Constipation after anal fistula surgery

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Excess intravenous fluid has also been shown to significantly increase the risk of urinary retention, and strategies for intravenous fluid restriction are typically employed. Occasionally if there is a significant amount of sphincter muscle involved, a small Silastic drainage tube or a suture of silk will be placed to achieve adequate drainage for a second stage of an operation. When an infection following anorectal surgery has been diagnosed, the surgeon should have low threshold for a quick return to the operating room for control of infection and debridement of any devitalized tissue. Simple release of a stricture may provide temporary relief of symptoms but generally should be avoided because of the high rate of recurrent stricture. Rectovaginal and ano-vaginal fistulas have also been reported with higher prevalence in PPH procedures. Patients undergoing stapled hemorrhoidopexy generally have less immediate postoperative pain and less chronic pain than open hemorrhoidectomy. Medical management is the best treatment for the majority of patients with fecal incontinence after anorectal surgery.

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You should not take any blood thinning medications, such as aspirin, Ibuprofen, Coumadin, Plavix, or goody's powder at least 5 days prior to your operation.

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Complications Following Anorectal Surgery

If a thorough exam cannot be completed in clinic, an exam under anesthesia may be helpful to determine the source of pain. A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: Patients with scarring of the anal sphincter muscle as well as stenosis of the anoderm should undergo a flap procedure combined with an internal sphincterotomy. After surgery, your surgeon may order Sitz baths 3 times a day and after any bowel movement. Complications after anorectal surgery are not always immediate, and can instead take months or years to fully develop.

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