Can anal fistula not be cured?

Generally, simple anal fistulas can be completely cured if treated properly with standard surgical procedures. However, complex anal fistulas or cases with delayed or inadequate treatment may recur frequently and are difficult to cure definitively. If there is any concern, it is advisable to seek medical consultation early. Detailed analysis is as follows:

If the anal fistula is simple—characterized by a single fistulous tract, a clearly identifiable internal opening, and no branches or multiple external openings—timely undergoing standardized surgical treatments such as fistulotomy or seton placement at a reputable hospital can effectively remove the entire fistula and internal opening. With proper postoperative wound care according to medical advice and prevention of infection, most cases of simple anal fistula can be completely cured, with a low risk of recurrence.

Complex anal fistulas, which involve multiple tracts, several internal or external openings, or are associated with underlying conditions such as diabetes or Crohn’s disease, are significantly more challenging to treat. If treatment is delayed or non-standard therapies are used, symptoms may only be temporarily relieved without eliminating the root cause, leading to frequent recurrences. This may further result in complications such as impaired anal function or perianal abscesses. These cases are difficult to cure completely and often require long-term management.

Once symptoms of an anal fistula appear, it is important to visit the proctology department of a正规 hospital as early as possible to determine the specific type and severity of the condition. During treatment, patients should strictly follow medical instructions, attend regular follow-up appointments, maintain good perianal hygiene, avoid prolonged sitting and spicy foods, and thereby reduce the risk of recurrence.