Fistula: What Are Fistulae And How Do We Treat Them

Posted On Mar 01, 2023

5 Min Read

Dr. Govind Nandakumar

Consultant - Surgical Gastroenterology

Manipal Hospital - Sarjapur Road

Surgical Gastro Hospital in Sarjapur Road

Fistula is a common medical condition that impacts a considerable number of individuals worldwide. It is characterized by an abnormal connection between two areas, two organs, or an organ and the skin, which typically do not communicate. Although fistulas can occur in various parts of the body, they most commonly develop in the digestive and urinary tracts. For instance, an anal fistula is a frequent occurrence that often arises following abscess drainage around the anus. Symptoms of an anal fistula include bleeding, discharge or drainage, pain, and alterations in bowel habits.

Treatmen for an Anal Fistula

The treatment for an anal fistula depends on the location and severity of the condition. In some cases, the anal fistula may heal on its own, but in most cases, medical intervention is required. Treatment options include medication, surgery, or a combination of both. Antibiotics may be prescribed to treat any infection that is present, while medications may be given to reduce inflammation and pain. Surgery is often necessary as an anal fistula generally does not heal on its own. Surgery is also recommended when an anal fistula causes significant discomfort or other health problems. Treatment procedures at a surgical gastro hospital in Sarjapur Road include the removal of infected tissue and anal fistula closure and repair. The type of surgery usually depends on the location of the anal fistula.

Most anal fistulas are easily treated by laying them open; the procedure is called fistulotomy. The muscle around the anus is protected during a fistulotomy to avoid incontinence. Other than that, more advanced procedures such as ligation of the intersphincteric anal fistula tract (LIFT), and advancement flaps are well known surgical procedures that are often used to treat cases of anal fistula. Seton, which is a rubber band or thread, is placed in an anal fistula tract to help prevent progression to abscesses or recurrent infection. The seton is often left in the anal fistula for several weeks to keep it open, which allows it to drain and helps it heal.

Laser is a colloquial term for a specific energy source. Lasers, though not proven, have been popularised by commercial enterprises. However, it is not recommended for treating anal fistulas by major colorectal societies, such as the American Society of Colon and Rectal Surgeons.

It is recommended that you consult an expert if there is of having anal fistula or similar symptoms. Early detection will aid in determining the underlying cause of the condition and recommending the best course of treatment. Recovery time and post-surgical care will also vary depending on the type of surgery performed. Hence, additional procedures or treatments may be necessary to fully treat the condition. Though it is important to note that the best treatment for an anal fistula will depend on the individual case, and the treatment plan may be different for each patient.

Prevention during the Treatment

Anal fistula is a complex condition that requires specialised treatment under the supervision of a best gastro surgeon in Sarjapur Road. Accurate diagnosis, effective treatment, and patient education are crucial to managing this condition and improving patient outcomes. While anal fistulas can be challenging to treat, with the right approach, patients can experience relief from their symptoms and may return to a normal, healthy life.

Prevention of anal fistulas is dependent on the underlying cause of the condition. However, taking steps to reduce the risk of infection, such as practicing good hygiene can help prevent anal fistula and its recurrence. Fiber can also help keep your large intestine healthy and possibly reduce the risk of an anal fistula.