Anal Fitsula

24+ years of experience 20,000+ patients treated. Insurance facilities are available for laparoscopic anal fitsula repair.

What is Anal Fistula?

An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus. It is typically the result of an infection that starts in the anal gland. This condition is characterized by pain, redness, and pus discharge near the anus.

Types of Anal Fistula

Understanding the different types of anal fistulas is crucial for choosing the appropriate treatment and ensuring effective care. Here are the main types, which vary based on their complexity and the specific parts of the anal canal they involve:

  • Intersphincteric Fistula
  • This is the most common type of anal fistula. It occurs when the fistula tract begins in the space between the internal and external anal sphincter muscles and opens very close to the anal opening. Treatment often involves fistulotomy or seton placement.
  • Transsphincteric Fistula
  • A trans sphincteric fistula passes through both the internal and external sphincter muscles and may involve more complex surgical techniques like VAAFT surgery or laser treatment to address the issue without significant damage to the sphincter muscles.
  • Suprasphincteric Fistula
  • This type involves a fistula tract that travels upward from the intersphincteric space, crosses over the top of the puborectalis muscle, and then descends between the puborectalis and levator ani muscles. Such cases often require specialized and advanced surgical interventions such as high fistula treatment or laser surgery.
  • Extrasphincteric Fistula
  • The extra sphincteric fistula is the least common and occurs when the tract starts from the rectum or sigmoid colon and then crosses the levator ani muscle, reaching externally to the anus without involving the sphincter system. Treatment might include more complex fistula surgery options due to the tract’s position and origin.
  • Complex Fistula
  • A complex fistula might involve multiple tracts or be associated with other conditions like Crohn’s disease. These cases require a detailed assessment and often a combination of therapies, including laser treatment for fistula, VAAFT, or novel approaches like laser fistulotomy.

    At Lux Hospitals, our specialized team is well-versed in diagnosing and treating all types of anal fistulas. We utilize state-of-the-art diagnostic tools and tailor treatment plans to each patient’s specific condition, ensuring the highest standards of care and patient satisfaction.

    Treatments of Anal Fistula

    Effective management of an anal fistula depends on the type and severity of the condition. At Lux Hospitals, we employ a range of advanced treatment options tailored to individual needs, ensuring optimal outcomes with minimal discomfort. Here’s a look at the various treatments available for anal fistulas:

    Surgical Treatment

    Fistulotomy

    This is the most common surgical method where the fistula tract is cut open and the contents are cleared to heal from the inside out. This method is suitable for less complex fistulas.

    Seton Techniques

    A seton is a thread or wire that is placed in the fistula tract to help it drain gradually without damaging the anal sphincters. It’s often used for more complex or higher anal fistulas.

    Advancement Flap Procedure

    A piece of tissue is taken from the rectum or from the skin around the anus to cover the internal fistula opening. This method is used when preserving sphincter function is crucial.

    Laser Treatment

    Laser Fistula Treatment

    A minimally invasive option that uses laser energy to ablate the fistula tract. This method is effective for sealing the tract and promoting faster healing with less postoperative pain.

    FiLaC (Fistula-tract Laser Closure)

    A specialized form of laser treatment designed to close the fistula tract with minimal damage to surrounding tissues.

    VAAFT (Video-Assisted Anal Fistula Treatment)

    A minimally invasive technique where a tiny camera (fistuloscope) is inserted into the fistula tract to give surgeons a clear view, allowing them to treat the fistula internally. VAAFT is highly effective for complex fistulas and reduces the risk of incontinence.

    Biological Treatments

    Fibrin Glue Injection

    An adhesive solution is injected into the fistula tract to seal it. This is a simple, non-surgical option suitable for small, simple fistulas.

    Bioprosthetic Plug

    A cone-shaped plug made from porcine skin is inserted into the tract to block and allow healing around the plug.

    Homeopathic and Ayurvedic Remedies

    At Lux Hospitals, we also support integrating conventional treatments with alternative therapies like homeopathic medicine and Ayurvedic treatments, which can be tailored for mild cases or patients looking for non-surgical options.

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    Why Lux

    Lux Hospitals are leaders in treating anal fistula, offering state-of-the-art VAAFT surgery and laser operation of fistula. Our experienced anal fistula doctors provide personalized care, ensuring high success rates with minimal discomfort. Choose Lux Hospitals for expert care and advanced treatment options.

