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Top Health Tips on Treating White Fistula

Anal Sex - 5 Reasons Why it is Not Good for Your Health

India Best Sexologist Clinic, MD - Medicine - HMB, Member of The Royal Society for the Promotion of Health (UK) (MRSH)
Sexologist, Delhi
Anal Sex - 5 Reasons Why it is Not Good for Your Health
In order to spice up their relationship, couples can sometimes consider the option of anal intercourse instead of vaginal intercourse. Some recent studies have suggested that anal sex is actually bad for your health and can also result in severe and life threatening conditions.

Below are a few reasons that will make you aware of the risks of involving in anal sex. They are as follows:

Fissures or piles: The anal tissues are non-stretchable and thereby an insertion of the penis into your partner s anus can lead to tearing of the anus which might make your partner prone to anal fissures or piles. Besides, anal sex can cause severe pain while excretion the morning after, as there can be a significant weakening of the anal muscles.
Increases the chances of anal cancer: If you and your partner frequently engage in anal sex, your partner s chances of getting anal cancer increases as the act can initiate the transmission of the Human Papillomavirus (the virus responsible for anal cancer).
Bacterial infection: Anus is a place designed to hold and facilitate the passing of faeces. This makes it a fertile breeding ground and holding area for bacteria. Through insertion, there is a high chance that you can be infected through your partner s bacteria. Also if vaginal intercourse occurs immediately after anal intercourse, your partner can also get affected by the bacteria that transfer from the anus to the vagina. It can cause UTIs or urinary tract infections at the least and more serious infections as well.
Sexually transmitted diseases: Contrary to popular opinions, having unprotected anal sex can actually increase the chance of getting HIV and other deadly Sexually Transmitted Diseases (STD s). As the anal tissues are extremely fragile, the risk of the transmission of sexually transmitted infections in the bloodstream remains quite high for both the partners involved. Even if you re using a condom whilst engaging in the act, the chances of getting STD s looms large as condoms are more prone to breakages during anal sex.
You can still get pregnant: Engaging in unprotected anal sex does not really mean that you cannot actually get pregnant from it. There is a slight chance of semen leakage from the anus which can seep into the vagina and result in pregnancy.
7681 people found this helpful

Anal Fissures Treatment - Self-Care, Medications, And Surgery!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal Fissures Treatment - Self-Care, Medications, And Surgery!
What do you mean by anal fissures?
An anal fissure is a little laceration in the moist tissue that lines the opening of the anus. An anal fissure might develop as a result of a trauma. For example, a person suffering from constipation (or diarrhea) can develop fissure as a result of exerting too much pressure while defecating.

Some of the symptoms of anal fissures include:

Bleeding during defecation
Defecation accompanied by a burning pain
A persistent discomfort around the anus even after bowel movement
Itching sensation
In chronic case a small skin tag may be seen protruding out at Anal verge. Anal fissure causes considerable physical uneasiness and can mar one s mood for days on end if left untreated.
For someone who has recently developed this disorder, home remedies might work.

Sitz Bath: This is a very effective self-care remedy that can ease the pain that anal fissure is characterized with. Here one needs to soak the rectal area in warm water for 10-15 minutes to help improve blood flow and relax the anal sphincter. The routine should be repeated 3 to 4 times for better result.
Fiber-rich diet: Patients suffering from constipation shall consume fiber-rich foods like wheat, whole grain, fruits, oatmeal and cereals.
Fluids: These patients must drink 8 to 9 glasses of water on a daily basis to induce smooth passage of stool. Medicines Medicines are prescribed only if self-care treatment methods do not work.
Here is a list of the medicines that are used to treat anal fissures:

Stool Softeners are advised for easy evacuation for example Haritaki Churna, Triphala Churna etc.
Soothing Ointments: Any soothing ointment like cow s Ghrit, coconut oil or Sushruta Ointment if applied in anal region will ease out the pain.
Kshar Karma: Application of specialized Kshar Compounds under supervision of an Ayurvedic specialist at weekly sittings lead to healing of Anal Fissure.
Surgery -

