For surgical repair of the fistula, general anesthesia is usually required. The surgeon may do a fistulogram (X-Ray of fistula using a contrast dye) to determine the exact location and extent of the fistula. The patient is then positioned to lie down on their back so that the anal region is accessible. The fistula is located and repaired by sealing the abnormal openings.
Currently, laser fistula treatment is one of the most effective methods to close the fistula tract in a minimally invasive manner. And fistula laser treatment cost is also reasonable.
After surgery, the patient usually has to follow a strict diet in order to avoid undue stress to the digestive system. Stool habits may be altered for a few days, but that returns to normal sometime after surgery. If the patient experiences symptoms like constipation, high fever, persistent pain in the anal region, etc. after surgery, it is advisable to consult the surgeon promptly.
FAQs
What is fistulectomy?
Fistulectomy is the term used for fistula surgery. In the procedure, the surgeon excises the entire abnormal fistulous tract and closes the opening properly. There are various techniques available to perform fistulectomy.
What is fistulotomy?
Fistulotomy is a procedure in which the fistulous tract is opened and cleaned so that it can heal properly.
What are the different techniques available for fistula treatment?
The various methods available for fistula treatment are-
- Fibrin glue
- Plugs
- Catheters
- Transabdominal surgery
- Laparoscopic surgery
- Laser fistula surgery
- Seton placement
Which is the best treatment for fistula?
Among the different types of techniques available to cure fistula, laser treatment is the best. It is a safe, USFDA-approved, minimally invasive technique that allows the surgeon to close the abnormal tract without any stitches.
What are the factors that affect laser fistula treatment cost?
The various factors that impact how laser fistula surgery cost varies for each patient are mentioned below-
- Type of fistula
- Diagnostic test
- Surgeon's fee
- Choice of hospital/clinic
- Hospital admission, discharge, and bed fee
- Post-operative care and medications
- Follow-up consultations
To get a closer estimate of the surgery cost, it is better to talk to a fistula doctor.
Do homeopathic medicines work for anal fistula treatment?
Homeopathic medicines can help to control the infection in the fistula that will prevent the development and formation of abscesses. Some commonly used medicines are Berberis Vulgaris, Silicea, causticum, Hydrastis, etc. These medicines can help to alleviate the pain and provide relief from the symptoms. However, there is no guarantee that they will help to close the fistula tract effectively.
What are the different types of anal fistula?
Based on the connection between the perianal skin and epithelialized surface of the anal canal, the fistula is divided into the following types-
- An anorectal fistula occurs between the anal canal and the skin around the anal opening.
- Rectovaginal or anovaginal fistula that has a channel between the rectum/anus and the vagina.
- Colovaginal fistula is the type that occurs between the vagina and the colon.
All these types of fistulas require surgical treatment otherwise they don't go away and only become severe.
How long does the fistula surgery take?
Generally, fistula surgery takes around 30-60 minutes to complete. However, the duration may be longer depending on the severity of the condition and the surgeon's skills.
What is the recovery time after fistula surgery?
Typically, the recovery time after fistula treatment is different for every patient. Some patients recover within 2-3 weeks whereas others may need 4-6 weeks to heal.
A fistula may also develop between the esophagus and windpipe, other than the bowel and vagina. It can also be seen between two arteries, two blood vessels, or a single artery and vein. Mostly, people who are born with fistulas are treated with antibiotics and Fistula surgery.
Some complications during surgeries, injuries, and certain rare diseases like Crohn's disease and Ulcerative Colitis may lead to the development of fistula after birth.
Leaving fistula untreated can be dangerous, especially for children. Therefore, it is crucial that the condition is diagnosed and treated properly without delay.