By Medicover Hospitals / 01 Apirl 2022

Home | Articles | Painless Fistula Surgery with Minimum Stitches: It's Possible

By Dr Chetan Rathi
Sr. Consultant Gastroenterologist, Hepatologist and Endoscopist
Published on 18/07/2022

Article Context:

  1. Symptoms of Fistula
  2. Fistula Surgery
  3. Why Painless Laser Surgery?
  4. Treatment
  5. When to visit a Doctor?
  • An abnormal connection between organs is known as Fistula. It is developed between an intestine and the skin, or vagina and rectum. Fistulas are most commonly found near the anus. Also, it can develop due to Crohn's disease, ulcerative colitis, tuberculosis and irritable bowel syndrome.
    A fistulotomy is a surgical procedure used to treat a fistula. The main purpose of this treatment is to get the puss out of small openings that have grown between the anal skin and at the end of the anus. The surgical technique will assist the patient in quickly closing and healing sores caused by previous damage, infection, or inflammation in the anus.
  • Symptoms of Fistula

    • Swelling
    • Skin irritation, redness and tenderness
    • Itching and discomfort
    • Discharge of pus or blood from the area
    • Fever due to infection and pus
    • Constipation and painful bowel movement

    Fistula Surgery

  • For Fistula treatment, patients seek the expert advice of gynaecologists, urogynecologists, or colorectal surgeons. After a fistula diagnosis, a medical specialist will determine the appropriate treatment approach based on the location, size, and condition of the fistula. Controlling symptoms with a catheter could be one therapy option. Surgery may be required for more serious fistula healing.
    There is a saying that "No Pain, No Gain," but with advanced medical technology this has been replaced by "Less Pain, More Gain." Fistula treatment without surgery is possible and it can be done with little to no pain.
    Doctors mainly use the Laser Treatment for Fistula. It’s a high-powered laser beam used to dissolve and eliminate the fistula.
  • Why Painless Laser Surgery?

    • No Cuts & No Stitches
    • 30 Min Procedure
    • Outpatient Procedure
    • Join work in 48 Hours

    Don't delay laser treatment, if you are suffering from:

    • Extreme Pain while sitting
    • Excessive Bleeding in stool
    • Rectum Prolapse
    • Anal Cancer
    • Discharge of blood or pus from the anus

    Why should you get treated for Fistula early?

    • To avoid bacterial infection
    • To prevent abscess formation
    • To decrease the risk of sepsis

    How to identify the right treatment for Fistula?

  • Before the treatment, the doctor will examine the symptoms and advise for a physical examination. In the case of anal-rectal fistulas, the doctor may use a sigmoidoscope to examine the inside of the fistula. This will aid the doctor in determining the fistula's exact location and aetiology. Surgery may not be necessary if the doctor determines that the fistula is caused due to Crohn's disease. Instead of surgery, you might be able to manage the fistula with medication or laser treatment.
  • When to visit a Doctor?

  • Talk to your doctor, if you experience persistent symptoms of a fistula. They'll ask about the symptoms as well as any digestive issues you may have. If your doctor suspects you have a fistula, they can refer you to a colorectal surgeon for additional testing to confirm the diagnosis and establish the best treatment option.
  • It may include:
    • Further physical & rectal examination
    • Proctoscopy
    • Ultrasound scan
  • If the anus or rectum are involved, the fistula may recur after the treatment, and you may experience incontinence as a consequence
    This technique may or may not be the best treatment for you, depending on the cause of the fistula. To assist the doctor make an informed diagnosis and treatment plan, so share all the symptoms and medical history with them.
    Now-a-days, Hospitals are more prominent about the treatment. They understand the troubles a patient have to go through and make sure they provide them with the best laser treatment.

    Citations

  • https://www.news-medical.net/health/Anal-Fistula-Treatment.aspx
  • https://www.ramsayhealth.co.uk/treatments/anal-fistula
  • https://familydoctor.org/condition/anal-fistulas/
  • https://www.moneylife.in/article/new-painless-non-surgical-treatment-for-anal-fistula/45527.html
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780182/