Anal fistula for 10 years does not affect life expectancy, so exactly how long you live varies from person to person and cannot be generalized. Anal fistula generally does not affect life expectancy, so there is no question of how long you can live after 10 years of illness. And anal fistula is a benign disease, although there is a certain probability of cancer, but the probability of cancer is very small. For patients in poor physical condition, such as elderly patients suffering from serious cardiovascular and cerebrovascular diseases or serious renal failure, it is generally recommended that patients live with fistula. For patients who are healthy and in good physical condition, surgical management is usually possible. Surgery includes anal fistulotomy, which is indicated for acute anal fistula and can be cut and drained. There is also anal fistula hanging, which involves tying a silk thread or rubber band and using mechanical pressure or constriction to blunt the tube and slowly incise it. There is also anal fistulotomy used to treat stabilized anal fistulas, where the fistula is removed directly. It is recommended that anal fistula surgery be performed as soon as physically possible so that the fistula does not affect the individual’s quality of life, and that any abnormalities be treated promptly.