Case List History Objectives Radiology Images Questions COLORECTAL DISEASE Case #9 - 28 year old male presents with purulent drainage DISCUSSION QUESTIONS: 7.) Once you diagnose an anal fistula, what are the treatment options? What governs your choice of therapy? A fistulotomy (opening the track) may be done if this divides less than 30% of the sphincter. Otherwise a seton (a plastic drain or suture) may be placed through the fistula track. Fistula plugs may also be used.
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