Sally, I certainly can identify with what your feelings. Setons have been helpful for many members; there are as biologics and minor surgical procedures to 'close' the fistula (a flap surgery). There are options and your GI & a colorectal surgeon can help you after they identify the fistula. In the meantime, panty liners and depends may be necessary to help with the leakage. Try not to worry, but easier said than done. Unfortunately, my fistula did not heal but my jpouch was failing too so I had it removed to an ileo (then to a kpouch). I am just getting back to work too after another long absence & it is frustrating. Review the forums if you haven't done so already & you will find many more posts on this exact issue & hopefully ease your mind. Hang in there.