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A fistula is a tunnel that runs from inside the anus -- the hole body uses to get rid of solid waste -- to somewhere in the skin around it. It usually follows an infection that didn’t heal the right way. Your professional can repair the fistula, but you'll need surgery for that.
The most common symptoms are:There’s no medication to fix this condition, so surgery is used. The procedure can usually take place in a doctor’s linic. You won’t have to go to the hospital.
Depending on where the fistula is, your doctor may have to cut into the sphincter muscles that open and close your anus. They'll try not to damage them, but it may be harder to control your bowels after the procedure.
The main options for surgical treatment of fistula are fistulotomy and seton surgery.
Fistulotomy refers to when a surgeon cuts a fistula along its whole length so that it heals into a flat scar. It is the most common and effective type of treatment for many anal fistulas.
Seton surgery involves placing a piece of thin surgical thread inside the fistula to help drain any infection and allow it to heal.
Treatment for a urinary tract fistula such as colovesical fistula — a fistula between the bladder and colon — usually starts with conservative measures such as antibiotics and dietary changes. If these are not helpful, a person may need surgery to avoid further complications.
A surgeon can remove the fistula and repair the damage between organs to stop the exchange of fluids.
The standard surgical treatment for a colovesical fistula involves:
Treatment for a gastrointestinal fistula depends on its severity and location. Small fistulas without an infection will often close on their own and may take 30–50 days. However, more severe fistulas that drain may cause infection in the surrounding skin and organs. If the drainage leads to sepsis, a doctor will usually recommend surgery to repair the areas of drainage.
All procedures for treating fistulas have different benefits and risks. A person should discuss these with their surgical team so they can be sure of what to expect during surgery.
Laser treatment for fistula-in-ano, also known as FiLaCR (fistula laser closure) or LAFT (laser ablation of fistula tract.
The procedure consists of delivering laser energy at 360° within the lumen of fistulas by means of a radial fiber which is slowly withdrawn from the external orifice. Laser ablation is limited to the lumen of fistulas making the technique ‘sphincter-saving’.
Its main indication is the treatment of high fistulas and, in general, of all fistulas where more invasive treatments may impair anal continence.
Advanced healthcare technology and best patient-oriented care are given to the patient at HIMAS Hospitals. We have top-class hospital infrastructure with 24x7 medical facilities to provide the best diagnosis & treatment to our patients. Our specialists trace the pathways of fistula by using advanced imaging technology such as flexible sigmoidoscopy, Magnetic Resonance Imaging (MRI), fistulography, endoscopic ultrasound, and more to provide the best care, diagnosis, and treatment to the fistula patients. Consult the Best Fistula-Treating Specialists at HIMAS Hospitals, Bangalore.
