About Anal Fistula
Key Highlights
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Definitive treatment to eliminate the chronic fistula tract and prevent recurrence.Relieves persistent pain, swelling, and drainage associated with the condition.Tailored surgical approach (fistulotomy, seton, flap) based on fistula complexity to optimize outcomes.Aims to preserve anal sphincter function and maintain continence whenever possible.Performed by experienced general surgeons, often as a day procedure or with a short hospital stay.
Who is this surgery for?
- Chronic anal fistula that has not healed with conservative management or antibiotics.
- Recurrent anal abscesses originating from the same fistula tract.
- Persistent pain, swelling, or purulent discharge from an opening near the anus.
- Fistulas causing significant discomfort and impacting daily activities and hygiene.
- Complex or high fistulas (crossing a significant portion of the sphincter muscles) requiring specialized surgical planning.
How to prepare
- Complete medical evaluation, including history and physical examination by the surgeon.
- Pre-operative imaging, such as an MRI fistulogram or endoanal ultrasound, may be required to map the fistula tract.
- Discussion of anesthesia options (local, spinal, or general) and associated risks.
- Bowel preparation may be advised, such as a light diet, laxatives, or an enema, to empty the rectum.
- Informing the surgeon of all current medications, especially blood thinners, which may need to be temporarily stopped.
- Fasting for 6-8 hours before the procedure if general or spinal anesthesia is planned.
Risks & possible complications
- Bleeding or hematoma formation at the surgical site.
- Infection or recurrence of an abscess.
- Injury to the anal sphincter muscles, potentially leading to temporary or permanent fecal incontinence (risk varies with fistula complexity).
- Delayed wound healing or formation of a new fistula.
- Scarring or anal stenosis (narrowing of the anal canal).
- Reactions to anesthesia.
- Urinary retention following the procedure.
Recovery & hospital stay
- Initial rest is advised; patients can often return to light activities within a few days.
- Pain is managed with prescribed medications and warm sitz baths (sitting in warm water) 3-4 times daily to promote cleanliness and comfort.
- Dietary adjustments to include high-fiber foods and ample fluids to prevent constipation and straining.
- Regular wound care as instructed by the surgeon, which may involve dressing changes.
- Avoidance of strenuous exercise, heavy lifting, and prolonged sitting for 2-3 weeks.
- Follow-up appointments are crucial to monitor healing and remove any setons if placed.
- Complete healing of the internal wound may take several weeks.
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Typical hospital stay: 0-2 days
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Expected recovery time: 2-4 weeks for initial recovery; complete healing may take 6-8 weeks
Frequently Asked Questions
If you are considering anal fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for anal fistula in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform anal fistula. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for anal fistula compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 35 Thousand – 150 Thousand | 0-2 days | ~ 2-4 weeks for initial recovery; complete healing may take 6-8 weeks | Know More |
| Turkey | TRY 123 Thousand – 525 Thousand | 0-2 days | ~ 2-4 weeks for initial recovery; complete healing may take 6-8 weeks | Know More |
Top hospitals for Anal Fistula in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing anal fistula.
Ishaan Shah, a 28-year-old software engineer,...
Ishaan Shah, a 28-year-old software engineer, had been dealing with recurring pain and swelling near his tailbone for over a year. Initially dismissing it as a stubborn pimple or a bad sitting posture from long hours at his desk, the problem escalated. He developed a constant, throbbing pain that made sitting unbearable and a foul-smelling discharge that stained his clothes, causing immense embarrassment. After multiple rounds of antibiotics for suspected abscesses provided only temporary relief, his primary care physician referred him to a general surgeon. The surgeon diagnosed a complex anal fistula, explaining that a tunnel had formed between the skin and the inside of the anal canal, and that surgery was the only definitive cure. Ishaan underwent a fistulotomy, where the tunnel was laid open to heal from the inside out. The first week of recovery was challenging, with pain managed by medication and meticulous sitz baths. However, within a month, the wound healed completely. Emotionally, Ishaan went from feeling isolated and ashamed of a 'dirty' problem to immense relief. The procedure gave him his life back, freeing him from constant pain and the anxiety of unpredictable flare-ups.
General surgeons for Anal Fistula
Explore experienced general surgeons who regularly perform anal fistula and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore