Anal Fistula Treatment
An anal fistula is a small tunnel or tract that develops between the skin around the anus and the anal canal. It often results from an abscess that hasn’t healed completely. The condition causes persistent discomfort, pain, and pus discharge, and requires timely medical intervention to prevent complications.
Causes
Anal fistulas commonly develop after an anal abscess, which may leave a channel between the internal glands and the outer skin. Other causes include Crohn’s disease, tuberculosis, trauma, radiation therapy, or complications from previous surgeries.
Types
Simple Fistula – Single tract with one external and internal opening.
Complex Fistula – Multiple tracts and openings, often associated with underlying diseases.
Intersphincteric & Transsphincteric – Based on the involvement of sphincter muscles.
High & Low Fistulas – Classified based on the position of the internal opening.
Multiple & Recurrent Fistulas – May develop due to missed infections or incomplete treatments.
Symptoms
Persistent pus or fluid discharge near the anus
Pain or swelling around the anal area
Redness, irritation, or itching
Bleeding with bowel movements
Fever or general unwellness in advanced cases
Diagnosis
Diagnosis is based on clinical examination, MRI fistulogram, or ultrasound of the perianal region to assess the tract’s depth and involvement of muscles.
Treatment Options
Fistulectomy – Complete surgical removal of the tract
Fistulotomy – Cutting open the fistula to heal from inside out
Seton Placement – A staged approach for complex or high fistulas using a medical thread to assist drainage and healing
LIFT Procedure – A muscle-sparing surgery that closes the fistula in the intersphincteric space
Video-Assisted Fistula Treatment (VAAFT) – Minimally invasive technique using a telescope to visualize and cauterize the tract
Laser Ablation – Uses laser to close the tract, promoting fast healing and reduced downtime
Recovery & Care
Post-procedure care involves maintaining hygiene, pain management, and regular follow-up. Early treatment reduces the risk of recurrence and avoids complications like sepsis or incontinence.
Struggling with pain or pus discharge near the anus? Anal fistula needs timely care. Dr. O.K. Prakashen specializes in advanced laser and surgical treatments for anal fistula, offering faster recovery and effective results. Get expert care and long-term relief at CM Best Gastro Care with our trusted surgical solutions.