A surgeon performs fistula surgery to completely remove a fistula so that it can heal into a flat scar. During seton surgery, a surgeon will insert a small piece of surgical thread inside the fistula to aid in the drainage of any infection and to promote healing. All anal fistula surgeries aim to remove the fistula while causing the least amount of damage to the sphincter muscles around your bottom (anus). If these muscles are weakened, you may find it difficult to control when you urinate (incontinence). Anal fistula surgery usually takes about an hour. During the fistulotomy procedure, the surgeon will make an incision to expose the fistula. If the fistula is small and shallow, the procedure may only require local anesthesia. If not, a general anesthetic will be used to put the patient to sleep.
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