Guys, I need your advice please. I am not sure on what to expect with the fistula I have.
Exactly 2 months ago, I had an abscess drained and the doctors suspected fistula. I was sent home and that wound is pretty much 95% healed with a small hole remaining but there is no drainage.
Exactly 1 month ago from today, I had another abscess drained and was told it was quite deep (5cm deep) and they suspected a fistula but wasn't 100% sure. I am scheduled for an MRI in June to examine the fistula and I am having daily dressings done. Today, I went in for the dressing and the nurse told me the base of the wound is clean and healing nicely but there is a canal and decided to examine the canal with a syringe and flush out the pus leaking. Although the pus leakage has decreased drastically over the month, I am still having some pus discharge. The nurse confirmed it to be a fistula today though she suggested waiting for my follow-up with the surgeon/MRI results to be absolutely sure of treatment options.
Now my question is I have had a fistula 4 years ago that healed up on its own with no medication/surgery (took approx 6 months). At that time, I didn't even know what a fistula/abscess was and I never gave it much thought as I didn't even need an I&D for the abscess 4 years ago.
Since having the I&D procedure done this year, I am extremely afraid of what is about to come. I am currently on Prednisolone (40mg) and a few antibiotics while the wound is still healing. I prefer no surgery on the fistula so what are my options? I heard Azathioprine could help with healing? Since I have mild incontinence, should I press for fibrin glue if I really need to operate on the fistula? What are the success rate?
Really appreciate your input please.
