Dr. Sourabh is the best laser surgeon and gives the best treatment for piles and fistula. He has learned and acquired the best skills to operate fistula with laser surgery and cure it. He delivers the superior diagnosis, therapeutic care for fistula. He tries to maintain world-class standards among Rajasthan. On this page, you can get the idea about the anal fistula, what are the causes, symptoms and treatment options available for the same.
What is Fistula?
When a fistula develops within the anal channel and skin of anus, then it is referred as anal fistula. It happens following the surgeries to remove an anal abscess. An anal fistula is a medical term used for an infected tube that grows within the epidermis and the anus. A most of the anal fistula is the outcome of contamination that originates in an anal organ. This disease results in an abscess that flows automatically or is removed surgically by the skin of the anus. The fistula later makes a hole in the surface of the skin and attaches to the infected organ.
Types of Fistula
• Extra-sphincteric fistula
They produce at the rectum or sigmoid colon. The rectum is the part of colon above the anal canal, and sigmoid is the part of colon above the rectum. From here they move down and opens in the skin surrounding the anus.
• Supra-sphincteric fistula
They begin beside the internal and external sphincter tissues. Then they stretch up and meet the puborectalis muscle and open an inch or more away from the anus.
• Trans-sphincteric fistula
Develop behind the anus or in between the internal and external sphincter muscles. They join the external sphincter muscle and penetrate an inch or more apart from the anus.
• Inter-sphincteric fistula
They develop in the internal and external sphincter tissues. Then they go through the inner sphincter tissue. They open adjacent to the anus.
• Sub-mucosal fistula
The fistula does not join each sphincter fibers. They pass the sub-mucosa.
• Discharge of Pus or fecal matter
• Bleeding or purulent secretions
• Anal itching
• Pain throughout the anal area
• Inflammation nearby the anus
• Skin of anal opening appears red
• Elevated body temperature
An anal fistula occurs as a consequence of an anal abscess and appears just below the anal skin. An ulcer includes pus and fluid. An anal fistula may start if the purulent discharge has not been wholly eliminated off or if the abscess blowups before usual treatment.
Reasons for the gain of an anal fistula include:
• The swelling ulcers which produce pain
• Some inborn health defects
• Some general circumstances include:
• Irritable bowel syndrome (IBS) which does harm to the digestive system and result in pain, diarrhea, and constipation
• Diverticulitis and Crohn’s disease concerns the growth of small sacks that attaches to the large intestine. After some time they grow and develop an infection
• Damage to the rectal portion
• Hidradenitis suppurativa affects the sweat glands and results in multiple diseases and recover from scarring
Depend upon the location of fistula please find below the treatment alternatives –
• Laser treatment for fistula- It is a minimally invasive procedure bypasses the pain. The method offers fast recovery to the patients and eliminates the reoccurrence of the disease
• Let it be - It is the safe choice, but it is not a complete remedy for the fistula
• Operation - to remove the fistula and then packed regularly to heal the wound. It gives scar
• Cutting Seton – If the fistula is significant and if it passes the sphincter muscle then this method is used. The physician inserts a thin tube into the fistula, and its ends are joined collectively exterior to the body. It gives fewer scar as compared to other
• Seton stitches - Involves the looping of an appropriate length of stitching element via fistula. It holds the fistula wide and releases pus to flow out
• Fistulotomy- It is the conventional method and used in many cases. It includes cutting to open the fistula to eliminate or clean the contaminated contents. It requires one to two months for healing
• Bio-prosthetic Fistula plug – A device made of small intestinal submucosa are used to close the holes of fistula. This plugging is achieved via the anus with the help of suture. It has a moderate succeeding rate.
• Flexible sigmoidoscopy- A method reduces additional complexities like ulcerative colitis and Crohn’s disease.
• Endo-rectal advancement flap – It is a system where the inner hole of the fistula is recognized and removes the section of tissue from the rectum or the skin present throughout the anus. During the process, at the site of fistula, the fistula tract is removed, and the opening is attached to the flap.
• Fibrin glue injection – Fistula is introduced with bio-degradable glue to repair the fistula from the inside out. It provides natural healing.
• Ligation of Inter-Sphincteric Fistula Tract – it performed by the secure closing of the internal opening and elimination of infected tissue, by the inter-sphincteric method.
• Fistula clip closure – is an operational method where the super-elastic clip is used to close the opening of the fistula.
• Avoid the eating of unhealthy food before a few hours of treatment
• Take a regular bath to maintain cleanliness
• Wear comfortable dressing
• Arrange a person for your care
• Sitz bath in warm water for 3-4 times in a day
• Use a pad the anal region until the complete healing
• Use plenty of liquids
• Resume to usual routine when your doctor discharges you
• Carry out simple physical exercises
• Keep the dressing on the wound until the proper healing of the wound
• Practice a stool softener or bulk medication
• Utilize soft toilet papers or baby wipes
• Eat fiber-rich diet
Myths of Fistula
• It is the curse of God
• An infant growing inside the uterus causes fistulas in mother
• Procedural mistakes or errors in the labor process induces fistulas
Get in touch with Adarsh nursing Home and have a healthier and better relief from Fistula.
Advantages of laser treatment for Fistula over conventional surgical methods
Main Feature Laser Surgical Procedure
Patient Hospital Stay 24 Hours 3-7 Days
Pain (Post-Operative) Low High
Recovery Time 1-3 Days 15 Days to 1 month
Recurrence Low High
Complication Low High