What is Fistula ?

Anal Fistula (commonly called Fistula) is an abnormal tunnel or small channel that forms between the inside of the anus and the skin around the anus. It usually develops after an infection or abscess near the anal area.

Anal Fistula (most common type)

Treatment Options:

• Fistulotomy : Most common; cutting open the fistula to allow it to heal from the inside out.
• Seton placement : Surgical thread is placed in the fistula to keep it open and allow drainage.
• Advancement flap surgery : Used for complex or high fistulas.
• Fibrin glue or plugs : Less invasive, but lower success rates.
• LIFT procedure (Ligation of Intersphincteric Fistula Tract) : Preserves sphincter muscles.
• Coring / Primary Sphincter Repair
• Laser
• Hybrid - Coring + Laser/ Seton

Rectovaginal Fistula

Treatment:

• Medical management : If Crohn’s-related, anti-inflammatory or biologic drugs may help.
• Surgical repair : May involve tissue flaps or direct closure of the tract.