    Causes of Anal Fistula

    Understanding the underlying causes of an anal fistula is crucial for effective treatment and prevention. At Lux Hospitals, we emphasize patient education as part of our comprehensive care approach. Here are the primary causes associated with the development of an anal fistula:

    Symptoms of Anal Fistula

    Recognizing the symptoms of an anal fistula is crucial for timely diagnosis and treatment. At Lux Hospitals, we emphasize the importance of early detection. Here are the key symptoms of anal fistula that individuals should be aware of:

     

    1. Persistent Pain: Pain is a common symptom, often described as throbbing and worse when sitting down, moving, or during bowel movements.

    2. Pus or Blood Discharge :The presence of a fistula can lead to discharge of pus or blood from an opening near the anus. This discharge can be foul-smelling and is a clear indicator of an infection.

    3. Irritation of the Skin: The constant discharge can irritate the skin around the anus, leading to itching, redness, and soreness.

    4. Swelling: Swelling in the area around the anus is another common symptom, which may be accompanied by tenderness.

    5. Fever: In some cases, an anal fistula can cause a fever, especially if the fistula is associated with an ongoing abscess.

    6. Difficulty with Bowel Movements : People with an anal fistula may experience discomfort or pain during bowel movements, which can sometimes lead to reluctance to go to the bathroom, thereby exacerbating the problem.

    7. Recurrent Anal Abscesses: If you’ve had an anal abscess that has been treated but you continue to have similar symptoms, it could be an indication of a fistula.

    Tips to Prevent Anal Fistula

    Preventing an anal fistula can significantly enhance one’s quality of life and minimize the need for surgical interventions. At Lux Hospitals, we prioritize both treatment and prevention. Here are several tips to help prevent the occurrence of an anal fistula:

     

    1. Maintain Good Hygiene: Keeping the anal area clean is crucial. Use gentle, unscented soap and warm water to prevent irritation and reduce the risk of infections that can lead to fistulas.
    2. Manage Constipation and Diarrhea: Regular bowel movements without straining can prevent the formation of anal abscesses and subsequent fistulas. High-fiber diets, adequate hydration, and, if necessary, the use of stool softeners can help maintain healthy bowel habits.
    3. Treat Infections Promptly: Addressing infections early, particularly in the anorectal area, can prevent them from developing into abscesses. This includes seeking timely medical attention for conditions like perianal abscesses, which are often precursors to fistulas.
    4. Avoid Irritants: Minimize exposure to known irritants such as spicy foods and alcohol if they contribute to anal discomfort or gastrointestinal issues. These can exacerbate symptoms and conditions leading to fistula formation.
    5. Exercise Regularly :Regular physical activity can help improve bowel function and reduce the pressure on the veins in the rectal area, lowering the risk of abscesses and fistulas.
    6. Monitor for Early Symptoms: Recognizing the early signs of an anal abscess, such as pain, swelling, redness, and pus discharge near the anus, is vital. Early treatment of abscesses can prevent them from developing into fistulas.
    7. Consult Specialists Early: If you experience recurring gastrointestinal issues, consulting with specialists can help manage underlying conditions like Crohn’s disease or diverticulitis that are linked to anal fistulas.

    At Lux Hospitals, we provide comprehensive care and advice on preventing anal fistulas, tailored to each individual’s needs and health conditions. By following these tips and maintaining regular medical check-ups, you can significantly reduce the likelihood of developing this uncomfortable and often painful condition.

    Conclusion

    Lux Hospitals excels in treating anal fistulas with state-of-the-art techniques and personalized care. Our team of specialists ensures optimal outcomes for every patient. Don’t let an anal fistula affect your quality of life. Contact Lux Hospitals today to schedule a consultation and start your journey towards recovery.

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    Dr. Abhishek

    MBBS, MS, FMAS, FISCP, DMAS
    Consultant Colorectal & Laparoscopic Surgeon, Proctologist
    Experience : 25 years

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    MBBS, MS, FMAS, FISCP, DMAS
    Consultant Colorectal & Laparoscopic Surgeon, Proctologist
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    MBBS, MD. Senior Consultant Anesthetist & Critical Care Specialist
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    MBBS, MS (General Surgery),
    FMAS, DMAS Senior Consultant
    & Advanced Laparoscopic Surgeon.
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