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Seton replacement and questions

Has anyone had a seton replaced OUTSIDE of an EUA, as in, in an office setting?  My dr. at CC told me it can be done that way, but I'd like to know how much pain/discomfort/time is involved.  And, I have never been sedated for an office scope, so curious as to whether that would be a requirement. 

 

Also, this knot is starting to irritate the skin tags or hemorrhoids, or whatever I got growing down there.  Has anyone had a RV (or other) seton without a knot?  I vaguely recall someone talking about having a knotless seton inserted, but it was not RV, and wondered if that might make a difference.

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