What are the different treatments for an anal fistula?

August | 2021

An anal fistula is a tiny tunnel that links an infected gland inside the anus to an opening on the anal skin. It usually develops in between the end of the bowel and anus’ skin.

According to proctologists at House of Doctors (HOD), various small glands inside the anus which produce mucus can get blocked leading to an infection. Nearly 60% of these turn into an anal fistula. Our proctologists suggest pus formation in the tissues is a usual occurrence. Even when the pus drains away, it leaves a small channel behind.

Leading surgeons at HOD explain that anal fistulas can cause disturbing symptoms like discomfort, pain and skin irritation etc. In most cases, our ano-rectal experts recommend fistula surgery.

What causes Anal Fistulas?

House of Doctors employs advanced diagnostic techniques and medical advises from award-winning surgeons to probe the exact cause of your anal fistula. HOD’s proctologists explain the numerous causes which can lead to anal fistulas -

  • Abscess (pus accumulation)
  • Trauma
  • Respiratory disorders like tuberculosis
  • Radiation therapy
  • Crohn’s disease ( inflammation in the intestine)
  • STDs like HIV
  • Diverticulitis (formation of small inflamed pouches in the large intestine)
  • Cancer
  • Ulcerative colitis
  • Complications resulting from poor anal surgery

Know the anal fistula symptoms

House of Doctors fosters a panel of India’s leading rectal surgeons (proctologists) who have performed over 10,000 successful surgeries with great expertise. As per their experience, most anal fistulas develop uncomfortable symptoms which can hinder daily lifestyle and routine. If you have an anal fistula, you can experience the following symptoms -

  • Bleeding while passing stools
  • Painful swelling around the anus
  • High fever
  • Chills and fatigue
  • Irritation in anal skin
  • Foul smelling liquid discharge
  • Pain during bowel movements
  • Frequent abscesses
  • Bowel incontinence (difficulty to control bowel movements)
  • Pus in stools

What are the different types of anal fistulas?

Expert medical professionals at House of Doctors explain that there are 4 different types of fistulas. These include -

1. Intersphincteric fistula:

  • Formed between internal and external sphincter muscles
  • Present close to anal opening

2. Transsphincteric fistula:

  • Formed between internal and external sphincter muscles or space behind the anus
  • Crosses the external sphincter and opens near the anal orifice
  • Can form horseshoe fistula

3. Suprasphincteric fistula:

  • Formed between internal and external sphincter muscles and reaches above the puborectal muscle
  • Runs downwards between puborectalis and levator ani muscle

4. Extrasphincteric fistula:

  • Formed at rectum or sigmoid colon
  • Caused by diverticulitis or Crohn’s disease

House of Doctors: Experts of Laser Fistula Treatment

Surgeons at HOD take great advantage of their deep experience with Endo-Laser tools to treat fistula with a simplified procedure without cuts or avoiding the harms of conventional surgery. This helps in keeping the sphincter muscle intact at all times.

In laser treatment, our surgeons insert a tiny Laser fibre through the external fistula opening. It is then cauterized to close it from within. Our experienced proctologists use file-C Anal Fistula Track Laser Ablation.

Our experts might also use Fistuloscope (a tiny cannula with a camera) which allows them to laser the entire track of the fistula. This technique is known as Laser Assisted VAAFT procedure or LA-VAAFT. Additionally, proctologists at HOD make use of advanced procedures to confirm the complete closure of the fistula opening.

Laser fistula treatment at House of Doctors takes less than 30 minutes to perform and offer the most successful and safest treatment for anal fistulas. With us, the treatment is pain and discomfort free. In most cases, our surgeon makes no cut in the skin, no stitches and there is no chance of sphincter muscle injury.

In complex cases, our proctologist uses local anaesthesia coupled with mild sedation or spinal anaesthesia. Prior to the surgery, our surgeon explains the entire process to you in detail.

Why choose HOD for Fissure laser treatment?

At the House of Doctors, you always receive the best. Our surgeons have earned unmatched experience and value over the past three decades. Not only this, our rectal surgeons have successfully treated tonnes of anal fissures with great expertise. Choosing laser anal fissure treatment earns you the following advantages -

  • Lowest pain score
  • Immediate resumption of normal routine
  • Offers best aesthetics
  • No faecal leak or incontinence
  • No bleeding
  • Minimal postoperative pain
  • Faster recovery
  • Anal sphincter is preserved
  • OPD procedure
  • 30 min duration

At House of Doctors, you click into our diligence and reliability. We thoughtfully choose the medical procedure and laser treatment for you. Our most advanced LASER devices are used by leading LASER surgeons to offer highly successful, minimally invasive, easier and least painful surgery to you.


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