Team Pelvinic

The Best Anal Fistula Treatments and Their Key Benefits

05 Aug, 2025

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An anal fistula is a very uncomfortable and painful disease that millions of people have to deal with. It takes place when an aberrant tunnel is constructed between the anal canal interior space and the skin around the anus.

This disorder is usually caused by an infection that cannot heal properly, causing persistent pain, discharge, and even abscesses that appear regularly. Untreated, the quality of life of an individual may even be devastated by anal fistulas.

Fortunately, several effective treatments for anal fistula exist due to medical advances, and they are strong with varied merits. It is important that patients know the most appropriate line of treatment and its benefits in getting relief and a lasting healing.

The Importance of Timely Treatment

Treatment should not be neglected or postponed until later; otherwise, it may cause the aggravation of symptoms, an enhanced chance of forming an abscess, and even the development of complex fistulas. There is also a greater risk of incontinence, and chronic fistulas may need a more invasive treatment. It is thus important that it should be diagnosed early and managed well.

The Best Treatments for Anal Fistula

Fistulotomy

Fistulotomy is the most common treatment for simple anal fistulas. In this procedure, the surgeon cuts open the fistula tract to allow it to heal from the inside out. The area is cleaned and left open to drain naturally.

This method is highly effective and has a low risk of recurrence, especially for shallow or straightforward fistulas. Recovery may take a few weeks, but most people heal well. It is not recommended for complex fistulas that pass through important muscles, as it may affect bowel control.

Seton Placement

Seton placement is used for complex or deep anal fistulas that pass through a lot of muscle. A seton is a thin surgical thread or rubber band that is placed through the fistula tract. It helps keep the tract open, drains infection, and allows inflammation to settle. Sometimes it’s used for a short time before other treatments.

It helps reduce the risk of cutting important muscles. Seton placement can take a few weeks or months, and some people may feel mild discomfort, but it’s a safe and useful option.

LIFT Procedure (Ligation of Intersphincteric Fistula Tract)

The LIFT procedure is a treatment for deeper fistulas that pass between the anal muscles. It’s a “sphincter-saving” technique, meaning it avoids cutting the muscles that control bowel movements. In this surgery, the fistula tract is tied off and removed in the space between the muscles.

The opening is closed, allowing the fistula to heal. This method lowers the risk of incontinence and has a success rate. Healing usually takes a few weeks. It’s best for patients who want to avoid more invasive surgeries or who have high fistulas.

Laser or VAAFT Treatment

Laser and VAAFT (video-assisted anal fistula treatment) are modern, minimally invasive methods for treating anal fistulas. In laser treatment, a probe delivers laser energy inside the fistula to close it. VAAFT uses a tiny camera to see inside the fistula, clean it, and seal it from within.

Both methods cause less pain, smaller wounds, and quicker healing. These techniques are ideal for people who want less downtime and minimal risk of damage to surrounding tissues. However, they may not be suitable for all fistulas and can be more expensive than traditional surgery.

Advanced Fistula Surgery by Dr. Sandip Avoids Long-Term Complications

A young man, whose father is the CEO of a well-known public sector company in India, had a complicated anal fistula. His fistula was called “suprasphincteric” and had two internal openings—one in the anus and another inside the rectum. He visited several surgeons, but they all suggested he needed a temporary stoma (an opening on the abdomen for waste). Because of this, he delayed treatment for over a year.

As his condition got worse, his father looked for better help and was introduced to Dr. Sandip, a very experienced colorectal surgeon. Dr. Sandip carefully examined the patient using special tests like MRI fistulography and proctoscopy. After this, he suggested a modern, single-stage surgery that was less invasive. This surgery used a combination of laser FILAC, MAF, and closing the rectal opening with cleaning of the area.

The patient was happy to hear that he could avoid a stoma and agreed to the surgery. The operation was done successfully in one session, and he was able to leave the hospital within 24 hours. His recovery went very well, and he was back to normal activities in just 15 days.

This story shows how modern surgery and expert care can greatly improve results, even in very complicated cases.

Why Choose Pelvinic Clinic for Anal Fistula Treatment?

  • Expertise: Dr. Sandip is highly skilled in both traditional and advanced anal fistula treatments.
  • Personalized Care: Every patient’s case is carefully evaluated to recommend the most effective and safe treatment.
  • Advanced Technology: The clinic uses state-of-the-art diagnostic tools and surgical techniques.
  • Patient Comfort: Focus on minimizing pain, reducing recovery time, and preserving quality of life.
  • Supportive Environment: Friendly staff and ongoing patient support ensure a smooth healing process.

Get Confidence in the Experts at Pelvinic Clinic

At the time when you or a loved one are dealing with an anal fistula, professional treatment is essential towards delivering the best outcomes. Pelvinic Clinic is the leading clinic specializing in the treatment of anal fistulas using the latest technologies and a uniquely personalized approach.

Dr. Sandip, our most skilled colorectal specialist, has extensive experience and expertise in managing all types of anal fistulas using the most effective and minimally invasive procedures currently available.

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Why Pelvinic

Pelvinic - The Pelvic Floor Clinic, is a proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
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