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Fistula grade III ,over 1 year
MRI of perineum done with T1 weighted, T2 weighted & Fat suppressed sequence in axial, coronal and sagittal planes of pelvic outlet. Post contrast study done.
FINDINGS:
A thin hyperintense track with surrounding inflammatory changes is seen originating in the natal cleft in right paramedian location extending for length of 3.5 cms traversing the transphincteric plane with internal opening at 6 o clock. The internal opening is around 1.9 cms from anal verge. No supra-levator extension of the track.
No evidence of collection/abscess seen in the present study.
The pelvic organs appear normal.
No obvious significant pelvic lymphadenopathy.
Rest of the pelvic organs appear normal.
Visualized bones appear normal.
IMPRESSION:-
This examination reveals trans-sphincteric fistula with internal opening at 6' o clock position (Grade III fistula).
This report is six months old. I have no pain, but sometimes pus comes out, white or watery, without other problems. Please help me i dont want surgery.
Answers (4)
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Operation is indicated in your case.
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Anal fistula is a clear bad luck. No restrictions can really prevent the disease process. If it is there , better to remove it surgically. No other option. After surgery go for sitz bath, diet, exercise whatever you want.
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Consult with a nearby general surgeon.
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Only surgery can help you.
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Since there is a pus discharge intermittently, it's better to consider undergoing fistulectomy. As now the fistula is simple,surgery is advised earlier to prevent it from becoming a complicated fistula.
Next Steps
Consult a General Surgeon for proper evaluation.
Health Tips
Consume soft,high fibre diet, stool softners, sitz bath twice daily for 20 mins, avoid straining while passing stools.
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MRI findings are suggestive of a Grade III trans-sphincteric fistula-in-ano with internal opening at 6 oâclock. There is no associated abscess or supralevator extension, which is reassuring. However, the presence of intermittent pus/watery discharge indicates that the fistula tract is still active. Such fistulas typically do not heal completely with medications alone and require procedural intervention for definitive management.
Next Steps
Consult a surgeon for clinical evaluation and treatment planning. Consider sphincter-preserving procedures like LIFT, FiLaC (laser), VAAFT, or seton placement depending on suitability. Maintain local hygiene with regular sitz baths. Ensure high-fiber diet and adequate hydration to avoid constipation. Avoid delaying treatment to prevent complications like abscess formation.
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Do not ignore persistent discharge, even if painless. Avoid self-medication or relying only on antibiotics for cure. Early planned intervention has better outcomes and lower risk of complications like recurrence or incontinence.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.