Contact Info

Anal Fistula Surgery

Get Expert Advice?



    What is an anal fistula?

    An irregular tube that forms from inside the anus to the skin outside is called an anal fistula. The top region of the anus where the anal gland is located, is where it often develops. A fistula may develop from the infection's discharge when these glands get contaminated. This infection is also known as a perianal abscess. 

    Anal fistula treatment commonly involves surgical intervention, although nonsurgical approaches might be considered sometimes.

    Types of anal fistulas

    • Intersphincteric anal fistula: It travels through the internal anal sphincter muscle and then extends out through the space between internal and external sphincter muscles.
    • Transsphincteric fistula: It travels through both layers of anal sphincter muscles.
    • Suprasphincteric fistula: It passes through the internal sphincter and then goes around the external sphincter.
    • Extrasphincteric fistula: It goes around both sphincter muscles and typically originates from the rectum rather than the anus, hence not originating from an anal gland.
    • Superficial anal fistula: It moves from the lower section of the anal canal, situated beneath the anal glands, towards the nearby skin, avoiding the muscles. This variety doesn't come from an anal gland.

    Symptoms

    The following are the symptoms of anal fistula:

    • Pain
    • Redness
    • Swelling around anus
    • Fever
    • Bleeding
    • Painful bowel movements or urination
    • Oozing of pus, blood or stool around anus

    When and how to identify you need a treatment?

    Anal fistulas can cause pain, swelling, foul smelling discharge and can also impact daily activities. While conservative treatments suffice for most cases, surgery might be necessary for long lasting relief.Some signs and symptoms that indicates the need for anal fistula surgery are mentioned below:

    • Redness, soreness or itching around the anus
    • Foul-smelling discharge from anus
    • Pain and swelling around the anal region
    • Blood discharge during defecation
    • Fever or Malaise

    If you feel any of the above-mentioned symptoms, there’s a need to see a specialist, like a gastroenterologist or colorectal surgeon, who can guide you further with your treatment.

    Treatment options and utilities of treatment options at TaCa

    Surgical fistula treatment includes:

    • Fistulotomy: In this type of fistula operation, a colorectal surgeon will incise the upper part of the fistula, enabling it to heal from the base upwards. They might also eliminate infected tissue.
    • Endorectal advancement flap: In this type of fistula surgery,the surgeon forms a flap using the rectal wall and eliminates the fistula’s internal opening. This flap is subsequently utilized to cover the repair, minimizing the extent of sphincter muscle that needs cutting.
    • Ligation of the intersphincteric fistula tract (LIFT): This type of rectal fissure surgery is a two-phase approach used for intricate or deep fistulas. The LIFT technique permits the surgeon to reach the fistula amid the sphincter muscles without cutting them. Initially, a silk or latex string (seton) is inserted into the fistula passage, causing it to gradually widen. After several weeks, the surgeon eliminates infected tissue and closes the internal fistula opening.
    • Laser surgery: The radial emission of laser fiber treatment entails using a small laser beam to close off the fistula. No significant safety risks are associated with fistula laser treatment.

    More extensive surgical intervention might be suggested for complex rectal fistula treatment:

    • Ostomy and stoma: The surgeon makes a temporary abdominal opening to redirect the intestines away from the anal canal, keeping waste in a bag on the abdomen. This gives proper time for the anal area to heal.
    • Muscle flap: For highly complex anal fistulas, healthy muscle tissue from areas like thigh, labia, or buttocks might be used to fill the tunnel.
    • Seton placement: A seton is inserted into the fistula to aid in infection drainage, facilitating the healing of the tunnel. This method could be paired with surgical intervention.
    • Fibrin glue and collagen plug: The surgeon cleans the passageway and closes the internal opening with stitches. Following this, a unique adhesive created from a fibrous protein (fibrin) is injected through the outer opening of the fistula. Alternatively, the tunnel of the anal fistula can be sealed using a plug made of collagen protein before closing.

    Treatment options at TaCa

    TaCa offers several treatment options as per the need and condition of the patient. When surgery becomes necessary for an anal fistula the doctor might explore the following options:

    Surgical fistula treatment includes:

    • Fistulotomy: In this type of fistula operation, a colorectal surgeon will incise the upper part of the fistula, enabling it to heal from the base upwards. They might also eliminate infected tissue.
    • Endorectal advancement flap: In this type of fistula surgery,the surgeon forms a flap using the rectal wall and eliminates the fistula’s internal opening. This flap is subsequently utilized to cover the repair, minimizing the extent of sphincter muscle that needs cutting.
    • Ligation of the intersphincteric fistula tract (LIFT): This type of rectal fissure surgery is a two-phase approach used for intricate or deep fistulas. The LIFT technique permits the surgeon to reach the fistula amid the sphincter muscles without cutting them. Initially, a silk or latex string (seton) is inserted into the fistula passage, causing it to gradually widen. After several weeks, the surgeon eliminates infected tissue and closes the internal fistula opening.
    • Laser surgery: The radial emission of laser fiber treatment entails using a small laser beam to close off the fistula. No significant safety risks are associated with fistula laser treatment.

