An anal Fistula commonly known as Fistula in ano is a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. They're usually the result of an infection near the anus causing a collection of pus (abscess) in the nearby tissue. When the pus drains away, it can leave a channel behind. The biggest challenge is to prevent recurrence of Fistula.
More than 90% anal Fistulae are a result of an anorectal abscess. An anorectal abscess begins with infection in one of the anal glands. The infection may stay in the space between the sphincters (the intersphincteric space), may spread down to the perianal skin, or may extend through the external anal sphincter.
With a previous history of periAnal Abscess or any surgical intervention in past, patients having Fistula in ano presents with complaints of persistent discharge of pus through an external opening in perianal skin. The other characteristic part of patients complaints include sudden appearance of pain and swelling in the previously dormant perianal region, followed by discharge of pus and relief of pain. Associated fever can also be a feature.
Frequent Anal Abscesses
Pain and swelling around anus
Pus from anus
Irritation of the skin
Pain with bowel movements
Fever, chills and a general feeling of fatigue
Risks If Condition Persists
Fistulas can cause a lot of discomfort, and if left untreated, may cause serious bacterial infection
In rare cases, surgery can damage the anal sphincter muscles. If the muscles are damaged, you may lose some control of your stool
Recurrence of the anal Fistula
In some cases, the Fistula can recur despite surgery. After having a fistulotomy, the recurrence rate can vary depending on factors such as whether it is simple or complex.
About Treatment at Pelvinic
At Pelvinic, we perform a specialised Surgery for treating Fistula. Here are some advantages of our Surgery over the Traditional Surgical Procedure.
Our Surgery is Painless, compared to Open surgery procedure which is painful.
No tissue damage
Our Surgery cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
No Diet Restrictions
Our Surgery doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
Can resume work immediatly
Our Surgery is minimally invasive compared to open surgery for which its large
Anal sphincter is well preserved so no chances of incontinence/ fecal leak
A young patient was suffering form 4th grade haemorrhoids as she was neglecting her problem for quite long. She came to our clinic in severe pain and after undergoing preliminary tests, she underwent Stapler surgery for hemorrhoids. She is presently fit and fine and do advises for early detection and treatment to all patients with Piles problem.
30 years old was having Gall Bladder Stone with gastroesophagial reflux and severe acidity problems. Dr. Sandip operated her for Laparoscopic gall bladder removal surgery and medical management of GERD.
Mrs. Rubina Parveen
38 years old, Charted Accountant and a foodie was diagnosed to have Wide Hiatus Hernia defect ( more than 3 cm) and severe acid reflux problems. He was scared of eating out in restaurants and parties due to his
Mr. Anand Prakash
Himself is a Pediatrician, was having suffering form Inguinal Hernia and chronic deep perianal ( high intersphincteric, uncommon)abscess . His problems were identified, diagnosed and operated by Dr. Banerjee ( Laparoscopic TEP hernioplasty and abscess drainage). He has high regards for PELVINIC
Dr. S. K. Jain
Post appendix removal surgery Jatin was having several times painful episodes in his abdomen and was distressed because of that. He was diagnosed and operated by Dr Sandip Banerjee for laparoscopicsurgery for small bowel obstruction where his entangled bowel loops were set free and he regained his normal life.
Mr. JATIN KUMAR
Treatment Procedure for Fistula
A comprehensive rectal examination will be performed by an expert proctologist in our Fistula laser hospital. Our doctors usually diagnose an anal Fistula by examining the area around the anus. He or she will look for an opening (the Fistula tract) on the skin, then try to determine how deep the tract is, and the direction in which it is going.
Tests for identifying Fistulas
1. Contrast tests. A vaginogram or a barium enema can help identify a Fistula located in the upper rectum.
2. Blue dye test.
3. Computerized tomography (CT) scan.
4. Magnetic resonance imaging (MRI).
5. Anorectal ultrasound.
6. Anorectal manometry.
7. MRI fistulogram .
The expert proctologist will decide what type of medication a patient needs depending on the diagnosis. Antibiotics may be necessary for the treatment of anal Fistulas, especially if the patient presents with systemic symptoms. Once you have an anal Fistula, antibiotics alone will not cure it.
You will need to have surgery to cure the Fistula.
Surgery is usually necessary to treat an anal Fistula as they usually do not heal by themselves.
There are several different procedures. In fact, the surgical procedure chosen by a proctologist will depend on the position of Fistula and whether it's a single channel or branches off in different directions. Fistula treatment has been revolutionised over the years by arrival of new age ambulatory surgery or Day Care surgery is a clinical admission for a surgical procedure, with discharge of the patient on the same working day. We have a trained anesthesiologist, OT assistant, and nursing assistant to perform to do the advanced procedures like LASER and LIFT. Dr. Sandip Banerjee is one of the leading Colorectal surgeon practises in all above methods of treatment. But the decision of the modality depends on type of Fistula.
Doctor feel anything abnormal sigmoidoscopy test, in this test doctor inserts small fiber-optic camera into your rectum. E
The common minimal invasive surgical procedures are:
The most common type of surgery for anal Fistulas is a fistulotomy. This involves cutting along the whole length of the Fistula to open it up so it heals as a flat scar. A fistulotomy is the most effective treatment for many anal Fistulas, although it's usually only suitable for Fistulas that do not pass through much of the sphincter muscles, as the risk of incontinence is lowest in these cases.
