What is Anal Fistula

An Anal Fistula is a the small channel with an internal opening in anal canal & external opening in the skin near the anus. Anal Fistula is common among those who had anal abscess earlier. An anal abscess is termed as infected cavity filled with pus. Anal Fistula form when an anal abscess is drained and doesn't heal in a proper way.

Types of Anal Fistula:-

4 Types of Anal Fistula are Founds and treated which are as follows:-

Intersphincteric fistula

The channel/tract starts between the internal and external sphincter muscles and opens very close to anal opening.

Transphincteric fistula

The channel/tract starts in the space between the internal and external sphincter muscles or in the space behind the anus.It crosses the external sphincter and opens outside the anal opening

Suprasphincteric fistula

The channel/tract starts in the gap between internal and external sphincter muscles and turns upward to puborectal muscle and then extends downward between the puborectal and levator ani muscle.

Extrasphincteric fistula

The channel/tract starts at the rectum and extends downward through levator ani muscle and opens around the anus

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Symptoms of Anal Fistula

There are some of the common symptoms mentioned below which should not be neglected and patient is advised to see a doctor:-

  1. Foul Smelling Discharge from around Anus
  2. Bleeding
  3. Itching Around Anus

Diagnosis of Anal Fistula

Locating external anal fistula is easy as the external opening is usually red, inflamed, leaks pus and mixed with blood. Whereas finding the internal opening of Anal Fistula can be more challenging as it requires some tools to diagnose the same. The most Common yet popular Techniques are:-

  1. Digital Rectal Examination
  2. Anoscopy/Proctoscopy
  3. Magnetic Resonance Imaging (MRI) or Fistulogram

Apart from the above-mentioned techniques, other tools may be used such as Fistula Probe, Diluted Methylene blue dye, Flexible Sigmoidoscopy, Colonoscopy, etc depending upon the complications involved in Anal Fistula and other disorders.

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Treatment of Anal Fistula

As a whole, Treatments techniques are divided into two categories like:-

  1. Laser Surgery of Anal Fistula
  2. Traditional Methods of Fistula Treatments

Laser Surgery of fistula: In this technique, radial emitting user probe is inserted into the fistulous tract which destroys fistula epithelium and obliterates the rest of the fistula channel/ tract.

Laser Techniques is preferred over the Open methods of Anal Fistula treatments due to:-

  1. Fast recovery
  2. Quick and Painless Treatment
  3. Resume normal activities within 24 hours
  4. No diet restrictions
  5. No repeated Doctor visits
  6. No Daily Dressings
  7. Can be done in all age groups

Traditional Methods

It generally includes :-

  • Fistulotomy
  • Seton Placement:- This generally includes laying opening of the fistulous tract, hence a bigger wound, relatively more pain, and regular daily dressings are required for long period

Other methods

  • Fibrin Glue Application or Collagen plug

Consult your nearest Fistula Surgeon in Gurgaon to treat Anal Fistula in an effective manner.

Anal Fistula Laser Treatment/ Surgery Clinic/ Doctor/ Surgeon in Gurgaon

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