Anal fistula surgery in Hyderabad
Do you have a discharging point near your anus? It could be an anal fistula. Anal fistulas are abnormal tracts in the buttocks that connect the anus to the skin around the anus. An anal fistula may arise following infections in the anal region and can lead to the soiling of clean clothes and underwear, making it a troublesome problem.
Get your anal fistula Surgery done by top general surgeons in Hyderabad at Medintu so that you can get over this health issue and not have to worry about discharge and infections near the anus.
A fistula is an abnormal relationship between two body parts. Anal fistula also termed fistula-in-ano is a terrible condition in which unusual contact or passage develops between the outer skin areas around the anus to the interior anus. The main reason behind this is an infection, injury or previously performed surgeries due to which abscess(puss) is formed in the closer tissues.
Get your hands on the advanced treatments for anal fistula performed by the best gastroenterologists/proctologists in Hyderabad through Medintu. Also, book an appointment for offline and online consultations without any delay by filling out the form above.
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Our Anal Fistula Surgery Specialists
Medintu offers highly reputable gastroenterologists/proctologists in Hyderabad who will perform the Anal Fistula Surgery.
Dr Ankit Vijay Agarwal
Dr. R.V Raghavendra Rao
Dr. R.Naga Sudha Ashok
Dr. Lata Prasad
What are the symptoms of an Anal Fistula?
- Intense pain and throbbing in Anal region
- Smelly discharge from the anus
- Skin irritation in perianal region
- Redness and swelling
- Flow of blood or puss while pooping
- Formation and drainage of pus on the skin
- Pain in the rectum
- Fever (uncommon)
- Exposed skin around the anus
How is an anal Fistula Diagnosed?
The diagnosis of an anal fistula can be made via the following techniques:
- A clinical examination by the doctor
- MRI, or magnetic resonance imaging, can give detailed insight into the tract of the fistula and its relation to surrounding structures.
- Endorectal ultrasound can help identify the location of the fistula.
- Fistulography is done using X-rays with contrast to identify the tunnel.
- Anoscope to see the internal opening of the sphincter
What are the causes of Anal fistula?
- Sexually transmitted infections(STIs)– In most cases, sexually transmitted diseases increase the risk of anal fistula in an individual. Sexually circulated infections may include Chlamydia and syphilis that contributes to the formation of puss in the anus.
- Tuberculosis- Perianal tuberculosis is a very rare condition. When TB spreads beyond the limit, it may affect the area around your anus. Thus causing trouble in the perianal region.
- Perianal abscess- Major cause of Anal fistula is perianal abscess. An abscess is nothing but a sack of puss that forms and infects the anal region. Even though the abscess is removed still some fistulas are left unidentified which leads to the creation of new fistulas and anal cancer.
- Crohn’s disease- Categorised under Inflammatory bowel disease(IBD). This causes inflammation(swelling) in the tissues of the digestive tract system when the body’s immune system attacks healthy tissues falsely. Foods containing high fibre and lactose can trigger this.
- Hidradenitis suppurativa- HS is a prolonged condition related to the skin that leads to the formation of abscess/puss on the skin. This is caused by to blockage of follicles. Smoking and obesity are the main factors.
- Past injury and Radiation therapy- If you ever had a traumatic or severe injury in your anus then the risk of fistula increases to an extent. Radiation therapy is recommended to treat anal cancer in your pelvic region. Due to this inflammation is caused in the anus and rectum. It damages the tissues present in it.
What are the treatments for Anal fistula?
- Perianal fistula surgery- Also known as Fistulotomy. This surgeon cuts a whole long fistula and keeps it open so that it can heal for a certain period and turn into a scar. Stitches are done very rarely only to narrow the cuts or wounds instead of completely closing them.
- Laser treatment for fistula- Fistula laser surgery involves the usage of laser energy emitting through a radial fibre that focuses on the fistulas and forces the damaged tissues to shrink thus contributing to the healing process.
