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The Story

A Year Of Recurring
Discharge & Discomfort

The patient, a man in his mid-thirties, had an anal abscess drained at another facility over a year earlier. What followed was a pattern many fistula patients recognise: persistent discharge, occasional swelling, and discomfort that would settle for a few weeks and then flare up again without warning.

By the time he consulted Dr. Krishna Pada Saha, the recurring cycle had started to affect his confidence and daily routine. A clinical examination together with MRI fistulogram mapping identified a trans-sphincteric tract connecting the anal canal to the skin — the underlying reason the earlier drainage alone had not resolved things permanently.

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Dr. Krishna Pada Saha, colorectal and fistula surgeon
Age Group
35 – 40 Years
Diagnosis
Trans-Sphincteric Fistula
Procedure
Sphincter-Sparing Surgery
Hospital Stay
1 Night
Wound Healing
6 Weeks
Case Details

The Challenge & Treatment Approach

How a previously drained abscess had progressed into a fistula, and how it was finally resolved.

Presenting Complaints

Persistent discharge near a previously drained abscess site
Recurring swelling and discomfort every few weeks
A visible external opening that never fully healed
Growing anxiety about a permanent solution

Treatment Approach

MRI fistulogram used to precisely map the tract
Sphincter-sparing technique chosen to protect continence
Staged wound care with regular dressing reviews
Follow-up examinations to confirm complete closure
Recovery Journey

From Surgery To Complete Closure

01
Day 1

Sphincter-Sparing Surgery

The tract was surgically addressed with a technique chosen specifically to preserve normal sphincter function and continence.

02
Week 1

Guided Wound Care

Regular dressing changes and hygiene guidance kept the healing wound clean while the patient resumed light activity at home.

03
Week 4

Steady, Visible Healing

Follow-up review showed the wound closing progressively from the inside out, with discharge fully resolved.

04
Week 6

Complete Closure Confirmed

A final examination confirmed the tract had fully healed, with normal continence and no signs of recurrence.

Patient Outcome

A Confident Return To Normal Life

After the abscess came back a second time, I was worried this would never fully heal. Dr. Saha explained exactly why the earlier treatment hadn't worked and walked me through the whole recovery. Six weeks later, it was completely closed.

— Patient, Fistula Surgery, Dhaka

Precise Tract Mapping

MRI-guided mapping identified the exact tract path, avoiding a repeat of incomplete earlier treatment.

Continence Protected

A sphincter-sparing technique protected normal bowel control throughout the healing process.

Hands-On Wound Care

Structured, closely monitored dressing care kept healing on track week after week.

Confirmed, Lasting Closure

Follow-up examination confirmed full closure, giving the patient confidence it would not return.

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