Can a fistula tract also heal by itself?

As a rule, a fistula tract cannot heal itself, especially not those that have formed between the internal organs. Nevertheless, surgery is not necessary immediately for every fistula tract. By means of an examination, the attending physician will make a recommendation as to whether the fistula tract requires surgical removal or whether it can be waited for first.

In some cases, a silicone thread can be inserted into the fistula tract as an alternative to surgery, for example in the case of anal fistulas. This is intended to drain off secretion and dry out the fistula. In the best case, the fistula can heal without surgery.

Fistula passage at the coccyx

The fistula duct at the coccyx represents a special form of fistulas and even has its own name “Sinus pinolidalis”. It is a fistula tract, whose origin is represented by hairs growing inwards in the area of the gluteal fold. Affected are especially overweight men with strong hair growth.

Other factors that favour the development of a fistula tract on the coccyx are poor hygiene, a weakened immune system and prolonged sitting. The symptoms are usually pain and itching. Inflammation of the fistula ducts on the coccyx can also lead to the discharge of blood or pus.

The only promising treatment method is usually surgical removal of the fistula ducts. However, new fistulas often form again. Therefore, weight reduction, thorough hygiene measures and sufficient exercise should be used to counteract the recurrence.

Fistula passage at the anus

A fistula duct at the anus is a duct that usually starts from the anal canal and is usually caused by the inflammation of so-called procteal glands. These glands are located in the intestinal mucosa at the transition from the colon to the rectum. Immigrating intestinal bacteria can cause the glands to become inflamed from within and lead to the formation of a fistula duct.

This is then usually manifested by itching, weeping or pain in the anus region. In most cases, a fistula tract in the anus should be surgically treated as soon as possible. If treatment is not carried out or is delayed, the fistula may otherwise widen and the symptoms may increase. In some cases, the sphincter muscle may also be affected by the fistula tract, so that it may even be damaged. This can result in a loss of continence, so that it is no longer possible to hold the stool.It is therefore advisable to consult a physician in the case of the described complaints of the anus, so that he or she can carry out an examination and, if necessary, promptly initiate treatment.