What is Fistula?
An anal fistula is a small channel that can develop between the end of the bowel and the skin near the anus. It is common among those who had the earlier anal abscess. An anal abscess is an infected cavity which is filled with pus . It is formed when anal abscess drained and not healed properly. It may cause bleeding or discharge while passing stools which may be more painful. If the anal fistula becomes severe, drainage may persist for a long time.
Most Common Types of Anal Fistula:-
In general, 4 types of Anal Fistula are found which are as follows:-
- Intersphincteric Fistula: is called when the channel or tract starts between the internal & External sphincter muscles and opens very close to anal opening.
- Transphincteric Fistula: is called when channel/tract starts in the space between the internal and external sphincter muscles or in the space behind the anus.It crosses the external sphincter and opens outside the anal opening.
- Suprasphincteric Fistula: is called when channel/tract starts in the gap between internal and external sphincter muscles and turns upward to puborectal muscle and then extends downward between the puborectal and levator ani muscle.
- Extrasphincteric Fistula: is called when channel/tract starts at the rectum and extends downward through levator ani muscle and opens around the anus.
Common Symptoms of Anal Fistulas:-
There are several symptoms can be seen in case of anal fistula:-
- Pain, which is usually constant, throbbing and worse when the patient is sitting down
- Skin irritation around the anus
- Swelling, Redness, and Tenderness
- Discharge of pus or blood
- Constipation or pain associated with bowel movements
- Infection may worsen and lead to perianal sepsis leading to Fever.
The ignored fistula will keep making tunnels branching below the skin or in rectum leading to multiple communication. Ignored fistula patients may come with complains of stool and gas passing through fistula opening.
Treatment of Anal Fistula
As per the availability and medical invention, Treatments techniques are divided into two categories like:-
- Laser Surgery of Anal Fistula
- Traditional Surgical Method of Fistula Treatments
1. Laser Surgery of Anal Fistula: In this technique, laser energy radial emitting user probe is inserted into the fistulous tract which destroys fistula epithelium and obliterates the rest of the fistula channel/ tract. Laser Techniques is preferred over the Open methods of Anal Fistula treatments due to:-
- Fastest relief and recovery
- Quick and Painless Treatment
- Resume normal activities within 24 hours
- No diet restrictions
- No repeated Doctor visits
- No Daily Dressings
- Can be done in all age groups with less risk involved
2. Traditional Methods: the method based on the cuts and suturing which can be painful and may take time to heal the problem. It generally includes:-
- Fistulotomy
- Seton Placement
- Fibrin Glue Application or Collagen plug
Treatments of Anal Fistula can be provided after analyzing the disease from the root. If you and your family member is suffering from the Anal Fistula, it is always recommended to Consult your nearest Fistula Surgeon in Gurgaon to treat Anal Fistula in an effective manner.
Advantages of Laser Treatment over the Traditional Surgical Procedure
| SURGICAL (OPEN PROCEDURE) | NON SURGICAL (LASER) |
| Cuts and wounds | No Cuts and Wounds |
| Highly painful | Completely Painless |
| Recurrence | No Recurrence |
| Diet Restrictions | No Diet restrictions |
| 1 Month-2 Months rest | Resume your work from next day |
| Invasive | Minimally invasive |
| Risk of infection is high | Reduced risk of infection |
| More bleeding due to cuts and stitches | Very less bleeding |
| Uncomfortable and time taking post-operative recovery | Easy and comfortable post-operative recovery |
| Low success rate | High success rate |
Best Laser/ Diet/ Ayurvedic/ Physiotherapy Fistula/ Bhagindar Treatment Clinic in Gurgaon,South Delhi
- Anal Fistula Treatment