Most common complication of Surgery is stool incontinence where patient is unable to hold stool due to damage to sphincter muscles. Whereas Ayurvedic Ksharsutra is a completely safe and more effective treatment. In this treatment Ksharsutra is ligated at the root of Sentinel tag. Medicine released from the thread blocks the blood supply of tag and it sheds off in 5-7 days. This combined with Kshar Karma sittings heals the fissure completely without any surgery.
7520 people found this helpful

Piles, Fistula And Fissures - How Ayurvedic Remedies Can Help?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Piles, Fistula And Fissures - How Ayurvedic Remedies Can Help?
Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions.

Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on its position inside the rectum or outside the rectum respectively.

Causes:

Chronic constipation, where the person has to strain to pass stools
Increased frequency of motion as seen in dysentery etc.
Increased abdominal pressure like in pregnancy, obesity etc.
Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in the form drops or blood spurts during bowel movement (1st stage); the swelling develops later on. They can continue to grow and may come out of anal canal while passing stool (2nd stage). Later on Pile mass comes out even on sneezing, coughing or standing for prolong time (3rd stage)

Treatment:

In the early stages, once identified, simple Kshar Karma (application of special medicines) is effective..
Diet should be rich in fiber, with fruits and vegetables
Increased water consumption
Ksharsutra Ligation of Pile mass if the disease has reached the 2nd or 3rd stage
Prevention is advised if there is a family history by taking measures like consuming a fiber-rich diet and maintaining hydration, regular exercises. Sphincter exercise etc.
Fistula: When an anal gland gets infected; it may discharge pus around the anal region or inside anal canal. Anal Fistula is characterized by presence of a nodular swelling around anal orifice with on and off discharges. This condition is usually painless however some pain may be noticed in the swelling before the pus discharges. After pus discharge pain and swelling disappears to recur again after some time.

Symptoms:

A constant wet feeling in the anal area, due to pus discharge.
This would be intermittent, and there would be periods with no discharge.
There could be a foul smell due to pus discharge.
Diagnosis and Treatment:

Identifying the exact location is important for Ksharsutra ligation or Surgery/ VAAFT.
An ultrasound scan or an MRI is usually done.
Ksharsutra ligation is a better option as compared to surgery/ VAAFT as the chances of recurrence after surgery/ VAAFT are very high.
Ksharsutra being a non surgical procedure; is more convenient and more effective as compared to surgery. This has already been proved by the scientific trials conducted at AIIMS New Delhi, PGI Chandigarh etc. by Indian Council of Medical Research in 1990.

Graded Ksharsutra is the latest development in Ksharsutra Therapy which is available only at Sushruta Ano Rectal Institute, New Delhi.

Fissures: Fissure is a very painful condition produced due to cracks anywhere in the length of the anal canal usually at the anal verge.

Symptoms

Very painful and the person may not want to go to the toilet
Rarely bleeding is also seen, maybe in very small amounts
Treatment:

Over 90% of the fissures do not require surgery and can be easily managed by Kshar Karma sittings.
Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
Topical relief can be provided by application of medicated oils and paste.
When they are recurrent, a procedure known as lateral sphincterotomy is done. However this procedure is known to have a common complication of fecal incontinence. This is usually seen due to damage to sphincter muscles during surgery or over stretching. Patient is not able to control / hold the stools.
Anal fissure whether acute or chronic can be easily managed by Kshar Karma and Ksharsutra ligation. No surgery or hospitalization is required; and above mentioned complications are also not seen with this highly specific treatment of Ayurvedic surgery.
Though one condition can lead to another, in most people, there is a strong family history and working towards prevention is highly recommended.
7257 people found this helpful

Anal Fissures - How Ayurveda Can Handle It?

