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MasaratDr. Mohammed Hatem Alsubaih
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Real-world patient question

My fistula seton fell out: what should I do?

Masarat is created and supervised by Dr. Mohammed Hatem Alsubaih, Consultant Colorectal and General Surgeon.

No. Tell the treating team when it fell out and its known purpose. Never thread another object through the tract or push a remaining piece inside. Falling out alone does not determine whether replacement is needed.

Masarat medical libraryEditorial update:

Should I reinsert it myself?

No. Tell the treating team when it fell out and its known purpose. Never thread another object through the tract or push a remaining piece inside. Falling out alone does not determine whether replacement is needed.

When should I not wait for a routine reply?

Increasing pain, swelling, fever or feeling unwell needs urgent assessment for possible infection. If otherwise stable, contact the team promptly to plan review.

What information helps?

Provide the operation name and date, when the seton fell out and any bleeding or discharge change. Keep the operation report. Loss of the thread proves neither healing nor failure.

Sources and preparation

References support general information; preparation examples and questions do not select an individual treatment plan.