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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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Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi
Opp.Badwani Plaza, Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003
Pristyn Care Eminent Hospital 6/1 Opp. Barwani Plaza, Manorama Ganj, Old Palasia, Indore - 452018
Pristyn Care Sheetla Hospital, Sector 8, Gurgaon
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.
Rajesh G nair
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Will be coming in one month time to undergo the stapler plus procedure
Saurabh Gupta
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Dr is very good, listened to me carefully then examined and explained about the problem very well how this happens and what are precautions and further course of treatment. Overall very good experience
Raghava kumari
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Very good receiving and excellent explanation with smile.
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