Anal Fistula Specialist in Pune

The anus is a part of the human body where stool or waste matter is excreted. Now when a tunnel of epithelialized tissue forms between the skin and the muscular opening of the digestive tract (anus), the medical condition is called anal fistula. The infected area appears as a boil and is filled with pus which has a foul smell. In severe fistula conditions, pus leaks out of the tunnel.

In 50% of cases, anal fistula may recur, meaning it may be the result of a previous fistula. At Dr. Neha Muttha Clinic, we provide the Best Fistula Treatment in Pune. Depending on the severity of the fistula, you can also get fistula treatment without surgery at our center in Pune. However, if you require surgical treatment, Dr. Neha Mutha is one of the most expert, trusted, and ethical Fistula Specialists in Pune. He is the best surgeon and expert in treating Complex Fistula with Laser Treatment. She has successfully performed more than 1000 successful anal fistula surgeries. We provide the best treatment to our patients, to know the cost of Fistula Laser Treatment, you can contact us.

It has been found that anal fistula is caused by infection in the digestive tract and acute infection in the anus. The infection is eliminated through medical treatment, mostly surgery to remove the abscess. The area surrounding the anus and its connection to the sphincter muscles determines the classification of an anal fistula. The muscles that control the passage of feces are known as sphincter muscles. We diagnose and recommend the right treatment, depending on the region it occurs.

What are the Different Types of Anal Fistula?

  • Perianal fistula – It is the kind that appears between the skin and the anus most frequently.
  • Intersphincteric fistula – The tunnel (fistula) starts between the internal and external sphincter muscles and opens to the anus.
  • Transsphincteric fistula – This form, also called a horseshoe fistula, begins between the inner and outer layers of the sphincter muscle, crosses the external muscle, and opens a few inches before the anus.
  • Extrasphincteruc fistula – Among all the forms of anal fistula, this one occurs the least frequently. It begins at the rectum and has an exit around the anus.

What Causes Anal Fistula?

  • Crohn’s disease – It is a condition that causes inflammatory bowel disease. Crohn’s disease stays lifelong, where the digestive system becomes inflamed. The symptoms include diarrhea, stomach cramps, loss of weight, etc. Oral treatment for reducing inflammation can relieve the pain, but surgery is a better treatment option above all.
  • Tuberculosis or sexually transmitted disorder like HIV causes anal fistula.
  • Diverticulitis – The condition where small pouches of the digestive tract sell and protrude out from the sides of the colon. Sharp pain in the stomach, fever, chills, nausea, are common symptoms that are observed.
  • Any complicated surgery surrounding the anus can cause an anal fistula.

What Are the Symptoms of Anal Fistula ?

  • Irritation around the anus.
  • Regular ache that gets worse when you move, sit down, cough, or pass stool.
  • Foul-smelling discharge from the pus found around the abscess.
  • While exciting blood passes with the stool.
  • Inflammation around the anus that turns red.
  • rise in body temperature brought on by the swelling.
  • Loose motion in some cases or bowel incontinence.
  • Painful urination.

How is Anal Fistula Diagnosed?

Anal fistula symptoms can be similar to other problems, so it’s important for the doctor to know if you’ve had surgery around the anal area before. They consider your past surgeries to understand your situation better.

  • The doctor checks your bottom to see if there is any swelling or leaking fluid during a physical exam.

  • MRI and CT Scan –

    These scans take pictures inside the bottom to show things that we can’t see without special help.

  • Colonoscopy –

    For this test, you’ll get something to make you sleep, and then the doctor will do the procedure. A tube having a camera on one end is moved inside the anus to get a clear look at the bowel.

How is Anal Fistula Treated?

An anal fistula doesn’t get better with medicines, so you need surgery. The common surgery involves making a cut in the skin to drain out the pus. Antibiotics are given to prevent infections from the surgery.

Here are different types of surgeries:

  1. Fistulotomy: The doctor cuts the fistula and leaves it open to heal. This works well when the fistula is straight. It usually works about 97% of the time.
  2. Seton Surgery: The doctor puts a thread inside the fistula to keep it open. This helps drain fluid and lasts for about 6 weeks.
  3. Flap Procedure: When the fistula is connected to a muscle, the doctor cuts a piece of tissue from the rectum and attaches it to the fistula’s opening. This works about 70% of the time.
  4. LIFT Procedure: The doctor makes a cut above the fistula, moves the muscles, stitches both ends together, and then cuts it open to make a flat scar.
  5. Bioprosthetic Plug: The doctor puts a cone-shaped plug made from animal tissue into the fistula to block it. This stops further leakage.
  6. Non-surgical Method: The doctor injects glue into the fistula to seal the opening and help it heal. This is an option when fistulotomy isn’t lasting.

Result: Most anal fistula treatments work well without causing more health problems.

What Are the Risks Involved During the Surgery?

After the surgery for an anal fistula, there are a few risks to be aware of:

  1. Fistula Coming Back: Sometimes, the fistula can grow again even after it’s removed.
  2. Infection: To prevent infections, antibiotics are given after the surgery. The patient needs to be watched for a few days in case of an emergency infection.
  3. Trouble Controlling Bowel Movements: There’s a risk of not being able to control when you go to the bathroom after the surgery. This means stool might pass with gas or urine, and you might have trouble controlling it.

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