apollo
  • Male
  • 35 Years
  • 14/08/2025

I've had piles without bleeding for 5 years but developed a fistula problem in the last three months. There's also a lump formed with my piles now. The fistula keeps leaking pus - can this heal without surgery?

Doctor 1

Answered by 1 Apollo Doctors

Anal fistulas, once they develop, generally require surgical intervention for a definitive cure, according to the NHS. While in rare cases, fistulas might close up on their own, they often recur if left untreated, leading to infections and abscesses. Your situation, with a newly developed fistula and pus discharge, strongly suggests a need for surgical treatment, as fistulas rarely heal spontaneously

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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