Taichung Hospital doctor treats chronic anal fistula

A 32-year-old salesman has successfully undergone surgery to treat an anal fistula after suffering from recurring abscesses for eight years. The patient, who previously managed pain with anti-inflammatory medication, underwent two surgeries and six hyperbaric oxygen treatments to facilitate wound healing.

Dr. Tseng Hsu-hung of Taichung Hospital noted that approximately 26% to 38% of patients with anal abscesses develop fistulas. These chronic inflammatory tracts connect the anal glands to the skin. The condition is most common in middle-aged adults, with an average onset age of 38.3 years, and is frequently associated with prolonged sitting.

Medical professionals emphasize that surgery is the only definitive cure. Treatment methods vary depending on complexity, ranging from simple excision for superficial fistulas to seton therapy for high or complex cases to protect sphincter function and prevent incontinence. Doctors advise seeking immediate medical attention for swelling, pain, or unusual discharge to avoid complications such as sepsis.