Fistula treatment in Hyderabad by Dr. Datta Ram U
Anal Fistula – The glands lining the anus from inside makes mucus. When these glands get clogged, they become infected leading to an abscess.
Fistula is a small tunnel or channel that develops in the anal region. It is often a result of an infection that causes a collection of pus (abscess) in the nearby anal tissue. A small channel is left behind when the pus drains away. Anal fistula causes very unpleasant and disgusting symptoms including skin irritation, pain, bleeding, and oozing of pus. These symptoms do not get better on their own. In most cases, surgery is recommended to treat anal fistula.
Anal Fistula Symptoms
The signs and symptoms associated with anal fistula include:
- Bowel incontinence – difficulty in controlling bowel movements
- Passing blood and pus during bowel movements
- Inflammation, redness, and swelling around the anus
- Fever – if an abscess develops
- Chills and a feeling of fatigue
- Smelly discharge from near the anus
- Skin irritation around the anus
- Persistent, nagging, and throbbing pain that may become worse with cough, movement, sitting, or moving around.
What causes an anal fistula?
Anal fistula causes: Anal abscess is the main reason behind the development of anal fistula. Most of the time, an anal fistula may result when the abscess doesn’t heal properly.
An anal fistula may also develop less commonly as a consequence of a long-term skin condition (hidradenitis suppurative) that causes scarring and abscesses near the anus. The other less common causes of the anal fistula may include diverticulitis, Crohn’s disease, HIV infection, trauma, radiation treatment, tuberculosis, cancer, and also as a result of complications of surgery near the anus.
Diagnosis of Anal Fistula
Your gastro surgeon examines the area around your anus and looks for an opening in the skin. Next, the doctor will see the opening of the fistula track and try to determine how deep it is. In a majority of cases, pus drains out of the external opening. In some cases, a fistula may not be visible on your skin surface. Therefore, to diagnose a fistula, your surgical gastroenterologist may perform additional tests such as an anoscopy or colonoscopy. Your gastro surgeon may also order an ultrasound or MRI of the anal region to get a better picture of the fistula tract.
Anal fistula Treatment in Hyderabad
The gold standard treatment for anal fistula is surgery. It is almost always recommended by well-experienced and expert colorectal surgeons and surgical gastroenterologists specializing in colorectal surgery. An expert colorectal surgeon’s goal is to perform surgery tactically and diligently to get rid of the fistula while protecting the anal sphincter muscles. If these muscles get damaged bowel incontinence may result.
Best fistula treatment in Hyderabad
The aim of the surgery for an anal fistula is to ensure that the anal sphincter muscle is safe during the procedure. The most common procedure is fistulotomy which involves cutting and opening the fistula along its whole length so that it heals as a flat scar. It is the most effective procedure for most fistulas.
The other procedures for the treatment of fistula include Seton technique, advancement flap procedure (the fistula is covered with a flap, or piece of tissue, taken from the rectum, like a trap door), LIFT procedure, LASER surgery for fistula, Endoscopic ablation and the insertion of a bioprosthetic plug.
Meet Dr. Datta Ram U for the best treatment of anal fistula. You can discuss all of your treatment options with Dr. Datta Ram U.