BAMS, Advanced Training in Kshar Sutra Therapy, Post Graduate Diploma in Kshar Sutra Treatment
Ayurvedic Doctor, Delhi
Anal Fissures - How Ayurveda Can Handle It?
What do you mean by anal fissures?
An anal fissure is a little laceration in the moist tissue that lines the opening of the anus. An anal fissure might develop as a result of a trauma. For example, a person suffering from constipation (or diarrhea) can develop fissure as a result of exerting too much pressure while defecating.

Some of the symptoms of anal fissures include:

Bleeding during defecation
Defecation accompanied by a burning pain
A persistent discomfort around the anus even after a bowel movement
Itching sensation
In chronic case, a small skin tag may be seen protruding out at the Anal verge. An anal fissure causes considerable physical uneasiness and can mar one s mood for days on end if left untreated.
For someone who has recently developed this disorder, home remedies might work.

Sitz Bath: This is a very effective self-care remedy that can ease the pain that anal fissure is characterized by. Here one needs to soak the rectal area in warm water for 10-15 minutes to help improve blood flow and relax the anal sphincter. The routine should be repeated 3 to 4 times for better result.
Fibre-rich diet: Patients suffering from constipation shall consume fibre-rich foods like wheat, whole grain, fruits, oatmeal and cereals.
Fluids: These patients must drink 8 to 9 glasses of water on a daily basis to induce smooth passage of stool.
Medicines: Medicines are prescribed only if self-care treatment methods do not work.
Here is a list of the medicines that are used to treat anal fissures:

Stool Softeners are advised for easy evacuation, for example, Haritaki Churna, Triphala Churna etc.
Soothing Ointments: Any soothing ointment like cow s Ghrit, coconut oil or Sushruta Ointment if applied in the anal region will ease out the pain.
Kshar Karma: Application of specialized Kshar Compounds under the supervision of an Ayurvedic specialist at weekly sittings lead to healing of Anal Fissure.
Surgery -

Most common complication of Surgery is stool incontinence where a patient is unable to hold stool due to damage to sphincter muscles. Whereas Ayurvedic Ksharsutra is a completely safe and more effective treatment. In this treatment, Ksharsutra is ligated at the root of Sentinel tag. Medicine released from the thread blocks the blood supply of tag and it sheds off in 5-7 days. This combined with Kshar Karma sittings heals the fissure completely without any surgery.
7021 people found this helpful

Heal Your Fissure Quickly Through Ayurveda!

BAMS, Advanced Training in Kshar Sutra Therapy, Post Graduate Diploma in Kshar Sutra Treatment
Ayurvedic Doctor, Delhi
Heal Your Fissure Quickly Through Ayurveda!
An anal fissure is a condition that is caused when the skin surrounding the anus tears due to excessive strain. Generally, constipation causes the condition, as people have to put a lot of strain during bowel movements. Here is a look at some simple ways to prevent anal fissure.

Natural Ways to Prevent Anal Fissure-
Since the primary cause for anal fissure is constipation, the preventative methods involve reducing constipation.

Increasing fiber content in the diet, with the help of fruits and vegetables can help against constipation.
Staying hydrated and drinking plenty of fluids throughout the day, can also ease stool passage and make it softer.
Avoid straining excessively during bowel movement.
Avoiding spicy foods and chillies in the diet is vital, as such foods can aggravate the difficulty during defecation.
Avoid eating excessive meat and non-vegetarian products.
Drinking buttermilk can also provide relief from constipation.
Ayurvedic Remedy for Anal Fissure-
Medications for the condition include both oral remedies, which deal with underlying constipation, as well as topical medicines that can be applied at the site of the problem. Two main Ayurvedic treatment for anal fissure include - 1. Ayurvedic Medicines 2. Kshar Sutra Therapy.

1. Ayurvedic medicines - Ayurvedic medicines are highly effective in treating acute and chronic fissures. Good improvement can be achieved within 7-10 days. Usually 6-8 weeks of medicinal treatment is enough for good recovery from fissure.

