What causes fistula in ano?
An anal fistula commonly occurs from an infected anal gland and develops a pus-filled area (abscess). A fistula (usually complex) can also happen with certain conditions such as Crohn’s disease. Or it may arise due to radiation therapy for cancer. Injury to the anal canal and surgery can also cause anal fistulas, says Dr. Purnendu Bhowmik, one of the best fistula doctors in Kolkata, associated with Clinica Health.
Should you treat fistula in ano?
Yes. It must be treated because it doesn’t heal on its own. There is also a risk of developing cancer in the fistula tract if left untreated for a long period of time.
Can fistula be cured?
Yes. A well planned and well executed fistula surgery by the best proctologist in Kolkata can offer complete cure. Most fistulas are simple to treat. But few may pose difficulty when they are complex in nature.
What are the treatment options for fistula?
- Below is a list of procedures which are used to treat fistula. Each procedure has its own pros & cons.
- Fistulotomy/ fistulectomy
- Seton techniques
- Advancement flap procedure
- LIFT procedure
- Endoscopic ablation
- Laser surgery (FiLaC/LAFT)
- Fibrin glue
- Bio prosthetic plug.
What are the side effects of conventional fistula surgery?
- Partial anal stenosis (due to fibrosis during the healing of large perianal wound)
- Loss of bowel control (incontinence)
- Fistula recurrence
What happens if you develop partial anal stenosis following conventional fistula surgery?
- Lifelong medication to pass motion
- Straining & bleeding during passage of stool
- Abdominal pain due to secondary constipation
What is laser fistula treatment in Kolkata?
The laser surgery for fistula or FiLaC is a minimally invasive surgery in the treatment of anal fistulas. Fistula Laser Closure (FiLaC) is comparativelya new surgical technique inwhich the fistulous tract is ablated using a ‘radial laser fibre’ resulting in destruction of the fistula walls and granulation tissue followed by shrinkage and subsequent closure of the tract.
Is laser treatment safe for fistula?
Yes. Laser closure of fistula is a very safe and painless treatment for fistula in ano specially in cases of transphincteric and high anal fistulas where conventional surgical procedure is associated with the risk of injury to the anal sphincter (circular muscle) resulting in post-operative faecal incontinence.
How long is recovery from laser fistula surgery?
In conventional surgery for fistula, it usually takes about 6 weeks to 8 weeks for your wound to completely heal. Whereas, in laser closure, it takes only few days to recover and go back to one’s regular activities.