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What is Anal Fistula?

An anal fistula is an external opening results in leakage of pus and bleeding. In short, an anal fistula is a small channel which can be developed between the end of the bowel and the skin near the anus. This is common among the people having the past history of an anal abscess (infected cavity filled with pus). Fistula occurred when abscess not drained and healed properly. A severe type of Anal fistula may result in pain, bleeding, drainage, and discomfort while sitting and doing bowel movements.

An anal fistula is also called “fistula-in-ano” which is a common problem nowadays. It is referred to as the abnormal connection between the inner surface of the anal canal and skin around the anal verge.

Types of Anal Fistula Treatment

What are the Types of Anal Fistula:-

  • Intersphincteric Fistula
  • Transphincteric Fistula
  • Suprasphincteric Fistula
  • Extrasphincteric Fistula

What are the Causes of Anal Fistulas:-

Inside our anus, some glands are there which make fluids and which may get blocked or clogged. This may lead to raising a bacteria sweeping the pocket, infecting tissue and liquid which is called abscess. If this abscess is not treated, it may become fistula causing pain and bleeding. Some of the common and rare causes of an anal fistula are:-

  • Sexually Transmitted Disease
  • Ongoing Illness
  • Tuberculosis
  • Crohn’s Disease
  • Trauma
  • Rectal Cancer
  • Diverticulitis
  • Immune deficiencies such as AIDS & HIV
  • Growth of Ulcer
  • Surgery Complications
  • Syphilis

What are the Symptoms of Anal Fistulas:-

As per the medical research and feedback from the patients, some of the common symptoms are:-

  • Pain (while sitting and bowel movements)
  • Redness & Irritation
  • Swelling around the anus
  • Painful urination
  • Bleeding
  • Fever, chills, and fatigue
  • A Foul smelling liquid coming from abscess hole
  • Recurrent anal abscess

Once you find the above symptoms, contact the Anal Fistula Doctor in Gurgaon immediately to get the timely treatment.

How to Diagnose the Anal Fistula?

The physician will check for your medical history and will evaluate it with a physical examination. If fistulas are visible, they may be traced easily but for the invisible fistulas, some tests are required.

  • X-Rays or Fistulography
  • CT Scan
  • Colonoscopy
  • Anoscopy
  • Endoscopic Ultrasound
  • MRI
  • Blood Test
  • An injected dye solution
  • Fistula Probe

A single or group of diagnostic tests can be performed using anesthesia as and when required.

What are the Surgical & Non-Surgical Treatments of Anal Fistula?

For the simple fistula, you are not required to stay in hospital as some medications are enough to treat the fistula.

The most common worldwide Anal fistula treatments are:-

  • Fistulotomy:

It is done to treat the crucial anal fistula. the doctor may cut open the skin and muscle surrounding the tunnel, to allow healing the inside out by flushing out the infected pus or tissue. Some glands may be required to remove from the channel by surgery. Once it is done, channels are flattened and stitched.

  • Seton Placement:

Seton or latex string is placed into the fistula to help drain the access or infected area. It may take up to 6 weeks to heal.

  • Advanced Rectal Flap:

It is used rarely. The surgeon will create a flap from the rectal wall. Ice the fistula removal surgery is done, the flap will be used to cover the repair. The procedure reduces the amount of sphincter muscle that is cut.

  • Fibrin Glue and Collagen Plug:

Once the surgeon will clear the channel and stitches the internal opening, the external opening can be sealed using a plug of Collagen protein. Special glue (fibrin) made of fibrous protein can be injected through the external opening.

  • Ligation of the intersphincteric fistula tract (LIFT):

It’s a two-stage treatment in which Seton is placed into the fistula tract to help drain the abscess. After several weeks, the surgeon will remove the infected tissue and will close the internal opening.

  • Ostomy and stoma:

This is done to teat the complex fistula which is more invasive. A temporary opening is created into the abdomen to divert waste into a collagen bag, and to allow the anal area to heal.

  • Muscle Flap:

The channel opening is filed with the muscle tissue taken from the thigh, labia or buttock.

  • Stapler Surgery:

To perform this, the fistula path is checked with an endoscope to check for the interns opening. Then the internal opening is closed with the help of a stapler and entire path is destroyed using electrocautery under direct telescopic vision. The procedure is performed under local anesthesia.

  • Laser Surgery

This is the non-invasive procedure which removes the abscess without creating pain and bleeding.

What are the Benefits of Laser Treatment of Anal Fistula?

Laser Surgery of Fistula has become popular nowadays due to its unique advantages and features. It can offer you multiple benefits which are mentioned below:-

  • No regular follow-ups with the doctor
  • No Cuts & Wounds
  • Non-invasive procedure
  • Daycare procedure
  • No Diet restrictions
  • Resume to normal routine from next day
  • Pain procedure
  • Less risk of infection
  • No or very less bleeding
  • High success rate
  • Easy and fast recovery
What is the Preparation before the Surgical Treatment for Fistula?

To prepare for the surgery, the surgeon will always explain to you what to do or what not to do. he may ask you to:-

  • Quit Smoking to reduce the risk of chest infection & wound
  • Using laxatives to empty the bowels.
  • Not to eat or drink for 6 hours prior to the treatment
  • Common Body tests such as BP, Heart rate & urine tests
  • Wear Compression stockings to help prevent blood clots 
What are the risks attached to Fistula Treatment?

Although there is no risk associated after the surgery if it performed well, still some risks may be attached depending upon the severity of the disease and Body immune system which can be:-

  • Feeling sick & sore due to anesthesia
  • Excessive Bleeding
  • Blood Clots in the Vein in the leg
  • Anal Infection
  • Fecal Incontinence
  • Reoccurrence 
What is the Post Operating care for Piles Surgical Treatment?

Fistula can be cured with the surgical and nonsurgical treatments but to reduce the chances of fistula or inflammation, preventive care tips to be followed:-

  • Taking Sitz Bath
  • Using Analgesics
  • Stool Bulking Agents
  • Intaking finer rich diets
  • Avoid sitting for long periods in the Toilet
  • Drinking Plenty of Water
  • Not straining too much during a bowel movement
  • Avoid heavy exercising
  • Avoid lifting heavy stuff
What is the Cost of Anal Fistula Treatment?

Visit the UPHI center to get the right treatment at the right cost. The cost will depend upon the complexity of fistula and treatment thereof. Better to Visit the UPHI- Anal Fistula Hospital in Gurgaon and meet our Laser Experts to have more information.

How Can UPHI Surgical Centre help you?
  • UPHI – A Wellness & Surgical Centre is one of the only centers within Delhi/ NCR which uses Diode Laser 1470nm 15W and which is the most latest & advanced Laser Fistula Treatment in the world currently.
  • We understand Patient Care for Anal Fistula Surgery better than anyone else.
  • No waiting time, Book an appointment Now with our specialist surgeon and book your day of Treatment at the earliest.

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