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Anal Fistula

An anal fistula is an abnormal tunnel-like connection between the anal canal and the skin around the anus. It usually develops after an anal abscess and causes persistent infection and discharge. Anal fistula does not heal on its own and requires surgical treatment for complete and permanent cure.

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Cause & Symptoms

Causes:
Previous anal abscess or infection
Blocked anal glands leading to repeated infections
Chronic inflammation around the anal area
Recurrent pus formation

Symptoms:
Recurrent pus or blood discharge near the anus
Pain and swelling around the anal area
Irritation and foul-smelling discharge
Pain during sitting or bowel movements
Recurrent boils or abscesses near the anus

Procedure

Treatment:
Surgery is the only definitive treatment for anal fistula. The aim is to remove the fistula tract completely while protecting the anal muscles to prevent incontinence.

How the Surgery Is Done:
The procedure is performed under spinal or general anesthesia.
The fistula tract is first carefully identified.

Depending on the type and depth of fistula, advanced techniques may be used such as:
-Laser fistula treatment
-Fistulectomy or fistulotomy
-Sphincter-saving procedures (LIFT, flap techniques)
The infected tract is cleaned or removed without damaging surrounding muscles.
No large cuts are made, helping in faster healing.
Duration: 30–60 minutes

Recovery

Mild pain or discomfort for a few days
Early mobilization and walking encouraged
Minimal dressing and wound care required
Return to normal routine within 3–5 days
Complete healing usually occurs within 2–4 weeks
Regular follow-ups ensure proper recovery

Benefits

Permanent cure of fistula
Relief from pain, discharge, and infection
Reduced risk of recurrence
Preservation of anal muscle function
Faster recovery with advanced techniques
Improved comfort and quality of life

Important Points

✔ Who Needs Fistula Surgery?
Patients with recurrent discharge, pain, or abscess around the anus that does not heal with medicines.

✔ Why Is Surgery Necessary?
Anal fistula does not close on its own. Surgery is required to remove the infected tract completely.

✔ What Type of Surgery Is Used?
The surgical method is chosen based on fistula complexity, aiming for complete cure while protecting continence.

✔ Is the Procedure Safe?
Yes. Modern fistula surgeries are safe, effective, and designed to preserve anal muscle function.

✔ How Long Is Recovery?
Most patients return to daily activities within a few days, with full healing in a few weeks.

✔ Will the Fistula Come Back?
With proper surgical technique and follow-up, recurrence rates are low.

✔ How Will Surgery Improve Life?
It eliminates constant discharge, pain, and infection, allowing patients to live comfortably and confidently.

Specialist Doctors for Anal Fistula

No doctors found for this treatment.