Thank you for your reply. The seton I had was yellow and black and looked like a small plastic tie. It was just uncomfortable as first but after a few weeks became unbearable. I couldn't sit or lie down. My skin started growing around it and it became tight. I'm using Dr. Ashburn and she said oh I'll remove it. I questioned her about my fistula returning if she did so and she said it looks dry. Initially I tried seeing Dr. Dietz but they switched me over to her after they found out I had a RV fistula. I even asked her nurse but they never were straight forward about anything. They just saying don't worry about those things, you just get better. She told me I had an abnormal shaped jpouch and a complex horseshoe shaped RV fistula which I read too off the MRI report. I just see all of these wonderful reports about CC and I'm not impressed. My family thinks I should get a 2nd or 3rd opinion. I live 800 miles away so anywhere I go I will have to travel. That makes things even more difficult especially with post op aftercare and problems.