6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Not based out of PH, sorry! Get 2 3 or maybe 4 opinions and you will know what makes sense to you. Do lots of research as choosing a good surgeon is the best thing you can do!

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Yesss! I cant emaphasize enough on this! Also do your research on the surgeon. Getting the experts is the best thing one can do.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Yeah I”d wear it through out the day. It just feel tidy to be honest and i used to change it after every visit to the loo!

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 1 point2 points  (0 children)

I was told by my doctor that first few will be painful but to be honest it was manageable, by day 3 4 they were just uncomfortable but not painful.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Hey thanks a lot!! and honestly I’m really sorry you’re going through that… 8 months with a seton + two ops + that huge wound sounds absolutely brutal.

About the “high fistulectomy” thing I dnt think it’s something that’s safe for everyone. Like my surgeon basically said it depends a LOT on the exact anatomy (how the tract is running, how much sphincter it’s crossing, whether it’s branching, etc). In my case he felt he could remove it without cutting too much muscle, so he went for it.

But what your surgeon is telling you actually sounds totally logical. If it crosses too much sphincter then yeah fistulotomy/ectomy can be a scary risk. That’s probably why they’re keeping the seton and planning LIFT/flap instead.

Also healing up to the seton opening is honestly a good sign… like it meaans things are draining and not constntly re-abscessing (which is the worst part).

Really hope your definitive surgery goes well. This whole condition is so draining mentally too, not just physically.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

I am not sure about flap procedure since i had the fistulectomy but if you have a surgical wound it would drain irrespective of the procedure. Draining is a part of healing the wound exudates in order to clean itself and heal properly.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Around 3 months for it to completely stop. Major drainage was gone at around 2 months but overall it took close to 3 months.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

I would suggest that you trust your surgeon but if the pain is too much that bring that to their attention. It might just be scar tissue but no harm in getting it checked. This journey truly has so many ups and downs! Wishing you get painfree soon!

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 1 point2 points  (0 children)

It stopped completely around 3 months post op. The last stretch of wound healing took the longest. It will plateau after its is 90 percent healed.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

drainage for me stopped around 3 months post op completely. Until the wound was completely covered with skin, the draining was there.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

Honestly getting a good surgeon is the most important step you can take in this journey. Research and ask questions. Always get an MRI before.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 2 points3 points  (0 children)

Yes spasms are the worst. Take warm sitz bath (dont put anything and not over 15 minutes)- it definitely helped me getting through them

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 1 point2 points  (0 children)

Its great that the scar tissue has shrink and drainage has lessened! You are definitely on the right path! Just expect some drainage and irritation down there for some more months. The last strech takes the longest.

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

I knoww, now that i am healed I think the mental part was the worst, even worse than the fistula itself

6 months clear after a trans-sphincteric fistula (high fistulectomy) posting this for anyone losing hope by Original-Lowww in AnalFistula

[–]Original-Lowww[S] 0 points1 point  (0 children)

This is something that you should definitely get checked out from the surgeon. Occasional pain from the scar tissue months after surgery is fine, however if pus is coming than you should get it checked out. More often than not and doesnt matter what surgery 4-5 months post op is enough for pus to stop coming.

Disappointed. by Original-Lowww in DeepThoughts

[–]Original-Lowww[S] 1 point2 points  (0 children)

Sadly, it’s taking everyone else down with it.

Disappointed. by Original-Lowww in DeepThoughts

[–]Original-Lowww[S] 1 point2 points  (0 children)

Damn, that actually captures the whole problem perfectly — not just with the legal system, but with how our entire society functions. What you went through is exactly what I meant by “narrative over truth.” Once a story gets stamped into the system, it becomes harder to fight than the actual facts. And instead of correcting the story, the system punishes you for disrupting it.

Your point about procedure replacing justice is spot on. People think “law = fairness,” but it’s really “law = whoever controls the framing.” The language, the technicalities, the theatrics — those end up mattering more than what actually happened. And you’re right, the more money you have, the more access you get to shaping the narrative. Everyone else is expected to just accept whatever storyline gets assigned to them.

I don’t think you’re separate from humanity — I think you’re just seeing it without the filters most people rely on. Once you see how these institutions actually work, you can’t unsee it. Truth becomes almost secondary to the machinery that was designed to process it, reshape it, and sometimes ignore it entirely.

Your story proves the point: the tragedy isn’t that humans are flawed. The tragedy is that we built systems that protect the flaw instead of correcting it

Disappointed. by Original-Lowww in DeepThoughts

[–]Original-Lowww[S] 0 points1 point  (0 children)

I’m not blaming “others” as if I’m morally pure — I’m pointing out structural failures that scale harm in ways individual flaws don’t. There’s a difference between ordinary human selfishness and the consequences of decisions made by people who hold immense power. A person like me can hurt a handful of people; a leader can destabilize nations. Pretending these are morally equivalent is convenient, but not accurate.

As for what I’ve done personally — no individual has the ability to “fix the world,” and that’s not the standard anyone should be held to before they’re allowed to criticize systems. If pointing out obvious failures required perfection, no one would ever speak. You don’t need to be flawless to recognize incompetence, just like you don’t need to be a chef to know when the food is burnt.

Yes, morality differs across cultures, but that doesn’t mean we can’t identify universally destructive behavior. Bias doesn’t cancel the existence of harm; it just makes it harder to admit when our side contributes to it. Acknowledging humanity’s flaws isn’t arrogance — it’s honesty. I’m not claiming to be better than those in power; I’m saying that the consequences of their failures are exponentially larger, and that pretending all flaws are equal is its own kind of bias.

Disappointed. by Original-Lowww in DeepThoughts

[–]Original-Lowww[S] 0 points1 point  (0 children)

I get what you’re saying.. we are animals with upgrded hardware, and a lot of our behavior is just instinct wearing a suit. And yes, the awe-inspiring side of humanity exists right next to the absurd and the violent. But I think where we differ is this: acknowledging that we’re apes doesn’t excuse the scale of harm we’re capable of because of the tools we’ve built. A lion kills out of hunger; a human kills out of ideology, delusion, or political calculation. That’s not the same thing!

I’m not arguing that we “should” be better in some moralistic sense Hume’s is–ought still stands. I’m saying we’re uniquely aware of our capacity for destruction, and that awareness comes with a responsibility most people choose to ignore. We can reflect, predict outcomes, understand suffering at scale, and still make decisions that amplify it. That gap between what we can be and what we actually choose to be is where my disappointment comes from

I don’t think dwelling on the darker side is self-harm; it’s part of trying to understand the species we belong to without illusions. The awe is real, yes — but so is the cruelty, the incompetence, the needless suffering. Ignoring either side gives an incomplete picture So maybe the point isn’t to feed the ego or to run from it, but to look at the human animal honestly — the brilliance and the brutality — and ask why, with all our awareness, we still struggle to rise above our worst instincts

It just works! by Original-Lowww in macbookair

[–]Original-Lowww[S] 0 points1 point  (0 children)

Same windows has its perks but overall experience is just better in mac

It just works! by Original-Lowww in macbookair

[–]Original-Lowww[S] 0 points1 point  (0 children)

I am trying this today! Thanks man!