    More extensive surgical intervention might be suggested for complex rectal fistula treatment:

    • Ostomy and stoma: The surgeon makes a temporary abdominal opening to redirect the intestines away from the anal canal, keeping waste in a bag on the abdomen. This gives proper time for the anal area to heal.
    • Muscle flap: For highly complex anal fistulas, healthy muscle tissue from areas like thigh, labia, or buttocks might be used to fill the tunnel.
    • Seton placement: A seton is inserted into the fistula to aid in infection drainage, facilitating the healing of the tunnel. This method could be paired with surgical intervention.
    • Fibrin glue and collagen plug: The surgeon cleans the passageway and closes the internal opening with stitches. Following this, a unique adhesive created from a fibrous protein (fibrin) is injected through the outer opening of the fistula. Alternatively, the tunnel of the anal fistula can be sealed using a plug made of collagen protein before closing.

    Cost of treatment at TaCa

    TaCa strives to provide top-notch healthcare services at affordable rates, ensuring accessibility for all. TaCa strongly advocates that minimizing preventable hospital admissions is both a moral obligation and a cost-efficient method for ensuring fair and accessible healthcare. We aim to deliver high-quality surgical care conveniently located near individuals. Collaborating with specialized physicians and healthcare partners, TaCa implements proven innovations and best practices to enhance patient care. Below mentioned are some of the benefits which TaCa is offering to the patients:

    • Free Doctor Consultation
    • Highly Experienced Surgeons
    • No Cost EMI
    • Pick and Drop Service
    • Dedicated Assistance by TaCa Dost
    • Affordable Cost
    • Short Hospital Duration
    • Hassle Free Insurance Support
    • Extensive Hospital Network
    • Surgery Near to Your Location

    Care by TaCa–After treatment

    Post-surgery care initiates right after surgery, extending throughout hospital stay and potentially continuing post-discharge. As an integral aspect of post-operative care TaCa handholds the patients and also helps them in getting free follow-up visits with surgeons, so that it may not be a hassle for them after surgery.

    Get Expert Advice?




      Experience excellence in short-stay surgical care with TaCa!

      What sets us apart?

      Frontpage
      Frontpage

      A Dedicated TaCa Dost

      At TaCa Healthcare we align a dedicated TaCa dost with each and every patient so that you don't have to worry about formalities & paperwork at hospital.

      Frontpage

      Affordable Cost

      TaCa Healthcare offers Treatment at very affordable rate. We also provide insurance paperwork support.

      Frontpage

      Patient First Approach

      At the heart of our healthcare philosophy is a commitment to putting patients first.

      What our Patients say on Google?

      FAQ's

      FAQ Front
      Anal Fistula Surgery

      An anal fistula appears as a skin opening close to the anus. This opening is essentially the outer part of a tunnel that links to an abscess inside. It could release discharge such as pus, blood, or feces, particularly when the surrounding skin is touched.

      Fistulas may develop in various body areas, connecting organs or opening to the skin. Typically, they arise from prolonged tissue inflammation caused by injury or illness.

      Typically, anal fistulas aren't considered harmful. They can be addressed through lifestyle adjustments, medical care, or surgical interventions. Nevertheless, if left untreated, they could lead to complications like infections, sepsis, fecal incontinence, and anal cancer.

      Typically, recovery from one or multiple surgeries for anal fistulas takes around 3–6 weeks. There's a possibility of fistulas recurring post-surgery, particularly if they were complex with multiple branches or if they stemmed from a chronic condition. Individuals with inflammatory bowel disease (IBD) might experience multiple anal fistulas.

      TaCa is having a team of skilled or good surgeons that are important because they know the significance of determining when surgery is necessary and when it's not. They recognize that the decision-making process holds more significance than the surgical procedure itself. Ultimately, the aim of any surgery is to serve the patient's well-being.

      • Persistent infection: A fistula originating from an abscess or infection could sustain the infection. Although the infection might appear resolved at its initial location, it could reappear, resulting in a fresh abscess and renewed discomfort.
      • Fistula extension: In some instances, a chronic fistula might exceptionally expand into different pathways, forming new branching channels and skin openings. These complex fistulas pose greater challenges for repair.
      • Cancer: In some cases, anal cancer has been detected in persistent anal fistulas that have existed for years. Chronic inflammation and erosion are recognized as known risk factors for cancer.

      Several factors are there which are responsible for the cost of fistula treatment:

      • Type and severity of anal fistula 
      • Type of surgery performed
      • Hospital’s type and location 
      • Anesthesiologist fee
      • Medication cost
      • Cost of diagnostic tests

      Although some patients may need to return for additional surgery down the road, anal fistula operations are typically performed as outpatient procedures, allowing you to return home the same day. This determines how extensive the treatment and recovery process will be. In general, you can expect to spend 3–6 weeks recovering from one or several surgeries.

      After surgery, some patients may experience the reappearance of the anal fistula. The recurrence rate is estimated to be around 7–21%, primarily depending on the specific type of fistula and the surgical method used for its removal. 

      To avoid recurrence below mentioned factors also needs to be considered:

      • Proper follow-up should be there with doctor
      • Proper hygiene should be maintained
      • Healthy diet
      • Keep hydrated