Piles Procedure Best Centre for Piles Treatment Recover in 1 day Request a Call-back 60+ Best doctors in town 100+ Satisfied Customers 100+ Satisfied Customers 12+ Clinics Team of Qualified & Experienced Doctors All insurance accepted 24*7 Support World-Class Medical Facilities Team of Qualified & Experienced Doctors All insurance accepted 24*7 Support World-Class Medical Facilities Anal Fistula: treatment care and precautions Get rid of Anal Fistula with advanced procedures at Practo Care Surgeries. Book an Appointment Anal Fistula: Treatment, care and Precautions Get rid of Anal Fistula with advanced procedures at Practo Care Surgeries. Book an Appointment Our Experts Surgical experts at Practo Care Surgeries come with 10+ years of experience in treating 50+ ailments. Dr. Harshwardhan Subhedar General Surgeon, Laparoscopic Surgeon ● 15 Years Experience Overall ●10000 + Surgeries Performed 4.9 Dr. Priyesh Naik General Surgeon, Laparoscopic Surgeon ● 20 Years Experience Overall ●17000 + Surgeries Performed 4.7 Dr. Jeetendra Jadhav MS- General Surgery ● 16 Years Experience Overall ●12000 + Surgeries Performed 4.5 Want to know more about our experts? Book an Appointment Treatments we offer Get access to the best treatment options and expert care for improved outcomes. 1. Fistulotomy Treatments we offer An Anal Fistulotomy is a surgical procedure that opens and drains an anal fistula, allowing it to recover. An anal fistula is a tiny tunnel (tract) connecting the anal canal to a hollow cavity near the anus. Doctors administer medications to patients to induce sleep or relaxation so that they do not experience pain. 2. Seton Technique Treatments we offer In case there is significant involvement of the anal sphincter muscle (complicated fistula), the doctor inserts a surgical thread (Seton) that is left inside the fistula for some weeks to heal it. This thread helps in draining the fistula and can remain in place for around 6 weeks or longer and further heals the fistula while avoiding the cutting of the sphincter muscles. To cure a fistula with setons, the doctor inserts a tight seton that slowly cuts through the fistula over weeks. Tight seton approach is feasible, but it may require several procedures and frequent visits to the doctor, or the doctor may advise other treatment methods/procedures. 3. Advancement Flap Procedure Treatments we offer This method is considered when there is an involvement of the anal sphincter muscles (fistula passes through the anal muscles) or if the doctor assesses that you may be at a higher risk of incontinence after a fistulotomy procedure.In this procedure, the fistula is sealed with the help of a skin flap or a piece of tissue that is taken from the rectum (last portion of the digestive tract).This procedure avoids cutting of the anal sphincter muscles but it has a low success rate. 4. LIFT Procedure Treatments we offer The lift procedure method is used by the doctors when the fistula passes through the anal sphincter muscles and doing a fistulotomy is considered risky.In this two-step approach, a cut is made above the fistula, and the sphincter muscles are spaced apart. A seton is inserted into the fistula tract that forces the widening of the tract. After a few weeks, the doctor removes the infected tissue in the tract and closes the fistula opening. 5. Bioprosthetic Plug Treatments we offer The Bioprosthetic plug is a cone-shaped plug that is made from animal tissues. It is inserted into the fistula to block the opening of the fistula to close it. The goal of Anal Fistula treatment with the bioprosthetic plug is to eliminate the fistula without affecting incontinence. 6. Laser Therapy Treatments we offer The laser therapy method uses focused light in order to destroy and seal the fistula. The laser technique offers a fixed area of concentration and therefore provides a greater control over the surgery. There are a few advantages of laser therapy over routine procedures:Firstly, it is less time consuming. Secondly, there is a reduced risk of bleeding and inflammation followed by little or no damage to the surrounding area. Moreover, the laser therapy procedure is painless and patients recover quickly. 