Conversation: The conversation between human and AI assistant.
[|Human|] I have fistula for 2 years and doctor x ray my fistula , he suggest you can do surgical treatment and cut off all fistula portion ,or leave it doing nothing and I dont feel much pain only when I touch feel little and sometime for month pus dont come and little pain also vanish but if I go for long drive and sit long time for 12,13 hours up and down to my village than the little pain come and feel little pimple size fistula and I know if I rest for 3,4 week  than little pain vanish and fistula but if I sit for long time than again come up ...what to do help me doctor
[|AI|]  Hello, Basically there is no treatment for perianal fistula except surgery. There is no medical treatment for this condition. Untreated perianal fistulas may result in deep perianal abscesses, cause deep fistulas going above external sphincter and making the surgery difficult and in rare cases may turn malignant. Get the surgery done as early as possible as this is not going to be all right without surgery. Thanks