- Fistulectomy- Unlike fistulotomy, in this, the whole fistula tract is removed or detached completely to eliminate abscess and damage to the anus. Because this damages the sphincters (circular muscles) it is not often recommended but does create damage every time.
- LIFT Surgery- Refers to Ligation of the intersphincteric tract as a treatment, especially for anal sphincter muscles. Sphincter muscles are circular muscles that open and close the opening to prevent the backward flow of intraluminal contents. When fistulas develop in the sphincter muscles it may not allow them to function properly. For this incisions are made above the skin and sphincter muscles are separated.
- Seton techniques- If the fistulas affect specific parts of sphincter muscles then seton techniques are advised. Seton is a surgical instrument in the form of a thread that is left in the fistula to make sure it is opened for some weeks. This helps in healing as no cuts are made.
Cost of Anal Fistula Surgery in Hyderabad
| TREATMENT TYPES | AVERAGE COST | MAXIMUM COST | RECOVERY PERIOD | TREATMENT DURATION |
|---|---|---|---|---|
|
Fistulotomy
|
Rs 40,000
|
Rs 60,000
|
6 weeks |
15 to 30 min |
|
Fistula laser operation
|
Rs 25,000
|
Rs 40,000
|
2 to 6 weeks
|
30 to 40 min
|
|
Fistulectomy |
Rs 50,000
|
Rs 75,000
|
4 to 6 weeks
|
1 hour
|
|
LIFT |
Rs 60,000
|
Rs 90,000
|
4 to 6 weeks
|
15 to 30 min
|
|
Seton techniques |
Rs 50,000 |
Rs 90,000 |
Several weeks |
30 min |
Top Clinics For Anal Fistula
Why Choose Medintu?
Medintu is one of the leading platforms that connect patients to world-class health services by highlighting the profiles of highly competent and experienced doctors. We aim to deliver affordable and reliable healthcare options for everyone. Book your appointment for an anal fistulotomy today through Medintu and experience world-class medical care.
Our team is made up of the best general surgeons with years of experience in fistulotomy operations, making your experience very safe and smooth.
FAQs
What is the main cause of anal fistula?
The main cause of fistula is infection and formation of abscess/puss around the anus.
Can anal fistulas recur at the same site or at a different site?
The chances of recurrence are meagre, but a new fistula may develop at a different site, or the same fistula may reopen. A fistulotomy is done to deal with the already-occurring fistula, not as a preventive surgery for the formation of further fistulae.
How long does it take to recover from anal fistula surgery?
In about one week post-surgery, you should be able to do your normal daily activities while continuing to take precautions such as keeping the wound clean and dry, avoiding straining during defecation, eating a fibre-rich diet, and also informing the doctor if you see an increase in discharge, blood or pus at the site of surgery, or a fever.
How to diagnose anal fistula?
To determine the size and location of the fistula, anorectal surgeons may perform an MRI or ultrasound of the Anus, Anoscopy and Colonoscopy.
Who can get an anal fistula?
Fistula is more common in males than females. Nearly men at the age of 40 are at the risk of anal fistula.
What is rectal fistula?
Rectal fistula happens due to the infection around the anus that creates puss and opens a small tunnel near the perianal region. Anorectal fistula surgery is performed to treat this.
Is rectal fistula treatment without surgery possible?
The only alternative to surgery is the usage of Fibrin glue. Surgeons inject glue into the fistula to seal it which helps in healing.
What is the cost of anal fistula surgery?
The cost of anal fistula surgery is anywhere between 30,000 and 50,000 rupees in Hyderabad. It can vary based on the type of procedure, the experience of the doctor, and the complications associated with the fistula.
What is the difference between a Fistula and a fissure?
Fistula is an abnormal opening in the anus whereas a fissure is a small cut in the inner lining of the anus.
What post-surgery care should be followed for anal fistula?
Avoid any sexual activity, Intense exercises, and tight clothing, you need to apply prescribed ointments and sit in warm water for 15 minutes(sitz bath).