7. Non-Surgical Method Treatments we offer Currently, the only non-surgical treatment for anal fistula is fibrin glue. Fibrin is a protein that causes clotting of blood and together with the platelets forms a clot over the wound. The fibrin glue is injected into the tract of the fistula which plugs the wound and eventually causes the surrounding tissue to grow into the tract, closing it. Many people prefer this method because it is painless and safe. However, when compared to surgical treatment methods, it is less effective. Want to know more about the treatment options at Practo Care Surgeries? Book an Appointment What is Anal Fistula? A fistula is an abnormal connection between two organs or blood vessels or cavities that usually do not connect. Fistulas can develop anywhere in the body. However, the most common location for a fistula is around the anus.An anal fistula is a tunnel that forms from the anal canal to the skin near the anus. The anus is the opening in the last part of the digestive system through which the stools exit the body. Inside the anus, there are a number of small glands that produce mucus. Sometimes these glands get clogged and become infected, leading to an abscess (a painful collection of pus that results from a bacterial infection). In most cases, these abscesses develop into a fistula. Multiple fistulas can develop around the anus, causing pain and discomfort. Anal fistula(s) do not resolve by themselves and can be treated medically or surgically. 1. What are the causes of Anal Fistula? Anal fistula(s) develop as a result of infected anal glands that can lead to the formation of abscesses. Less common causes of anal fistulas include:Crohn’s disease (a condition where the digestive tract becomes inflamed leading to severe pain and diarrhea).Hidradenitis suppurativa (a skin condition that results in the formation of small painful lumps under the skin that can break open or form tunnels under the skin. It is believed to be an inherited condition).Diverticulitis (a condition where small bulging pouches or diverticula develop in the digestive tract. When these pouches become infected, it's called diverticulitis).Tuberculosis (bacterial infection of the lung).Sexually transmitted diseases (infections that can be transmitted through sexual intercourse) such as HIV (human immunodeficiency virus).Trauma and in some cases, even cancer. 2. What are the symptoms of Anal Fistula? An anal fistula can appear as a boil-like opening near your anus and it may discharge pus or blood which will be visible while passing stools. In some cases, there will be an opening in the skin around the anus, whereas in other cases, it can be a blind-ending tunnel that ends below the skin. Often the skin around the anus is red and inflamed. Other symptoms of anal fistulas include:Painful bowel movements (the process of passing stools)Irritation of the skin around the anusFoul-smelling drainage from the opening around the anusFever with/without chillsMalaise [general feeling of fatigue (tiredness)] 3. How is Anal Fistula diagnosed? Top diagnose an Anal Fistula, the doctor will go over the patient’s medical history and perform a physical exam. The doctor will examine the area around the anus to see if there is any opening (a fistula tract) on the skin.The doctor may recommend additional tests such as:Anoscopy: This method uses a thin flexible tube that is inserted into the anus to visualize the anal canal and rectum. MRI (magnetic resonance imaging) is done to identiy the fistula tract, sphincter muscles and other structures.Endoscopic ultrasound: This uses high frequency sound waves to identify the fistula tract, sphincter muscles and other structures. Fistulography: In this test a contrast dye is injected and the x-ray is done to identify the fistula tract.Fistula probe: The doctor will insert an instrument (fistula probe) to check the length of the fistula.Flexible sigmoidoscopy: This is a procedure in which the doctor uses a long, flexible tube called a sigmoidoscope that has an attached light and camera at the end to look inside the sigmoid colon and rectum. If there is an underlying condition such as Crohn's disease, blood tests, X-rays, and colonoscopy will be advised. 4. Postoperative Care Once the surgery is completed, the patient will be taken to the recovery room where they will be kept under observation until the anaesthesia wears off. Vitals (heart rate, blood pressure, respiratory rate, pulse rate) will be monitored regularly followed by the need for a catheter (a tube that drains urine from the bladder) at first for passing urine. Once the patient feels better, they can get up and walk around as it improves their circulation and helps prevent complications.The patient may be allowed to go home the same day after your procedure. However, they will be given instructions on how to take care of the wound and other precautions that need to be followed at home. Laxatives recommended by the doctor will help soften the stools and reduce the discomfort. One can aslo use a sitz bath to reduce the irritation and discomfort in the anal region. However, the patient will be advised to sit in a tub of warm shallow water (can be in a bathtub) for 10-20 minutes