Fistula Treatment

fistula treatment

Anal Fistula Treatment Hospital, Jaipur


V Help Laser  Clinic offers excellent treatment and compassionate post-operative care for the patients having fissures. Dr. Hemendra is the surgical expert having tremendous years of experience to manage anal fistula. He performs the detailed diagnosis and proper laser treatment to avoid the same disease occurring in future.


What is Fistula?


The anus has many small glands inside, and it expels feces from the body. Some defective blockages in these glands develop an abscess. They may give rise to a fistula, where a small tube combines the damaged gland inside the anus to an opening of the anus. The fistula tract is the link between the external and the internal openings.
The patient having fistula feels a lot of pain and difficulty in the stooling process. The person’s lower body portion and anal area broke from all the fronts, develops wound and discharges pus or blood. The patient cannot sit due to pain and discharge.


Types of Fistula


Five kinds of Anal Fistulas are as follows:

  • Extra-sphincteric fistula

It develops in the rectum and goes in a downward direction. It arises due to a rectal, pelvic or supra-levator.

  • Supra-sphincteric fistula

Found in the internal and external sphincter muscles, enlarge up and meet the puborectalis muscle, move downwards and ends with an inch away from the anus.

  • Trans-sphincteric fistula

Found in the inner and outer sphincter muscles or at the back of the anus, intersect the external sphincter muscle and open near the anus. It has ‘U’ shape and makes various external openings.

  • Inter-sphincteric fistula

Develop within the internal and external sphincter muscles, move over the inner sphincter muscle, and open near the anus.

  • Sub-mucosal fistula

It goes partially below the submucosal layer of the skin and does not intersect any sphincter muscle.


Fistula Symptoms


Patients having fistula can observe the following symptoms:

  • Person sense throbbing, infection or constant pain in anus
  • Skin irritations and swelling surrounding the anus
  • Moderate fever and weakness
  • Pus discharge or bleeding during bowel action
  • Sharp pain while sitting


Fistula Causes


Some of the factors cause anal fistula:

  • Hazardous or painful ulcers or sores
  • Anal fistulas occur by passing hard large, or dry stools.
  • Few genes and physical malformations develop fistula
  • Some of the bowel syndromes causes impairment in digestion and infers anxiety, diarrhea, and constipation
  • Few diseases like diverticulitis and Crohn’s disease
  • Accidental damage to rectum


Fistula Treatments


Rectal and colon surgeon treats the fistula successively. They perform the surgeries will reduce the extent of infection and evaluate the condition. There are a few surgery alternatives.

  • Laser treatment
  • Once doctor finishes the procedure, they take back the laser probe and close the fistula.
  • The method uses laser energy to destroy the fistula track entirely.
  • The method is useful in managing complex anal fistula as it involves many tracts.
  • The laser beam penetrates infected tissues and thickens without touching.
  • It is very minimal and supports healing.


  • Fistulectomy
  • In this method, the doctor removes or opens the fistula by making the least amount of cuts.
  • After eliminating fistula, the wound is kept open for healing.
  • The method is used to reduce a perianal fistula that develops the following a perianal abscess.
  • It requires general anesthesia.
  • It takes 45-90 minutes to perform.


Pre-Surgery and Post-Surgery Instructions

Pre-Surgery Instructions


  • Eat lots of fiber will reduce risks of constipation
  • Drink more water- Increased water consumption softens the stool, which passes more readily
  • Half an hour exercise keeps the digestive system running
  • Avoid junk or heavy food before treatment
  • Avoid infection by regular shower
  • Do not wear tight clothes
  • Arrange a person who can take care on the day of surgery


Post-Surgery Instructions


  • Avoid strenuous activities
  • Take enough sleep and rest
  • Perform walking to inhibit constipation
  • Pat dry the anal region with smooth cloth or tissue after shower
  • Perform Sitz bath for 2-3 times in a day
  • Wear a pad that covers anal area until complete healing
  • Start normal activities only when surgeon tells you
  • Do not take medicines without consulting with your physician


Myths of Fistula


  • It develops due to the curse of God
  • The developing fetus growing in uterus induces fistula in the mother
  • Mistakes during delivery process produce fistulas


Advantages of laser treatment for Fistula over conventional surgical methods

Main Feature Laser Surgical Procedure
Patient Hospital Stay 24 Hours 48-72 hours
Pain (Post-Operative) Low High
Recovery Time 3 Days 20 Days
Recurrence Low High
Complication Low High