Fistula

FISTULA

 Fistula

When an irregular false tract occurs between the inside of the rectum and the outside skin surface, an Anal Fistula forms. The anal fistula is classified according to the condition of the tract and the relation of the internal opening to the anal sphincter muscle. Most commonly, this condition develops because of an anal abscess that went untreated. The anal abscess itself is usually the result of a small gland that becomes infected.

The most common symptoms are pain, recurrent swelling, pus discharge and discomfort during the discharge of stool. The most common treatment in India is a surgical treatment; the most common method is the minimally invasive Video Assisted Anal Fistula Treatment.

Symptoms

What are the typical symptoms of anal-fistula?

  • Throbbing pain that worsens on sitting
  • Swelling, tenderness, itching or redness around the anus
  • Discharge of pus, blood and debris which is usually foul smelling
  • Pain associated with bowel movements
  • Fever

Causes

What causes anal fistulas?

  • Anorectal abcess – Almost all anal fistulas are a result of a preceding anorectal abcess. An anorectal abcess begins as an infection of one of the anal glands. The infection soon forms a pool of pus – abcess. An anal fistula results when the abcess fails to heal completely with/without treatment.
  • Conditions that cause inflammation of the intestines like Crohn’s disease, Diverticulitis.
  • Malignancy in the anorectal region.
  • Infections – Tuberculosis, HIV, sexually transmitted diseases
  • Iatrogenic – As a complication of a previous surgery in the region.

Treatments

Surgical Treatment We Don’t Follow

  • Fistulotomy
  • Fistulectomy
  • Results.- Recurrence is common. Big wound & Long Hosp Stay, Severe Pain, Sometimes Incontinence

Advanced Technology Which We Follow

  • By laser
  • By laser
  • No Recurrence, No Hospital Stay, No Pain & No incontinence Patient is Ambulatory