Non-surgical management optionsa. Antibiotics to manage infection.b. Sitz baths to reduce discomfort.c. Analgesics for pain relief.

Seton placementa. Use of loose setons to alleviate symptoms without definitive surgery.

Fibrin glue and plugsa. Consider fibrin glue injection or fistula plugs as minimally invasive options.

Monitoring and follow-upa. Regular follow-up to assess symptoms and detect complications early.

When to reconsider surgerya. Surgery may be necessary if non-surgical methods fail or complications develop.