Fistula is complex disease with high recurrence rate if not treated completely. Patient must understand though it is not cancer but risk of recurrence is high. Ignoring or delaying treatment for fear of recurrence is the worst thing you can do to yourself every time external hole stops draining and become fibrosed pus will start coming from another opening and with high pressure pus can make multiple roots in the muscles which control your anal tone. Pus can take any route can reach thighs can reach scrotum can open in vagina can reach peritoneal cavity by travelling lateral n parallel to rectum.

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