The ligation of the intersphincteric Fistula tract (LIFT) procedure is a treatment for Fistulas that pass through the anal sphincter muscles, where a fistulotomy would be too risky.
During the treatment, a cut is made in the skin above the Fistula and the sphincter muscles are moved apart. The Fistula is then sealed at both ends and cut open so it lies flat. This procedure has had some promising results so far
Laser surgery Radially emitting laser fibre treatment involves using a small laser beam to seal the Fistula. Laser closure is a safe and effective treatment for transphinteric anal Fistula. FiLaC Fistula-tract Laser Closure, which means the closure of the anal Fistula due to the use of a laser procedure involves completely removing the entire length of the Fistula tract and closing the internal opening of the Fistula using a laser diode source and a radial laser probe. The laser FiLaC procedure for anal Fistula therapy is an advanced, safe, effective, minimally invasive, sphincter-preserving procedure with a high success rate.
Our patients and our surgeon will decide on the best anesthesia to use during the surgery. Choices include:
• general anesthesia, which puts patients into a deep sleep throughout the surgery
• Saddle block is a low dose of spinal anesthesia which involves medication that numbs your body from the waist down being delivered by a shot into your back
• local anesthesia, which numbs only your anus and rectum
Patient can expect rectal and anal pain after having surgery. So doctor will prescribe a painkiller to ease the discomfort. Most patients will need a dressing over the surgical incision following the surgical procedure while the wound heals. The dressing needs to be changed regularly, so it is important that they understand how they can do this themselves at home.The following tips may help keep the area around the Fistula clean and prevent infection or irritation:
1) Put a gauze pad over the opening of the Fistula to absorb the drainage. This is normal in the days after surgery if needed.
2) Use warm water and cotton wool to wash the skin, rather than a towel or sponge – pat the skin dry rather than rubbing it, or use a hairdryer on a low setting.
3) Sitz baths may help relieve discomfort and promote healing. A sitz bath is soaking the anal area in plain warm — not hot — water for 15-20 minutes several times a day. ... This helps the area to heal and rarely interferes with the control of bowel movements. Complete healing takes place in a few weeks.
4) Avoid any activities that involve heavy lifting or pulling and long sitting
5) Fiber and laxatives are useful to assist in regular emptying of the bowel and prevent Constipation, which can put stress on the operated area.
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.
We have taken all safety measures to combat Covid-19.
We strive to provide a home-like environment and the best treatments for our patients for quick recovery.
Award Winning Doctors
PELVINIC’s success is recognized by many awards from the various organizations national & international.
We use the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently.
Highly skilled surgeons. Our doctors have a vast experience of over 50000 surgeries.
50% more cost effective than corporate hospitals.
Frequently Asked Questions
The leading causes of an anal fistula are clogged anal glands and anal abscesses.
Other, much less common, conditions that can cause an anal fistula include: Crohn’s
disease (an inflammatory disease of the intestine) Radiation (treatment for cancer)
Your doctor can usually diagnose an anal fistula by examining the area around the
anus. ... An anoscopy is a procedure in which a special instrument is used to see inside
your anus and rectum. Your physician may also order an ultrasound or MRI of the anal
area to get a better view of the fistula tract.
A fistulotomy is the most effective treatment for many anal fistulas, although it’s
usually only suitable for fistulas that do not pass through much of the sphincter
muscles, as the risk of incontinence is lowest in these cases.
Symptoms of anal fistula
* discharge coming from the opening of the fistula in your skin, which you may feel as a hole or
lump – this may have pus or blood in it.
* pain, discomfort and swelling in and around your anus.
* irritated skin around your anus.
You may notice a small amount of pus or blood draining from the opening of
your fistula. This is normal in the days after your surgery. ... Most people can go back
to work and their normal routine 1 to 2 weeks after surgery. It will probably take several
weeks to several months for your fistula to completely heal.
This is normal in the days after your surgery. You can put a gauze pad over the opening
of the fistula to absorb the drainage, if needed. Most people can go back to work and
their normal routine 1 to 2 weeks after surgery. It will probably take several weeks to
several months for your fistula to completely heal.
Your wound should heal within 4 weeks for a minor fistula or 16 weeks for a
complex fistula. The following can help you heal: Follow nutrition recommendations.
Drink only clear fluids until you start having bowel movements again.
Washing. The following tips may help keep the area around the fistula clean and
prevent infection or irritation: use warm water and cotton wool to wash the skin, rather
than a towel or sponge – pat the skin dry rather than rubbing it, or use a hairdryer on a
Bach’s case, the drainage is liquid, and its green color indicates it’s from the small
intestine. In comparison, drainage from the descending colon would be thick, dark
brown, and malodorous. Document the amount of fistula drainage.
Symptoms of Fistulas
For anal fistula, the symptoms include: recurrent anal abscesses, pain and swelling
around the anus, pain with bowel movements, bleeding, bloody or foul-smelling drainage (pus)
from an opening around the anus. External fistulas cause discharge through the skin.
When constipation hits or passing a stool becomes difficult, we tend to strain and stretch
the sphincter muscles. This kind of straining can cause problems like hemorrhoids or
anal fissures. ... Anal fistulas are tube-like passages between the outer skin of the anus
to the anal canal or inner rectum.
A fistula is an abnormal pathway between two anatomic spaces or a pathway that leads
from an internal cavity or organ to the surface of the body. A sinus tract is an abnormal
channel that originates or ends in one opening. ... In the literature, the
terms fistulas and sinuses are often used interchangeably