Glad to hear it. Itching is how it started for me both times, but unfortunately didn't stay in that phase. In general, I've stopped wiping with toilet paper as much, so as not to re-aggravate the area. Instead, I do more of a bidet style rinse off in the shower following bowel movements. I noticed that I was more prone to irritation using toilet paper. My fistula only came back after I fell out of the habit of doing this and hasn't shown any irritation or signs of returning since I shifted back to this routine.