Our expert says:
No, unfortunately medication is usually not successful. The problem is that the fistula is a tube that forms between an anal gland and the skin, and the inside of the tube gets covered with skin cells, which prevents it from closing up (same thing happens when you pierce your ear - the hole never closes up because the skin covers the tract inside)So you have to cut open the fistula tract to create a "raw " area that can heal.
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