About Cyst Fistula Excision
Key Highlights
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Definitive treatment that aims for a permanent cure by removing the entire abnormal tract.Effectively eliminates chronic pain, recurrent infections, and persistent drainage.Significantly reduces the high risk of recurrence associated with simple drainage procedures.Can improve overall quality of life by resolving a long-standing, bothersome condition.Often performed as a single, scheduled procedure after infection is controlled.
Who is this surgery for?
- Chronic or recurrent pilonidal disease with one or more sinus tracts (fistulas).
- Anal fistula (fistula-in-ano) causing symptoms like pain, discharge, or recurrent abscesses.
- Failure of previous conservative treatments like incision and drainage or antibiotic therapy.
- Complex or branching fistulous tracts identified on imaging.
- Presence of a persistent, draining opening on the skin connected to a deeper cyst.
- To obtain a tissue sample for biopsy if malignancy is a rare concern.
How to prepare
- Pre-operative consultation with the surgeon to discuss the procedure, risks, and benefits.
- Management of any active infection with a course of antibiotics prior to surgery.
- Fasting for 6-8 hours before the procedure if general or spinal anesthesia is planned.
- Informed consent process after understanding the procedure details.
- Bowel preparation (enema or laxatives) may be advised for perianal fistula surgery.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
- Arranging for help and time off work for the initial recovery period.
Risks & possible complications
- Bleeding or hematoma formation at the surgical site.
- Infection of the wound, requiring antibiotics or further drainage.
- Recurrence of the fistula if any tract lining is inadvertently left behind.
- Pain, swelling, and temporary difficulty with sitting or walking.
- Delayed wound healing, especially in large excision sites.
- Injury to nearby structures (e.g., sphincter muscles in anal fistula surgery, leading to incontinence).
- Scarring at the surgical site.
- Risks associated with anesthesia, such as allergic reactions or respiratory issues.
Recovery & hospital stay
- Hospital stay is typically short, often same-day or 1-2 days for observation.
- Pain is managed with prescribed oral analgesics.
- Wound care is crucial: keeping the area clean and dry, with regular dressing changes as instructed.
- Sitz baths (warm water soaks) are often recommended several times a day to promote cleanliness and healing.
- Avoid strenuous activities, heavy lifting, and prolonged sitting for the first 1-2 weeks.
- A high-fiber diet and stool softeners may be advised to prevent constipation and strain.
- Follow-up appointments are necessary for wound checks and removal of any packing.
- Complete healing of the deep tissue and skin can 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; 6-8 weeks for complete healing
Frequently Asked Questions
If you are considering cyst fistula excision in India, these questions and answers can help you make a confident, informed decision.
Popular choices for cyst fistula excision 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 cyst fistula excision. 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 cyst fistula excision compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 25 Thousand – 80 Thousand | 0-2 days | ~ 2-4 weeks for initial recovery; 6-8 weeks for complete healing | Know More |
| Turkey | TRY 87.5 Thousand – 280 Thousand | 0-2 days | ~ 2-4 weeks for initial recovery; 6-8 weeks for complete healing | Know More |
Top hospitals for Cyst Fistula Excision in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing cyst fistula excision.
Aarav Davis, a 28-year-old software engineer...
Aarav Davis, a 28-year-old software engineer and avid rock climber, had been dealing with a persistent, painful lump near his tailbone for over two years. Initially dismissed as an ingrown hair, it would periodically become inflamed, drain foul-smelling pus, and make sitting at his desk or wearing a climbing harness agony. After multiple rounds of antibiotics failed to provide a lasting solution, his primary care physician diagnosed him with a pilonidal cyst and referred him to a general surgeon. The surgeon explained that the cyst had formed a fistula, a small tunnel under the skin, and recommended a Cyst Fistula Excision to remove the entire tract and prevent recurrence. Terrified of surgery but exhausted by the chronic pain and embarrassment, Aarav agreed. The procedure was performed under general anesthesia. The recovery was challenging; he had an open wound that required meticulous daily packing for several weeks, which his partner helped with. He felt frustrated and housebound initially. However, after two months of diligent care, the wound healed completely. A year later, Aarav is pain-free, back to climbing, and feels a profound sense of relief. The emotional journey was from chronic anxiety and shame about the condition to immense gratitude for regaining his active lifestyle and confidence.
General surgeons for Cyst Fistula Excision
Explore experienced general surgeons who regularly perform cyst fistula excision 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