Dr. Mohammed Hatem AlsubaihLoose versus cutting seton?
A loose seton maintains drainage without aiming to gradually divide muscle. A cutting seton has a different purpose and may carry continence risks. Colour or material alone does not identify the type.
Does every seton need tightening?
No. Tightening is not home care and can be harmful outside the surgeon’s plan. Ask for the documented type, purpose and any scheduled adjustments rather than following another patient’s experience.
How should I compare plans?
Discuss muscle involvement, baseline continence and muscle-preserving alternatives. Clarify whether another operation is expected and how healing will be assessed. Minor discharge around a drainage seton does not by itself indicate failure.
Sources and preparation
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