Suprasphincteric fistula is a complex anal fistula passing above the puborectalis muscle. Pristyn Care offers advanced sphincter-preserving minimally invasive surgical treatment with minimal recurrence.
Suprasphincteric fistula is a complex anal fistula passing above the puborectalis muscle. Pristyn ... Read More

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Suprasphincteric fistula is a rare and complex anal fistula where the tract originates in the intersphincteric space, passes upward above the puborectalis muscle, then curves down through the ischiorectal fossa to open at the perianal skin. It involves a significant portion of the sphincter complex, making surgical treatment technically challenging. Pristyn Care colorectal surgeons use advanced imaging and sphincter-preserving techniques to treat it effectively.
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Symptoms of Suprasphincteric Fistula include:
Suprasphincteric fistula can result from:
Anal fistulas classified by Parks:

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Risk factors for Suprasphincteric Fistula:
Suprasphincteric fistula is more common in middle-aged adults with a history of recurrent perianal sepsis or inflammatory bowel disease. Men are slightly more affected than women.
Diagnosis involves:
Treatment requires sphincter-preserving techniques due to high incontinence risk with conventional fistulotomy. Options include LIFT procedure, advancement flap, video-assisted anal fistula treatment (VAAFT), and fibrin glue or plug techniques.
The LIFT (Ligation of Intersphincteric Fistula Tract) procedure:
Post-operative care after fistula surgery:
Potential complications include:
Suprasphincteric fistula is a complex anal fistula where the tract passes above the puborectalis muscle before reaching the perianal skin. It involves a large portion of the sphincter and requires specialist care.
Yes, it can be treated with sphincter-preserving procedures like LIFT or VAAFT. Complete cure is achievable though recurrence rates are higher than simpler fistulas.
With sphincter-preserving techniques like LIFT or advancement flap, the risk of incontinence is very low. Pristyn Care surgeons prioritise preserving sphincter function.
Most patients return to normal activities within 2-3 weeks. Complete wound healing may take 4-8 weeks depending on the complexity of the fistula.
Harish Arora
Recommends
This was my first visit to Prystine Diyos Hospital SJE when I visit at late night and doctor on duty was very helpful and polite. He himself done minor surgical procedure with dressing.
Elantharaga E
Recommends
Polite explanation, he briefed step by step present disease position, treatment procedures, duration of hospitalization, pre & post surgery instructions all simply explained it has understood even layman. Excellent approach my hearty congratulations keep it up.
SAKTHIVEL
Recommends
Very well explained problem and about procedure as well
Kalash Asati, 22 Yrs
Recommends
Doctor is very calm in nature and explained everything in a detailed manner. Health Care Coordinator is also very cooperative in nature.
Siddarth
Recommends
Very professional and gives accurate diagnosis
Guruprasad Mahale
Recommends
Met the doctor and he was very clear on the issue and the treatment plan.