Fistula in ANO Treatment

Fistula Treatment

Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre is the best fistula clinic in Pune. We beautifully and efficiently manage anal fistula. We do the best treatments and skills to operate a variety of fistula without surgery. Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre is delivering world-class healthcare facilities with care and kindness. Until now he has established multiple branches over Pune and Mumbai. Here below you will get the precise idea about the anal fistula, what are the causes, symptoms and treatment options available for the same.

What is Fistula?

An anal fistula is a medical terminology used for an infected tube that grows within anal channel and skin of the anus. In the majority of the cases, fistula is the result of a consequence of an anal abscess and appears just below the anal skin. The condition results in an abscess that contains pus and fluid. It develops multiple holes in the latter phase of the disease.

Types of Fistula

Anal Fistulas are of five kinds as follows:

• Extra-sphincteric fistula
  This type of fistula develops near the rectum or sigmoid colon. The rectum is the part of colon above the anal canal, and sigmoid is the part of colon above the rectum. From here they move down and open in the skin surrounding the anus.
• Inter-sphincteric fistula
  It is the outcome of a perianal abscess. In this, fistula tract forms within the internal sphincter and the intersphincteric space, and then ends at the perineum.
• Trans-sphincteric fistula
  This type of fistula develops behind the anus or in between the internal and external sphincter muscles.
• Supra-sphincteric fistula
  They develop beside the internal and external sphincter tissues. Then they stretch up and meet the puborectalis muscle and open an inch or more away from the anus.

Fistula Symptoms

• Skin maceration
• Blood, Pus, sticky discharge or faecal discharge through the anus or fistula boils on & off.
• The sensation of anal itching and throbbing pain
• Pain throughout the anal area
• Inflammation nearby the anus
• Skin irritations and skin becomes red near anal opening.
• Elevated body temperature
• Constipation
• Constipation or continence related to stool discharge
• Some patients have pain in lumbar region on and off

The signs mentioned above are beneficial to diagnose the condition of anal fistula

Fistula Causes

• Constant long time sitting and abscess formation
• Long driving, dry eating, less water intake
• If a person is experiencing Irritable bowel syndrome (IBS) which affects the digestive system and result in pain, diarrhea, and constipation
• Diverticulitis and Crohn’s disease concerns the growth of small sacks that attaches to the large intestine
• Damage to a rectal portion
• Hidradenitis suppurativa affects the sweat glands and results in multiple conditions and recover from scarring

Fistula Treatments

• Laser treatment
  New advance laser treatment is used for fistula treatment. Laser beam passed through tract and tract is burnt . The therapy is the safe, efficient, less invasive and sphincter-saving system. The procedure requires approx. 15 to 30 minutes.
• Advanced Seton Therapy
  It is a combination of traditional and modern techniques. We use different ayurvedic herbs to prepare medicated Seton (a thread or string). Tagging this Seton to drain the fistula. We keep Seton inside for some days. The pus and infected tissue can flow down through the Seton. Then we change this herbal thread every week. Every week this setone cut and heal the tract slowly .It does not damage the sphincter muscle.
• Fistulotomy
  A fistulotomy is an outpatient operational method used to treat anal fistula. The procedure requires a few minutes or an hour. In this, the doctor makes an incision in the body to open the irregular connection between the two openings.
• Ksharsutra & Kshar Karma
  It is Ayurveda treatment first time invented by Acharya Sushrut before 5000 years. Later it is developed by Dr. Deshpande for piles & fistula. The method is best for piles & fistula which does not have any complication and side effects, negligible recurrence. The entire process requires local anesthesia or spinal anaesthesia. We are expert in performing Ksharsutra treatment.
• Partial Fistulectomy with Ksharsutra ligation
  This is the most popular and convenient treatment for Fistula . In this fistula tract is partially removed and partially ksharsutra has been ligated. Every week this ksharsutra has been changed till complete cutting of the tract. It does not damage the sphincter muscle and maintains continence.
• IFTAK Treatment
  IFTAK is an advanced piles treatment that uses a non-surgical, non-invasive technique to heal and regenerate damaged tissue. The treatment is performed by expert doctors who specialize in piles treatment, using a state-of-the-art device to deliver a precise amount of energy to the affected area. This energy stimulates the body's natural healing process, leading to the regeneration of healthy tissue and reducing the size of the piles.
• LIFT Treatment
  LIFT, which stands for Ligation of the Intersphincteric Fistula Tract, is a minimally invasive procedure that is used to treat piles and anal fistulas. During the procedure, a surgeon will create a small incision in the skin near the affected area. They will then use a small, curved instrument to identify the tract that connects the fistula to the anal canal. Once the tract is located, it is then ligated or tied off to allow it to heal.

Pre-Surgery Instructions

• Avoid eating of heavy, spicy food before few hours of treatment
• Take a shower to maintain cleanliness
• Wear comfortable and loose fitting dresses
• Plan a person for your care

Post-Surgery Instructions

• Use Sitz bath procedure for 3-4 times in a day
• Use a pad across the anal region until the complete healing
• Drink more water
• Restart usual routine after discharge from hospital
• Carry out simplistic exercises
• Keep the dressing on the wound until the proper healing of the wound
• Use soft toilet papers
• Eat a healthy and fibre-rich diet

Myths of Fistula

• It is the curse of God
• An infant growing inside the uterus causes fistulas in mother
• Procedural mistakes or errors in the labor process induces fistulas

Get in touch with Dr. Kamthe’s Piles Clinic, Surgical Hospital & Research Centre and have a healthier and better relief from Fistula.

Advantages of laser treatment for Fistula over conventional surgical methods