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Fistula

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Expert Care by Dr. Vaibhav Garud – Specialist in Ano-Rectal Diseases

Fistula-in-ano is an abnormal tunnel that develops between the inside of the anal canal and the skin around the anus. It usually occurs due to an infection or abscess that doesn’t heal properly. This condition can cause constant pain, swelling, discharge, and discomfort in daily activities if left untreated.

Common Symptoms of Fistula

Persistent pain or irritation around the anus

Swelling or a small opening near the anal region

Pus or blood discharge with a foul smell

Pain during bowel movements

Recurring abscess formation or fever

Routine Treatments Used Worldwide

  • Surgery: Fistulotomy / Fistulectomy
  • VAFT / SLOFT / LIFT / Window Procedure / Laser Ablation
  • Ksharsutra (Medicated Seton) – Long procedure, painful, time-consuming
  • *Results:* Recurrence common, large wounds, long hospital stay, severe pain, sometimes incontinence, and healing with fibrosis.

Special Treatments Available at Our Centre – New Techniques

  • Application of Herbal Alkali Solution
  • Non-surgical management in selected cases
  • Radiofrequency
  • Laser for high rectal and complex fistulas without need for colostomy
  • Endoscopic Laser + Herbal Alkali Solution combination therapy

Results & Benefits:

  • 100% cure
  • No recurrence
  • No hospital stay
  • No big wound
  • No incontinence
  • Healing without fibrosis using medicated oils
  • Patient remains ambulatory.

Faq

A fistula often develops after an untreated abscess near the anal region or due to chronic infections in the anal glands.

No. Fistulas rarely heal on their own and usually require medical treatment to prevent infection and recurrence.

Ksharsutra therapy is minimally painful compared to surgery. It promotes gradual healing with minimal discomfort.

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