An anal fistula is a small tunnel that links an infected gland within the anus to a skin hole surrounding the anus. It also links an abscess, an infected cavity in the anus, to a skin hole around the anus.
Pain and swelling around the anus are common symptoms of anal fistula. A number of small glands that produce mucus are located just within the anus. These glands can become blocked and infected, resulting in an abscess. Approximately half of these abscesses will develop into a fistula. In order to treat your anal fistula, the best fistula doctor usually recommends a surgery.
Why is surgery the only effective way to treat anal fistula?
The primary objective of the best fistula surgeon is to keep a balance between removing the fistula and protecting the anal sphincter muscles, which might induce incontinence if damaged.
A fistulotomy is used to treat fistulas that have no or little involvement of the sphincter muscle. The skin and muscle above the tunnel are sliced open in this surgery to change it from a tunnel to an open groove. The fistula tract can then repair from the bottom up.
In the instance of a more complicated fistula, the best fistula doctor may need to insert a specific drain known as a seton, which must be left in place for at least six weeks.
Fistula surgery is often performed as an outpatient procedure, which means the patient can return home the same day. Patients with exceptionally big or deep fistula tunnels may need to stay in the hospital for a short period of time following surgery. Some fistulas may need many procedures to remove.
The majority of fistulas respond satisfactorily to fistula laser treatment. Following laser surgery, the best fistula doctor may advise you to soak the damaged region in warm water, take a sitz bath, take stool softeners or laxatives for a week.
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