- male
- 30 Years
- 14/08/2025
My MRI report shows a perianal fistula with an external opening in the left paramedian gluteal cleft. Can this be treated with medication or will I need surgery?
Answered by 1 Apollo Doctors
In most cases, a perianal fistula with an external opening in the left paramedian gluteal cleft requires surgical intervention to resolve. While medication, like antibiotics, might be used to manage associated infections, they won't cure the fistula itself. Surgery, often a fistulotomy, is needed to open and drain the fistula tract, allowing healing from the bottom up.
Dr. Kamran Suggests...
Consult a General Surgeon
Answered 14/08/2025
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.