Learn about Cyst Fistula Excision Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Cyst Fistula Excision and request assistance for cost estimates or appointments.

About Cyst Fistula Excision

Cyst Fistula Excision is a definitive surgical procedure performed by a General Surgeon to permanently remove a cyst that has developed into a fistula, an abnormal tunnel connecting the cyst cavity to the skin surface or another organ. Commonly performed for pilonidal cysts or perianal fistulas, the surgery involves the complete surgical removal of the entire cyst sac and the fistulous tract. This eliminates the source of chronic infection, drainage, and pain. The goal is to prevent recurrence by ensuring no epithelial lining of the tract remains. The procedure may be performed under local, spinal, or general anesthesia, depending on the complexity and location. It is considered the gold-standard treatment for recurrent or complicated cyst-related fistulas, offering a long-term solution where less invasive treatments have failed.

Key Highlights

    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.
  • checked Typical hospital stay: 0-2 days
  • checked 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.

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.

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89+ Rating

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
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15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
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43+ Rating

Manipal Hospital Dhakuria

  • IconKolkata, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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PATIENT REVIEW

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.

Dr. Prakasam Rangaswamy K
  • 31 Years Experience
  • General surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Anand N S
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Sathish N
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Ramraj Vemala Nagendra Gupta
  • 15 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vinay A V
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Veeresh Annigeri
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Hemanth Kumar P
  • 27 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Viswanath S
  • 24 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Karthikeyan S
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Aritra Ghosh
  • 16 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Manjunath Haridas
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Madva Jayashankar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Sampath Kumar
  • 26 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Surinder Singh
  • 41 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Pankaj Kumar Garg
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Rajinder
  • 10 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Sreeharsha M V
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Sridhar Pandit
  • 39 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Deepak Rohidekar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Raghunandan B V
  • 35 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated