Fistula Treatment

Fistula Treatment

Anal fistulas are abnormal connections between the anal canal and the skin near the anus, often resulting from an infection that did not heal properly.

Symptoms

Persistent drainage, pain, swelling, and irritation around the anus.

Diagnosis

Physical examination, anoscopy, fistulography, and MRI

Treatment Options

  • Fistulotomy
  • Seton Placement
  • Fibrin Glue and Collagen Plug
  • Advanced Procedures

Anal fistulas are abnormal connections between the anal canal and the skin near the anus, often resulting from an infection that did not heal properly.

Symptoms

  • Persistent drainage of pus or blood
  • Pain and swelling around the anus
  • Irritation and discomfort

Diagnosis

  • Physical Examination: Inspection and palpation of the anal area.
  • Anoscopy: To visualize the internal opening of the fistula.
  • Fistulography: X-ray imaging after injecting a contrast dye into the fistula.
  • MRI: Detailed imaging to assess the fistula’s course and relationship with surrounding structures.

Treatment Options

Fistulotomy

Surgical opening of the fistula tract to allow it to heal from the inside out. Simple fistulas that are easy to access.

Seton Placement

A surgical thread (seton) placed in the fistula to keep it open for drainage and promote healing. Complex fistulas that pass through significant muscle tissue.

Fibrin Glue and Collagen Plug

Non-surgical methods involving the sealing of the fistula tract with glue or a collagen plug. Patients seeking a less invasive treatment

Advanced Procedures

LIFT (Ligation of Intersphincteric Fistula Tract) VAAFT (Video-Assisted Anal Fistula Treatment)