A fistula is entirely removed during fistula surgery so that it can transform into a flat scar. In order to aid in the drainage of any infection and to hasten healing, a surgeon will insert a tiny bit of surgical thread within the fistula during seton surgery. All anal fistula procedures seek to close the fistula with as little harm as possible to the anus (bottom sphincter) muscles. You could struggle to regulate when you urinate (incontinence) if these muscles are weak. Surgery to repair an anal fistula typically lasts an hour. The surgeon will make an incision to expose the fistula during the fistulotomy operation. A local anesthetic may be all that is needed for the procedure if the fistula is tiny and shallow. If not, the patient will be put to sleep with a general anesthetic.
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