2. Kshar Sutra therapy: It is reserved for stubborn cases who are not responding well to the medicinal treatment. You may get rid of sentinel pile masses very easily by using Kshar Sutra Therapy. Minimum bed rest is required and most of the patients may resume their work within 3-4 days with certain precautions.

Other things to keep in mind -

Avoid constipation
Maintain a healthy digestion
Maintain good private hygiene
Sitz bath
6851 people found this helpful

Benefits Of Kshara Sutra In Fistula Than Modern Surgery!

B.A.M.S, M.D In Ayurvedic Medicine
Ayurvedic Doctor, Amritsar
Benefits Of Kshara Sutra In Fistula Than Modern Surgery!
Anal fistula is an anorectal disorder for which different treatment methods have been advocated from time to time. Certain conventional surgical methods like Fistulotomy and Fistulectomy have been used but they are associated with complications like delayed healing, the risk of stenosis (abnormal narrowing of the blood vessels or other tubular organs) etc.

Modern techniques of surgery like the lay-open' method and anorectal pathology' come with a similar number of intricacies like high rates of recurrence and anal incontinence, prolonged hospitalization etc. Therefore, even today this particular disease has no satisfactory method of treatments in modern surgery.

However, in Ayurveda, about 2000 years ago, the great Indian Surgeon Acharya Sushrata first narrated about the Kshara', which was later, compiled into the work Sushrat Samhita'. Kshara Sutra is a minimal invasive ayurvedic parasurgical technique, effective for the treatment of anorectal disorders like hemorrhoids, fistula-in-ano, Anal fissure and pilonidal sinus.

Why is it used to treat Fistula-In-Ano?
In this technique of surgery, a thread also called a Kshar Sutra thread is specially prepared which acts by herbal chemical cauterization (the medical practice of burning a part of the body to remove or close off a part) and cures diseases. Hence, this is the safest and cost-effective method to treat Fistula-In-Ano.

Procedure-
The Kshar Sutra is a surgical linen thread of size 20 is coated with ayurvedic herbs with no side effects. There are three types of Kshar Sutra based on the number of coatings and the quality of materials used. Each patient gets customized treatment as per his or her own requirements.

First, a malleable probe is made to pass through the external opening of the fistula to the internal aperture in the anal canal. It is then taken out gently through the anal opening along with the Kshar. Later both the ends are tied together.

A cumulative effect of the drugs coated on the Kshar exerts a powerful debridement effect on the fistula tract & prompts healing by new & healthy granulation tissues. Thus, this mechanism of drug delivery directly heals the tissues involved in an optimal time period.

The thread is changed once every week that gradually helps heal the infected tract. As the result, the chances of recurrence are minimal.

Benefits of Kshar Sutra over modern surgery techniques-

An out-patient treatment, it is mostly conducted under local anesthesia
The most significant benefit of Kshar Sutra therapy over conventional modern surgeries is that the muscles that support the anus and controls bowel movements are not dissected and hence the chances of anal inconsistency are lowered.
The probability of anal stenosis (narrowing of the anal canal after treatment) are almost nil
There is no damage done to Anal Sphincter
Minimal chances of recurrence and bleeding
Hospital stay is only for 4-5 hours
There is no need for antibiotic coverage.
The patient can get back to routine life after 3-5 days of the surgery
Post-treatment recovery is speedy and without any complications
6722 people found this helpful

Anal Fistula - What Causes It?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal Fistula - What Causes It?
Anal Fistula - What Causes It?
An anal fistula refers to a small infected tunnel connecting the anus to the outer skin. Your body eliminates solid waste products or feces through the anus. When any of the glands inside the anus becomes infected or blocked, an abscess may form, which in turn results in formation of anal fistula. In about 50% of the cases, abscesses develop into fistulae. What are the causes for anal fistula? Anal fistulae occur primarily due to the formation of an abscess or infection in the anus. If the abscess does not heal completely after the pus has been drained away, a fistula can develop.

