An anal fistula or fistula-in-ano is nothing but a tunnel formed between an infected gland inside the anal canal or rectum and connecting it to a skin opening on the surface of the skin around the anus.
Laser surgery treatment for fissure is an easy and permanent cure for the disease. The laser treatment does no harm to the skin, reproductive system, internal organs, or genitals of the patient.
An anal fistula is an infected tract that is formed between the skin and the muscular opening at the end of the anus.
Most anal fistulas arise from infections in the anal gland. This infection causes an abscess that drains continuously through the skin next to the anus. An anal fistula is usually treated through surgery.
An anal fistula is an infected tract that is formed between the skin and the muscular opening at the end of the anus. It is usually caused due to some anal gland infection. MRI Fistulogram is used to diagnose the condition.
Here are some treatment options for anal fistula, one of which is chosen by the surgeon depending upon the patient’s condition:
Fistula is formed because of an abscess. If you have an anal abscess, there are good chances that you are prone to developing an anal fistula too.
Fistulas are formed due to certain conditions of the lower digestive or anal track like -
Fistulas are usually treated through surgeries for faster and better recovery. There are different types of treatment a surgeon might opt for depending on the patient's specific condition.
The fistulotomy opens the fistula inside out and results in better and faster healing. The surgeon would cut the opening, scrape and clean the infected area, and then flatten and suture it back.
Fistulotomy usually involves cutting the sphincter muscle.
Fistulotomy might be a complicated process when the entire channel needs to be removed, in that case, the process might be done in two stages.
Fistulotomy being an outpatient procedure the patient can go home the same day.
Filling the fistula (Collagen plus or Fibrin Glue)
This is a relatively new technique. This procedure uses a special glue or plug to close the inner opening of the fistula. The surgeon clears and cleans the channel and closes the input of the fistula with sutures.
A special fibrous protein called fibrin is then inserted in the fistulas through the external opening of the fistula.
The anal tract is then closed shut with a protein collagen plug.
Reconstruction surgery is usually done in stages and opted in some cases recommended by the surgeon.
The reconstruction surgery is known as Ligation of the intersphincteric Fistula Tract (LIFT). This procedure is used to cure deep-seated fistulas. The procedure is done in stages several weeks apart.
The seton placement procedure uses a rubber band (seton), silk, or latex string inserted into the fistula to help drain out the infection.
For complex fistula, the doctor would recommend invasive procedures like-
Under this procedure, a temporary opening is made in the abdomen to divert all the waste and drain it into a collection bag. This allows time for the anal area to heal.
This procedure is out for complex anal fistulas, where healthy muscles from the thigh, buttock, or labia are used to fill the fistula channel.
Anal fistulas are more common in people with Crohn's disease. For patients with both Crohn's disease and a fistula, medical therapy is usually tried before surgery.
1. Overview: The fistulotomy opens the fistula inside out and results in better and faster healing. The surgeon would cut the opening, scrape and clean the infected area and then flatten and suture it back.
3. Post-Surgical Care:
4. Advantages of this procedure: The cure rate of the procedure is high and is suitable for treating simple fistulas.
If you have a history of an abscess or symptoms of fistula, you should not miss these signs and contact your doctor immediately.
1. Overview: It is a minimally invasive procedure. This procedure involves emission of laser fiber with a small laser beam to seal the fistula.
3. Post-Surgical Care:
4. Advantages of this Procedure: Cost-effective procedure, no risk of infection, no cuts/incisions, patient can resume normal activities within a day and recover quickly. The laser treatment does no harm to the skin, reproductive system, internal organs, or genitals of the patient.
If you are dealing with a fistula or recovering from a fistula treatment you can undertake the following practices for some comfort.
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Fistulas can be life-threatening in the sense that the untreated fistulas can cause serious complications because of bacterial infection leading to low blood pressure, organ damage and even death. A fistula problem should therefore be addressed in time.
Wash is a treatment of the anal fissures and can be followed as a regimen to do a warm water sitz bath after bowel movement. (A sitz bath can relieve pain, itching and other discomfort in the genital areas).
Fistulas can develop due to radiation therapy. However, fistulas do not necessarily lead to cancer.
Once treated and healed properly, there are rare chances that the fistula will reoccur. However, it will only recur if you deviate from the medications, dietary restrictions and activities prescribed by the doctor.
Medications can only give you temporary relief, the only cure for fistula is surgery.
The ideal person for fistula treatment is a proctologist, who is also called a colorectal or a colon and rectal surgeon. He specializes in diagnosing and treating lower gastrointestinal tract (colon, rectum and anus) problems.
MRI Fistulogram and/or colonoscopy.
It can be life-threatening when left untreated, leading to low blood pressure, organ damage and even death.
You’ll need to consult your doctor in case you experience pain, nausea, fever, inflammation, vomiting, lack of bowel control, swelling in the affected area, redness in the anal region or swelling of lymph nodes in the groin.
Delaying can aggravate the condition, causing bleeding and the need for an emergency surgery.
We would require a copy of your prescription and the MRI / colonoscopy reports, we will share this with our doctor and provide you with an online consultation post which we can do the surgery the same day.
When you have fever, chills, redness, swelling, discharge, bleeding, constipation and trouble controlling bowel movements and when you observe blood in stool, pain when you sit, irritation/itching sensation near the anal canal.
Fistulas do not necessarily cause cancer.
No, fistulas need medical attention and do not heal on their own.
Proctologists are surgeons who diagnose and treat disorders of the rectum, anus, and entire gastrointestinal tract.
You may go ahead and meet a proctologist if you experience any of the following symptoms:
anal itching or burning
bleeding or other discharge from the anus
anal or rectal pain
anal warts, bumps, or the sensation of a foreign body
Our team will give you a detailed picture of the costs that you will incur as part of your surgery.
Our team will assist you in processing of your insurance.
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