By Medicover Hospitals / 03 March 2022

Home | Procedures | Fistulectomy

Article Context

  1. Overview
  2. Symptoms
  3. Procedure
  4. Risks
  5. Frequently Asked Questions
  6. Get Online Consultation

    What Is An Anal Fistula?

  7. The anal canal is the final part of the intestinal tract. It includes the rectum and the anus. Sometimes an abnormal passageway forms from the anal canal to the skin near the anus. This is called an anal fistula. Anal fistulas can also form the protrusion of the anal canal into other organs, such as the vagina or urinary tract.
  8. Symptoms

  9. Here are the symptoms of anal fistula.
  10. Skin irritation and redness around the anus.
  11. Growing pains around the anal region, made worse by sitting, walking, or coughing
  12. Fever associated with chills
  13. Painful bowel movement and rectal bleeding
  14. Bad odour from the anus
  15. Fatigue
  16. Anal abscesses
  17. Swelling around the anus
  18. Don’t ignore these symptoms. Book an appointment with our expert Gastroenterologists and get examined. Timely treatment can help prevent the severity.
  19. Diagnosis

  20. The doctor will carefully evaluate the medical history and anorectal symptoms and perform a rectal exam. It can be done under anaesthesia or just a physical examination. Any drainage of pus (or blood or stool) and accumulated tissue seen at the external opening is related to the anal fistula. When the fistula is not visible on the surface of the skin, the doctor may order an endoscopic ultrasound or an MRI to define the course of the fistula. Internal fistulas can be evaluated by barium contrast x-ray, MRI, or CT scan. If the anal fistula is suspected to be due to digestive diseases such as Crohn's disease, the patient may need to undergo certain blood tests, X-rays, and a colonoscopic examination.
  21. Other methods may also be used to help with the diagnosis. These include:
  22. Fistula Tube.

  23. A long, thin tube is guided through the outer opening of the fistula. A special dye may be injected to find out where the fistula opens.
  24. Anoscope

  25. This is a special endoscope used to look inside your anal canal.
  26. Imaging Tests.

  27. These can include ultrasound, which creates an image of the anal area by using sound waves. An MRI can also be done to create images of the area using special magnets and a computer.
  28. Procedure

  29. Fisulectomy is considered the ideal option for the treatment of anal fistulas in which a considerable amount of the sphincter muscle is affected. A fistulectomy is performed in a hospital, either under general or spinal anaesthesia. It is an outpatient procedure, which means that unless complications occur during or after the procedure, the patient is discharged once the effects of the anaesthetics have worn off. Depending on the severity of the condition, the surgeon may choose to inject contrast dye into the external opening of the fistula and an imaging tool, such as an X-ray or MRI, to make all parts of the fistula visible. The surgeon then proceeds to remove all three parts of the fistula while making sure that the sphincter muscle remains intact as much as possible. The entire procedure takes only 45 minutes to an hour, while patients typically take 4 to 6 weeks to fully heal.
  30. Why does a Person need a Fistulectomy?

  31. A person needs a Fistulectomy if the heart is pumping too quickly or slowly. In either of the case, the body doesn’t get enough amount of blood and it can lead to:
  32. Fatigue
  33. Fainting
  34. Lightheadedness
  35. Shortness of breath
  36. Damage to vital organs
  37. Arrhythmia
  38. A Fistulectomy regulates your heart rhythm by controlling your body's electrical system. An electrical impulse travels from the top of your heart to the bottom, signalling the heart's muscles to contract with each heartbeat. Your pulse can be monitored and registered by a Fistulectomy. Your doctor will be able to better understand your arrhythmia if you keep a record.
  39. Fistulectomys aren't necessarily permanent. Temporary Fistulectomys can help with a number of issues. If you had a heart attack or heart surgery, you might need a temporary Fistulectomy.
  40. Possible Risks And Complications

  41. A fistulectomy is an invasive procedure that involves medium to large incisions in the anal region. Therefore, it comes with a number of risks and possible complications, the main ones being postoperative pain and infection.
  42. Other potential risks include:
  43. severe scarring
  44. Distortion
  45. Reappearance
  46. Incontinence
  47. To help minimize or prevent risks and complications, patients are prescribed antibiotics and given strict post-surgical care instructions after the procedure. The surgeon also schedules a series of postoperative checkups to monitor the patient's recovery.
  48. Frequently Asked Questions:

    One can return to the normal routine in 1 to 2 weeks after the surgery. But it can take several weeks to several months for the fistula to fully heal.

    The fistula tract should be treated because it will not heal by itself. There is a risk of developing cancer along the path of the fistula if left untreated for a long period of time.

    A fistulectomy may take between 30 minutes and one hour, depending on the size and location of the fistula.

    If the anal fistula is not treated properly, recurrent perianal abscesses and a complex network of fistulas can develop that can cause pain, bleeding, fecal incontinence, skin infections (cellulitis), and sepsis.

    Anal fistulas are caused by an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is surgically drained through the skin near the anus.

    Meta description: An anal fistula is an infected area between the skin and the anus, the muscular opening at the end of the digestive tract. Fistulectomy is a surgical procedure performed to treat a fistula.

    Citations

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