Other factors responsible for the occurrence of anal fistulae are-

Crohn s disease- a chronic condition where the digestive system becomes inflamed.
Diverticulitis- an inflammation of the small pouches that develop along the intestinal walls.
Hidradenitis suppurativa- a chronic painful skin condition which causes scarring and abscesses on the skin. Apart from these, people with HIV or infected with Tuberculosis disease also develop anal fistulae. If you ve had a surgery around the anus, then post-surgery complications may lead to infection or abscess on the skin.
What are the symptoms to watch out for?
The commonly observed signs and symptoms of anal fistulae include-

Irritation or discomfort on the skin around the anus
Occasional throbbing pain, especially while seated, moving around or having a bowel movement
Nodular swelling around anal region
Intermittent Discharge of blood or pus from an opening near anal orifice.
How does Ayurveda treat anal fistulae?
Ayurveda recommends Ksharsutra treatment for complete healing of Anal Fistula.

In this procedure; Ksharsutra a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the fistula tract and induces healing. This medicine remains active for about 5-7 days so this thread needs to be changed with a new thread at weekly interval. No. of Ksharsutra changes required for complete healing of Fistula depends on length depth and branching pattern of fistula. It has been observed that Fistula heals at the rate of 0.5 to 1 cm per Ksharsutra changes so for a fistula tract of 3 cm length about 4-5 weekly thread changes are necessary for complete healing. Clinical trials conducted by Indian Council of Medical Research at AIIMS New Delhi have proved that Ksharsutra treatment is more convenient and more effective than Surgery in case of Anal Fistula. In this way Ksharsutra is the best way to treat Anal Fistula without Surgery.
6640 people found this helpful

How Ayurvedic Remedies Can Help You Treat Anal Fissure?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
How Ayurvedic Remedies Can Help You Treat Anal Fissure?
A tear in the anal canal is called anal fissure. When the skin breaks, it can cause pain and extreme discomfort. Some amount of bleeding during defecation may also be experienced. When the anal aperture is over-strained, it results in a crack leading to fissure. In women, delivery trauma can lead to anal fissure. Ulcer in the anal canal or sexually transmitted diseases too can cause the anal fissure. In children, it is commonly due to injury by passing hard stool. Fissure is usually seen at the anal verge. This being a highly sensitive area; any scratch or tear in this area gives excruciating pain, burning, itching, irritation like symptoms. There may be spasm in the anal region (which is a protective mechanism) and the patients are scared of passing stools. Sometimes patient avoids eating food so as to avoid going to toilet. Usually the pain subsides in an hour or so. However in some conditions where there is underlying inflammation and infection; the pain may persist whole day. Recurrent anal fissure which has not been treated properly give rise to an extra skin growth known as sentinel tag.

Ayurvedic remedies: In the patient suffering from Anal fissure; it is very important to regulate the bowel habits properly. Some mild laxatives may be used to soften the stool. Hot sitz bath and use of some soothing ointments, coconut oil, ghee etc. are helpful as they avoid the irritation. Ayurveda can completely cure the people suffering from anal fissures. The treatment duration differs from one individual to another. This is also based on the severity of the disease. In acute anal fissure; the allopathic doctors usually recommend surgery. The commonest adverse effect of surgery is incontinence where the patient is unable to hold stools. However acute anal fissure can be treated without surgery very effectively using Ayurvedic Kshar Karma. In this therapy; certain medicines are applied in the anal fissure so as to promote the healing. The sittings are repeated after weekly intervals and fissure heals in 3-4 sittings. In this way; this is highly specific, very effective and convenient method of treating anal fissure. In chronic anal fissure with associated Sentinel tag; Ksharsutra ligation is used to remove the tag followed by Kshar Karma sittings.
6400 people found this helpful

Anal Fissure - Non Surgical Treatment Is Better Than Surgery!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal Fissure - Non Surgical Treatment Is Better Than Surgery!
An anal fissure or fissure-in-ano is a small, cut in the skin in anal passage which results because of trauma to skin by passing hard stool in this region. Sometimes pain is so severe that patient tends to avoid passing stool in an attempt to stay away from pain.