several times a day. This relaxes the sphincter muscles and promotes healing. One can get back to all the normal activities within 4-5 weeks after the surgery. Read More Practo Care Surgeries Safe and advanced surgical treatment. Want to know more about our clinics? Book an Appointment Fairfield Derma Clinic Fairfield Derma Clinic Want to know more about our clinics? Book an Appointment Relieve yourself from Anal fissure Get treatment with our brilliant surgeries Relieve yourself from Anal fissure Get treatment with our brilliant surgeries Hear it from our patients After searching for good hospitals that offer laser fistula treatment in Mumbai, I came across Fairfield. The doctors here were really good and conducted laser surgery with utmost ease and perfectionManan SinghMarketing Manager I had been looking for good laser treatment for anal fistula in Mumbai, and that is when I came across Fairfield. With the best quality treatment and painless laser surgery, I was treated soon.Ramesh ShuklaDirector I got my surgery done at Fairfield by an anal fistula specialist at Fairfield. The medical staff was really good and I had nothing to be worried about. In Fact, I was able to get back to my work soon after my laser anal fistula surgery. Pankaj Swaminathan Marketing Manager I wanted my laser anal treatment to be done by the best fistula doctor in Mumbai. And when I came across Fairfield. I think I made the right choice. The doctors here were really good and conducted laser surgery with utmost ease and perfection. Sneha MoreManaging Director Fairfield Healthcare to touch the lives of millions, providing the best care and world-class treatment for the community. Why Practo Care Surgeries? We bring expertise, care and technology together to give you end-to-end surgical solutions for 50+ ailments. 60+ Best doctors in town 100+ Satisfied Customers 12+ Clinics Why Practo Care Surgeries? We bring expertise, care and technology together to give you end-to-end surgical solutions for 50+ ailments. 60+ Best doctors in town 100+ Satisfied Customers 12+ Clinics Team of Best Piles Specialists All insurance accepted 24*7 Support World-Class Medical Facilities 4.5+ Avg rating 100+ Doctors 60+ Clinics 12+ locations 4.5+ Avg rating Frequently Asked Questions What are the symptoms of an Anal Fistula? If you experience painful bowel movements, irritation of the skin around the anus, foul-smelling drainage from the opening around the anus, fever with/without chills or general feeling of fatigue, chances are that you might have an anal fistula. How long does it take to recover from an Anal Fistula surgery? It usually takes one 4-6 weeks to recover completely from an Anal Fistual surgery. What is the difference between an Anal Fissure and an Anal Fistula? An anal fissure is a tear that develops in the lining of the anus. It can happen as a result of passing hard stools. Whereas, an anal fistula is a connection between the inside portion of your anus to the skin near the anus. It usually results from an infection of the anal glands. What is the cost of anal fistula surgery? Anal fistula surgery can cost approximately INR 70,000. The cost may vary on a case-to-case basis depending upon the procedure, complexities associated with the disease, institution, and geographical location. Who performs an Anal Fistula surgery? Anal fistulas surgeries are performed by general surgeons. What are the complications post an Anal Fistula surgery? Fistula surgery is a safe procedure in which complications are very rare. However, few of the expected complications include an adverse reaction to the anaesthetic drug and severe pain in the anal area which is not relieved by medications. There might be bleeding at the site of the surgery coupled with infection and development of pus in the fistula. In some cases, the wound may take a longer time to heal, causing discomfort. The condition may recur or return after the surgery and may require additional intervention. How to prevent an Anal Fistula? Following are a few simple measures that can help in preventing an anal fistula:Eat fibre-rich food Drink lots of waterKeep the anal region clean and dryAvoid straining while passing stoolsExercise regularly When should I follow-up after an Anal Fistula surgery? Your surgeon will schedule a follow-up appointment around 7 to 10 days after the procedure to check for proper recovery. Most fistulas respond well to surgery and recovery is possible without any complications. When to contact your doctor? You need to contact your doctor immediately if you experience the following:High fever and chillsSevere pain that does not come down with medicationsSwelling, redness, and bleeding from the site of the surgery.