Fistula in Ano
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Fistula in Ano Surgery in Whitefield
An anal fistula is a medical term for a small tunnel that forms between the skin around the anus and the muscular opening at the end of the bowel or digestive tract. It occurs as a result of the infection around the anus, causing an abscess (pus) in nearby tissues.
Most anal fistulas develop abscess that further drains spontaneously or through a surgical technique from the skin near the anus. When the pus is drained, it leaves a small channel behind it.
Anal fistulas can lead to some unpleasant symptoms, such as skin irritation and discomfort. These are usually treated with surgery.
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Signs and Symptoms
Following are some common symptoms of anal fistula:
- Skin irritation around or near the anus.
- Persistent and throbbing pain, which worsens as you sit down, pass stool, cough, or move around.
- Smelly discharge from the anus.
- Passing pus while passing stool.
- Inflammation and redness around the anus, as well as fever (high temperature) when you have got an abscess.
- Difficulty to control bowel movements in some cases.
You might even notice symptoms such as:
- Bleeding while passing stool.
- Painful urination or bowel movements.
- A foul-smelling fluid discharge oozed from the anal hole.
If you notice or experience any of these signs or symptoms lately, you must seek medical help immediately. Do consult an experienced specialist to get the best treatment to cure this condition.
The best possible treatment of Fistula will be decided based on your symptoms after consultation with Surgeon at Hopewell Clinic.
Treatments
Anal fistula does not heal by medications and requires surgery. The common surgical treatment is by making an incision in the skin and draining out the pus. Antibiotics are prescribed to avoid further infection caused due to the surgery.
- Fistulotomy – The track or fistula is cut and left open to heal by drying. This procedure is carried out when the fistula is present straight and not in a U shape. During the surgery, a groove is made that heals from the inside when left open. The success percentage of fistulotomy is approximately 97%.
- Seton surgery – Seton is a surgical thread which the surgeon inserts inside the fistula and leaves it there for weeks to keep the fistula open. During this time, excess fluid drains out from the tunnel and slowly starts drying. The procedure goes on for 6 weeks.
- Flap procedure – When the fistula’s location is linked with the sphincter muscle, normal surgery cannot be performed and can cause a persistent leak from the hole formed during surgery. For the flap surgery, a layer of tissue is cut from the rectum and attached at the fistula’s opening after it is removed. The process tends to be 70% effective.
- LIFT procedure – The abbreviation stands for Ligation of intersphincteric Fistula Tract. During the surgery, a cut is made in the skin present above the fistula, and the sphincter muscles are moved. Both the fistula ends are stitched together and then cut open to make it a flat scar.