LECZENIE RAN 2023; 20 (4)

The aim of the study was to systematise the principles of care provided to patients with anal abscesses and fistulas based on the tenets of patient-centred care.
The mainstay of treatment for anal abscesses and fistulas is surgery. The choice of therapy depends, among other factors, on the patient’s clinical condition and the location and course of the fistula tract in relation to the sphincters and other anatomical structures. When considering a therapeutic approach, patients’ preferences play an important role. After assessing the balance between treatment benefits and potential risks of complications, some patients choose to forgo radical surgical intervention and instead opt to live with an active fistula treated with a loose seton alone.