Anal Fistula : Causes, Symptoms, and Treatments

Suffering from “anal fistula” since long can be one of the worst experiences in the life. Are you planning to have fistula repair to get relief from it? Besides symptoms & diagnosis that you might have known very well by now, you might also need some information that helps you know more about anal fistula, especially the treatment alternatives.

Anal fistula is a small tunnel-like channel developed between the anal skin and rectum. Anal fistula treatment serves to close this tunnel and there are various alternatives available. However, surgery is often the ultimate way to repair it. It is, therefore, important to discuss with your fistula surgeon about the exact surgical procedure, post-operative care, all the possible treatment alternatives, and their consequences.  

Treating Anal Fistula

The fistula treatment recommended by a specialist will depend on the type & extent of fistula you are suffering from. Most fistulae need a surgery because they hardly heal by themselves. According to the location & severity of the fistula, the surgical treatment is recommended by the fistula surgeon.

“Fistulotomy” is the most commonly used surgical procedure, since it is highly effective in curing high fistulae. In this methodology, the fistula track is completely taken out by using an advanced radio-frequency device that works under a strong light source. Fistulotomy helps fistula to heal from inside out. However, dressing is essential till the entire fistula heals completely.

Possible Risks & Complications post-Fistulotomy

•    Bleeding & difficulty in sitting down
•    Anal abscess & infection
•    Bowel incontinence
•    Damage to sphincter muscles
•    Recurrence

Apart from fistulotomy & other conventional surgeries, anal fistula can also be treated by some advanced methods. Dr. Ashwin Porwal's “Healing Hands Clinic” is rigged with the latest technology equipment.

•    VAAFT - HHC offers a “Video Assisted Anal Fistula Treatment (VAAFT)”, an innovative technology to cure selected fistulae. Minimally invasive & least time consuming, this procedure ensures better healing, faster recovery and negligible chances of recurrence

•    Ayurvedic Ksharsutra Therapy - A “traditional herbal therapy & cutting method” performed by highly experienced therapists, assuring relief in 6-8 weeks

•    FILAC Surgery - This technique involves a laser probe inserted into the fistula tract. The surgical procedure gently destroys the tissue and closes the fistula by the laser probe. The benefits are maximum conservation of sphincter muscles and faster healing

•    Laser Surgery - The latest, minimal invasive treatment involving the use of a radial, flexible laser fibre inserted into the fistula to remove it gently. The tissue is destroyed in a controlled way leading to collapse of the fistula

Conventional surgical procedures are painful & cumbersome and thus, HHC often prefers physiotherapy, dietary modifications and latest minimal invasive treatment alternatives before recommending a surgery.


Submitted by : Dr. Ashwin Porwal, on 28-05-2014 03:01 pm

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