Colon and Rectal Surgeons
of Kansas City

Fistula

After fistula surgery, you will have an open wound. This will slowly heal and should not be too sensitive 1 week after surgery. There will be drainage and some minor bleeding until the wound heals. A small gauze pad will be useful in absorbing drainage. This drainage will diminish on a weekly basis.

• Hot baths 3 or more/day
• Irrigate anal area in shower after BM's
• High fiber diet with addition of Konsyl, Metamucil, or Fibercon
• Take pain medications as needed
• No excercise for 4-6 weeks, however may swim anytime
• Limited activity for 1 week
• Return to office in 3 weeks after surgery
• After 3 days you may become more active, possible limited driving
• Apply topical antiobiotic cream twice/day
• Expect some discharge and minor bleeding until the wound completely heals
• If there are large rubber drains, they will be removed in 2 weeks from surgery