Illinois, where I live), has been willing to consider other methods of surgery. I have even been told by one doctor that other methods are "mythical" and that cutting into my sphincter muscle is the only treatment available. Has anyone on this forum had successful treatment of a fistula? Also, I am female, and have had other complications with the fistula which makes me suspect that I may be dealing with a recto-vaginal fistula, rather than an anal fistula. The doctor I saw told me that I cannot possibly be experiencing the symptoms I explained to him! I need someone competent who won't scare the crap out of me (literally!). Other symptoms I am experiencing are fever, constant drainage, pain at the site of the incision, and pressure in my right leg (the abcess is on the right side).

[catwoman385]

May want to have a rectal- ultrasound to see where the abscess (fistula) is and find out if the abscess is gone. I'm on Medicaid and they covered the tests and surgeries.

[selmaS]

  Hi,  I do not know nething about ur situation to suggest medically what to do, but if I was as confused as u seem to be and concerend I would go get a few more opinions to see what other Drs have to say and go with the Dr I feel most comfortable with.

I wish u all the best with this issue and I hope u post updates as to how u r doing : )