Still Feels Lump After Anal Fistula Surgery?

Illustration of Still Feels Lump After Anal Fistula Surgery?
Illustration: Still Feels Lump After Anal Fistula Surgery? Bing

I had fistula surgery a month ago, the wound is almost closed, but I feel a hard lump under the surgery, is that a sign of a recurrence of the fistula, I’m very stressed please answer

1 Answer:

Hi Maya,


Thank you for asking HealthReplies.com.

Fistula is a term for a channel that abnormally connects 2 parts of the body or human blood vessels. There are many types of fistulas that can grow in the body, therefore it is necessary to clarify first what fistula do you mean? Is it anal fistula, vaginal fistula, intestinal fistula, or what?


Maybe you mean an anal fistula. Anal fistula is an abnormal channel that connects the anus, rectum, or colon with the outer skin. This condition can cause various symptoms, ranging from pain around the anus, smelly discharge from the dean of the anus, discharge of pus during bowel movements, difficulty controlling the urge to defecate, red or swollen anus, to fever. Fistulas are common when there is an abscess (a pus-filled sac formed by a bacterial infection) in the area around the anus.


After anal fistula surgery, it is possible for fistulas to reappear. This condition may also cause the appearance of hard lumps around your surgical scars. However, it is also possible that the hard lump appears due to other causes, for example:

Surgical scar infection
Skin infections around the anus, for example due to genital warts, molluscum contagiosum, folliculitis
Hypertrophic scars, keloids (post-inflammatory excess scar tissue growth)
Hemorrhoids (hemorrhoids, swelling of the veins of the anus or lower rectum)
Benign or malignant tumors
Rectal prolapse (decline of the rectum due to a weakened pelvic wall), and so on

You should immediately check your complaints to the doctor so that the cause of the complaints you are experiencing is clear. With direct inspection, doctors can generally determine the best treatment. If necessary, the doctor may also recommend that you undergo a biopsy so that the cells that make up the lump can be evaluated further.


In the meantime, you should not grip, squeeze, or pull the lump that appears forcefully. Always keep your anus and genital area clean, namely by cleaning it using clean water after every bowel movement, using clean and dry clothes, and avoiding casual sex.


Hope it helps ya..

dr. Nadia Nurotul Fuadah

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