What Is an Anal Fistula?
An anal fistula is an abnormal connection or tunnel that forms between the inside of the anal canal or rectum and the skin surrounding the anus. It often results from an infection that leads to the formation of an abscess (a pus-filled cavity) which then creates a channel to the skin's surface. Here’s a detailed overview:
Fistula Causes
- Anal Abscess: The most common cause of an anal fistula is an anal abscess, which occurs when an infection in the anal glands spreads and forms a pus-filled cavity.
- Inflammatory Bowel Disease: Conditions like Crohn’s disease or ulcerative colitis can lead to the formation of anal fistulas.
- Trauma or Injury: Injury to the anal area or surgical procedures can result in fistulas.
- Cancer: In rare cases, cancer in the anal or rectal region can cause fistulas.
- Tuberculosis: This can occasionally cause fistulas, though it’s quite rare.
- Sexually Transmitted Infections (STIs): Certain STIs may contribute to fistula formation, especially in the context of an abscess.
Fistula Symptoms
- Discharge: Persistent discharge of pus or blood from an opening near the anus.
- Pain: Pain or discomfort around the anal area, especially when sitting or during bowel movements.
- Swelling: Swelling or tenderness around the anus.
- Itching or Irritation: The area around the fistula may become itchy or irritated.
- Recurrent Abscesses: Recurrent abscesses can occur as the fistula may not heal completely.
Fistula Diagnosis
- Physical Examination: A healthcare provider will conduct a thorough examination, including palpating the area and inspecting any visible openings.
- Digital Rectal Examination: This may be done to assess the internal aspects of the anal canal.
- Imaging Studies:
- Endoanal Ultrasound: Uses sound waves to create images of the anal canal and surrounding tissues.
- MRI: Magnetic Resonance Imaging provides detailed images of the anal region and helps in assessing the fistula’s extent.
- Fistulogram: A special type of X-ray where contrast dye is injected into the fistula to visualize its path.
Laser Fistula Treatment in Pune
- Antibiotics: If an infection is present, antibiotics may be prescribed to control it. However, antibiotics alone do not typically resolve the fistula.
- Surgical Interventions: Surgery is often necessary to treat anal fistulas. Common procedures include:
- Fistulotomy: The fistula is opened, and the channel is laid flat to heal from the inside out.
- Seton Placement: A seton (a thread-like material) is placed through the fistula to keep it open and allow for gradual drainage and healing.
- Flap Repair: Involves covering the fistula with a flap of healthy tissue from the surrounding area.
- LIFT Procedure (Ligation of the Intersphincteric Fistula Tract): The fistula tract is surgically dissected and closed off.
- Non-Surgical Treatments:
- Fibrin Glue: A biological glue may be used to seal the fistula.
- Plug: A bioprosthetic plug can be inserted to close the fistula tract.
Fistula Prevention & Precautions
- Prompt Treatment of Abscesses: Early treatment of anal abscesses can prevent the development of fistulas.
- Management of Inflammatory Bowel Disease: Effective management of conditions like Crohn’s disease can reduce the risk of fistula formation.
- Good Hygiene: Maintaining good anal hygiene and avoiding trauma or injury to the area can help prevent complications.
When to Seek Help
- Persistent Symptoms: If you have ongoing pain, discharge, or swelling around the anus, it’s important to seek medical attention.
- Fever or Severe Discomfort: Signs of a more serious infection or complications should be addressed promptly.
Anal fistulas can be challenging, but with appropriate treatment, many people experience significant relief and healing. Consulting with a healthcare provider, especially a specialist in colorectal surgery, is crucial for effective management and resolution of the condition.
Meet The Anal Fistula Specialist Dr. Suhasini Jadhav
Dr. Suhasini Jadhav is an experienced laser fistula treatment in Pune with over 12 years of expertise in fistula treatment. As a trusted fistula surgeon in Pune, she has successfully performed numerous surgeries, providing the best care for her patients. Whether you’re looking for treatment for Anal Fistula or Abscess, Dr. Jadhav is regarded as the best fistula specialist in Pune for her precise surgical techniques and patient-centered approach. Her extensive experience also makes her the best fistula doctor in Kharadi, Pune, ensuring effective treatment and quick recovery for all fistula-related conditions.
Areas We Serve: Kharadi, Viman Nagar, Koregaon Park, Dhanori, Mundhwa, Hadapsar, Lohegaon, Kalyani Nagar, Wagholi, Yerawada, Chandan Nagar, Magarpatta, Wadgaon Sheri, Ubale Nagar, Keshav Nagar, Manjri, Sainikwadi.