What are the treatments for an anal fistula?
An anal fistula will not heal without treatment and there are a range of different treatment options available. The first step is to treat any infection with antibiotic treatment. Anal fistulas then often require surgery. The main treatment options include:
A minimally invasive closed Endoscopy guided Laser ablation is the best treatment available these days. Dr. Parth Gajjar is the 1st Certified Laser Proctologist in Ahmedabad. Along with stapler circiumcision, Dr Parth Gajjar is also the innovator in Laser and Minimally invasive Proctology in Ahmedabad
Seton procedure. A surgical thread is placed through the anal fistula track and tied to form a continuous ring between the inside and outside openings of the fistula. The thread is left there for several weeks to allow drainage and prevent infection, and so help the fistula to heal. A further procedure is then needed to close the track.
Fistulotomy. This is a procedure that involves cutting open the whole length of the fistula so it heals into a flat scar. It is the most effective method of dealing with a fistula and is the standard treatment for fistulas that lie near to the skin surface.
Fibrin glue. Fibrin glue is a combination of fibrinogen, thrombin and calcium. It is injected into the fistula track. It heals the fistula by causing a clot to be formed within the fistula and then healthy tissue to form within the fistula.
Fistula plug. This involves using a plug made from animal tissue to block the internal opening of the fistula. The plug is resistant to infection and encourages normal tissue to fill the fistula track.
Endorectal advancement flap. This procedure aims to cover the internal opening of the fistula. The internal opening of the fistula is removed and then covered with a small flap of healthy bowel wall that has been removed from the rectum.
Ligation of the intersphincteric fistula track (LIFT). A skin incision is made and the fistula track is exposed and then tied and divided. a modification of this procedure, called BioLIFT, involves placing a biological mesh to prevent a fistula reforming. However, this needs a larger skin incision and increases the risk of infection.
Depending on which procedure you have, you may not need to stay in hospital overnight. Some people, however, need to remain in hospital for a few days after their surgery.