Anal Fistula: Is it necessary to take medicine by surgery?

Anal fistula is usually an infection of anal sinus and anal gland, which spreads to form perianal inflammation and can't be controlled, and then forms perianal abscess, that is, perianal abscess. After spontaneous rupture or incision and pus discharge, the abscess gradually shrinks, forming a hard wall pipeline for connective tissue proliferation, and the gap left in the middle is fistula, namely anal fistula. In this process, only early inflammation can be controlled by effective antibiotics. Once the perianal abscess is formed, it will rupture naturally without incision, and anal fistula is an inevitable sequela. Once anal fistula is formed, it can no longer be hoped that it can be cured by taking medicine or local medication. This is a disease that cannot be cured without surgery. Of course, surgery is not always surgery. You can completely remove the fistula with a scalpel, slowly cut the fistula and let it heal while cutting. This is "thread-hanging therapy" and surgery.

If you are particularly afraid of surgery, you can accept "thread-hanging therapy", which is more suitable for high anal fistula and deep fistula and has the advantage of preventing postoperative anal incontinence.