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Anal fistula and burning sensation after an intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello Doctor,
Is there any infection in semen due to anal fistula
Doctor :   Hi
User :   Hi
Doctor :   Let me read your query
User :   ok
Doctor :   May i know your age?
User :   I have anal fistual for last 4 years
User :   32 no2
User :   sorry 32
Doctor :   Did you take any treatment for fistula?
User :   first time it occured 13 years back
Doctor :   Ok
User :   i have gone throug the surgery
User :   and it was ok for 7 years
User :   then its reoccured 5 years back
User :   from that time i was trying some ayurveda and Homeo treatments
Doctor :   Fistula have the nature of recurrence
User :   but i am feeling bit difficult while sex
Doctor :   Can you explain it, what difficulty are you having?
User :   feeling dehydration after sex some times
User :   like burning pain for halfnoue after sex
User :   and got married 1 year back till now no kids
Doctor :   It cannot be because of fistula
Doctor :   Dehydration is as such not related to fistula
User :   ok
Doctor :   Where do you feel the burning sensation?
User :   abdomen and pennis after ejaculation
User :   it will be clear after halfnour
User :   can you please confirm me whether any infection of semen due to anal fistula
Doctor :   It can be some urinary infection or sometimes stress can also lead to
Doctor :   Let me explain you that Anal pathway is something different and the path through which semen production is there are not related. Problems arise if you have anal sex
User :   ok pls
User :   and is there any impact of anal fistula on men fertility?
User :   because i dont have kids .I got married one year back
Doctor :   No fertility is also not affected because it depends on your semen production and sperm counts
User :   ok Thank you
Doctor :   It does not have any relation with fistula
User :   and one more question
Doctor :   Since how long are you having this burning sensation?
User :   i have fistual for longer time its almost 5 th yaer now.Is there any complications will be developed?
User :   yes i have this burning sensation for many years may be 7 years
User :   but not all the times after sex.may be 3 to 4 times out of 10
Doctor :   See fistulas itself if not treated can lead to recurrent abscess formation and infection can spread through so its better to get them cured
Doctor :   For yopur burning sensation i will advise you to get yourself examined by a urologist
Doctor :   He may advice some investigations
Doctor :   To rule UTI
User :   You suspect some thing wrong
Doctor :   Are you back?
User :   yes
Doctor :   Ok
Doctor :   No not wrong, i just wanted to explain that if there is some burning sensation as you told it may be you are having some bacterial infection in your urinary tract.
User :   ok
User :   i will check with urologist
User :   and regarding anal fistula i have gone through surgery 13 years back
Doctor :   Are you having proper erection during intercourse?
Doctor :   Ok
User :   yes erections are ok
User :   if the pus is formed in fistual then i feel discomfort
User :   and pain full surrounding areaa
Doctor :   See sometimes the fistula surgery can affect the erection because the nerves are affected thats ahy i asked you
Doctor :   So its better to control the fistula infection
User :   but after surgery 8 years my erections are very good
User :   but when it reouured 4 years back
Doctor :   Thats fine then
User :   not so good erections
User :   because uneasy some times
Doctor :   Ok
User :   i dont like to go for surgery again as it is reoccured
User :   i am taking some homeo medicines from the past 1 year
User :   but the result is not so quick
Doctor :   But surgery is the only treatment for fistula
User :   what is your opinion whther to go for surgery or can i continue the homeo medicine?
Doctor :   I am an allopathic doctor and i cannot comment on homeopathic doctor. For that you better consult a homeopathic doctor.
User :   Ok regarding the allopathic surgery if i go again will it make permanent cure or it will reoccur?
Doctor :   See fistulas usually have the nature of recurrence but it also depends on the size and nature of fistula. Usually they recover after a surgery and do not reoccur.
User :   Ok doctor thank you and one more fianl question
Doctor :   The rate of recurrence is 0 to 20%
Doctor :   Also post operative care is very necessary to prevent recurrence
User :   if there is bacterial infection in urinary track will it infect the semen also?
Doctor :   Yes it can effect
User :   ok doctor thank you very much for your valuable advises
User :   i will contact you again for further proceedings
Doctor :   Is there anything else i can help you with?
User :   ok doctor nothing
User :   thank you
Doctor :   Thanks for consulting me,bye for now.
User :   ok bye
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