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Overview
An anal fistula is a passage that goes from within the anus (the opening in your anatomy that your body generates of organic waste) to someplace in the skin around it. It frequently occurs after an illness that did not cure properly. The doctor can repair the fistula, but it will require surgery.
Everything You Need To Know About Fistula
What Exactly Is A Fistula?
An anal fistula is a short tunnel that links an infection, a hollow in the anus that is diseased, to a skin hole around the abdomen.
The external orifice via which feces are discharged from the body is known as the anus. Several tiny glands that produce mucus are located just within the anus. These tissues can occasionally develop blocked and infected, resulting in an abscess. A fistula can form in around half of these infections.
What causes an anal fistula?
Clogged anal glandular and anal infections are the most common causes of an anal fistula. The following less prevalent conditions can also cause an abdominal fistula:
- Crohn’s syphilis is a bacterial bowel illness.
- Cancer therapy necessitates the use of radiation.
- Trauma
- STIs (sexually transmitted infections)
- Tuberculosis
- Diverticulitis is an inflammatory illness in which tiny pouches develop in the large intestine.
- Cancer
What Do The Signs And Symptoms Of A Perineal Fistula Look Like?
An anal fistula has the following signs and symptoms:
- Anal abscesses are common.
- Swelling and pain around the anus
- Drainage (pus) from a hole surrounding the anus that is bloody or foul-smelling. After the fistula empties, the discomfort may subside.
- Contact dermatitis around the anus due to drainage
- Constipation causes pain.
- Bleeding
- Nausea, cramps, and an overall sense of exhaustion
- If you observe any of these indications, you should consult your doctor.
Treatment
An anal fistula is generally diagnosed by examining the region surrounding the anus. He or she will search the skin for an aperture (the fistula tract). The doctor will then attempt to assess the depth of the track as well as its direction of travel. There will be discharged from the gutter in many circumstances.
Some fistulas are not noticeable on the surface of the skin. In this instance, your doctor may need to order the following tests:
- An anoscopy is a technique that involves looking inside your anus and rectum using a specific device.
- Your doctor may order ultrasonography or MRI of the anal region to acquire a better image of the fistula canal.
- To identify the fistula, your surgeon may need to evaluate you in the operating room (known as an exam under anesthesia).
If a fistula is discovered, your doctor may order more testing to evaluate if the problem is connected to Crohn’s disease, an autoimmune disease illness. Fistulas occur in around 25% of persons with Psoriatic arthritis. These investigations included a variety of assays, including blood testing, X-rays, and colonoscopies. A gastroenterologist is a procedure that includes passing flexible, lighted equipment through the rectum into the intestine. It’s done using procedural sedation, which is a sort of mild anesthetic.
Surgery
Anal fistulas are usually typically treated with surgery. A colon and rectal surgeon administer the procedure. The purpose of the procedure is to strike a balance between removing the fistula and maintaining the anal throat muscles, which, if injured, might lead to incontinence.
- A fistulotomy is known to cure fistulas with no or minimal diaphragm muscle participation. The skin and tendon above the tunnel are sliced open to change it from a trench to an open channel in this surgery. The fistula tract can then repair from the bottom-up approach.
- In the event of a more complicated fistula, the physician may need to use a seton, which must be left in place for at least 6 weeks.
- The fistula is covered by a flap or piece of material removed from the rectum, similar to a trap door or advanced flap surgery.
- The epidermis above the fistula is opened up, the spasm muscles are stretched, and the funnel is tied up during a lift treatment.
- Injecting progenitor cells into the fistula is a novel therapy for Crohn’s disease fistulas. Before the procedure, your pediatric ophthalmologist will go through all of your choices with you.
Fistula surgery is often performed as an outpatient procedure, meaning the patient can return home the same day. Patients with big or deep fistula excavations may need to stay in the hospital following surgery for a while. Some fistulas may need many operations.
Conclusion
Any infection caused by the fistula may be treated with antibiotics or other medications. Currently, there is no medicinal way to eliminate fistulas. While fistulas are a major threat to your health, the high success rate of medication should urge you or even someone you know who has fistulas to get care right away.
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Our Patients Many many happy returns of the day......... The best doctor in the world My mother was suffering from severe pain in both knees and spine. Dr. Aashish arbat sir has operated today after 15days she is doing every thing thank you Dr aashish arbat sir and team Especially the major support was from Dr Ram sir from admission to dischatge and follow ups and taken care very nicely thanku Dr. Ram sir Our Patients After enduring knee pain for the past decade, my mother sought advice from various doctors in Nagpur, Nashik, and Pune. They all recommended knee replacement surgery, but it was only when we discovered Dr. Aashish Arbat and the option of robotics surgery that we made the decision to proceed. The surgery took place on June 23, 2023, and it turned out to be an incredible experience. To our astonishment, on the morning of June 24, my mother was able to stand on her own legs and even take a few steps. This remarkable progress was made possible due to the advanced assistance of robotics arm and Artificial Intelligence. Dr. Aashish Arbat is an exceptional and highly experienced surgeon, and we are immensely grateful for his expertise. We also extend our appreciation to his colleagues, Dr. Sharma and Dr. Ram, for their excellent skills and compassionate nature. Our heartfelt thanks go out to the entire team for enabling my mother to live a pain-free life Our Patients My mother got her both robotic knee replacement from sir on Oct 2021. The team and sir have made the complete process seamless. Especially my mother was very comfortable post her surgery. Thank you Dr Arbat and team. Our Patients Our Patients Our Patients Hello. My wife has severe arthritis in her body knees since 2017. We communicated many doctors but she was not happy. We visited Dr arbat for same issue and he came up with robotic knee replacement solution which suited her accurately and she is walking 5-6km daily without hesitation and living comfortably. Thanks Dr. Aashish Arbat and his new technology.Chhaya Kate
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Meet Our Team of Experts

20+ Years of Experience
Dr. Sudhir A Jadhav
MBBS, MS – General Surgery
FMAS, FIAGES, FALS(Bariatric Surgery)
trained in Bariatric Surgery from Dr. Bruna
Dillemans in Belgium

22+ Years of Experience
Dr Neeraj Rayate
MBBS, DNB-General Surgery
Consultant Laparoscopic Surgeon | Bariatric Surgeon | Laparoscopic Surgeon | General Surgeon

20+ Years Experience
Dr. Ashish Shrivastava
General,Laproscopic & Proctologist
MBBS DNB-General Surgery,FACRSI,IAGES

20+ Years Experience
Dr Satish Pattanshetti
MBBS, MS-General Surgery
Consultant Laparoscopic Surgeon | Bariatric Surgeon | Metabolic Surgery | Laparoscopic Surgeon | General Surgeon

16+ Years Experience
Dr. Suhas Patil
MBBS , DNB-General Surgery
Proctologist | Laparoscopic Surgeon | General Surgeon | Piles, Fistula & Fissure LASER Treatment
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