This topic is about a person who had a loop ileostomy three years ago due to a perforated colon caused by radiation treatment for prostate cancer. Over time, they developed multiple fistulas that required external drains. After the last drain was removed, doctors expected complications, but instead, the drainage stopped completely. This raises the question of whether the infection has healed or if it is accumulating elsewhere.

Here are some helpful insights and advice:

1. Spontaneous closure of fistulas can happen. Some people have experienced long-draining fistulas eventually sealing on their own, as the body sometimes manages to heal itself.

2. It's important to monitor for any hidden infections. Regular blood work, especially checking the white blood cell count, and clinical assessments can help ensure that the infection hasn't moved to another area.

3. Consider discussing biologic therapy with your doctor. There are treatments, like TNF-α inhibitors, that are approved for conditions like fistulizing Crohn’s disease and can be effective in closing or keeping fistulas closed.

4. Maintain a positive outlook. Embrace any improvements in health with gratitude, keep in touch with healthcare providers, and share updates with your community as you continue to make progress.