Symptoms of Anal Fissure:

Pain in anal region while passing stool; it may be burning/pricking/Itching in nature.

Bleeding may or may not be there.

If untreated for long time; a skin tag known as Sentinel tag or Sentinel Piles develops from the lower end of fissure.

Causes

The causes related to the emergence of an anal fissure include:

Passing hard stool which causes frictional injury to inner lining of anal passage.

Repeated bowel movement or diarrhea

Trauma to anal canal like by enema nozzle

Why non surgical treatment is better than Surgery:

Usually surgery (Lateral sphincterotomy) is advised in a view to relieve spasm in anal region so that Fissure starts healing but there are certain complications like stool incontinence etc. associated with this procedure which makes non surgical approach better than surgical intervention. Some of the reasons which make non surgical approach better than surgery for anal fissure are as follows:

Acute anal fissure can be conveniently treated by Graded Kshar Karma Treatment. In this treatment a specialized Ayurvedic medicine is applied in fissure region which debrides the fissure and promotes healing. In this way fissure heals completely. So, no need for any surgery at this stage and thus no complication like bleeding, pain, stool incontinence, etc.

When Fissure is not treated at this stage; a skin tag known as sentinel piles develops from the lower end of fissure. This condition also can be managed by Graded Ksharsutra TM Treatment. In this treatment, Graded Ksharsutra TM - a specialized medicated thread is ligated at the root of sentinel piles and sentinel tag gets detached in 3-5 days. No hospitalization or bed rest is required in this treatment. So, at this stage also fissure can be managed without surgery.

Delayed healing and Recurrence of Anal fissure are other complications seen after Anal Fissure surgery. Such complications are not seen in Graded Kshar Karma and Ksharsutra Treatment.

In some case stool incontinence (inability to hold stool; which is far worse than Anal fissure itself) is also seen after Anal Fissure surgery. However, there is no harm to stool control in Graded Kshar Karma and Ksharsutra Treatment.

No hospitalization or bed rest is required in Graded Kshar Karma and Ksharsutra treatment. Hospitalization and bed rest for a considerable time period is necessary in surgery.

Graded Kshar Karma and Ksharsutra are more economical than surgery. With this discussion; it is for sure that non surgical treatment for Anal Fissure is far better than Surgery.
6311 people found this helpful

Anal Fistula - How Non Surgical Treatment Is Better Than VAAFT/Surgery?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Anal Fistula - How Non Surgical Treatment Is Better Than VAAFT/Surgery?
Anal Fistula is a tunnel like communication structure between anal canal and outer skin. There are certain glands in anus whose secretions keep the anal passage lubricated. If due to any reason infectious agent invades these glands abscess formation occurs which subsequently spreads towards the skin and bursts outside forming an external opening.

So Anal Fistula presents itself as a nodular swelling in area surrounding anal opening. Intermittent pus discharge is seen from this swelling. When pus has accumulated there will be swelling and pain which subsides once the pus has been discharged and this cycle goes on.

Anal Fistula Treatment:

Anal Fistula cannot be treated by oral medicines only - Homeopathic/ Allopathic or Ayurvedic whatever it may be. Continuing oral medicines in hope for fistula treatment only worsens the problem. Different surgical options have been tried to treat Anal Fistula like Fistulectomy/ VAAFT/ Laser/ LIFT etc. but not satisfactory results have been found. A high incidence of recurrence around 20-25 % has been observed with these procedures.

Besides this other complications like stool incontinence etc. are also seen if there is some damage to sphincter muscles. However Anal Fistula can be completely treated by Graded KsharsutraTM Treatment. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS new Delhi; PGI Chandigarh and other premier institutes of medical sciences; have proved that Ksharsutra treatment is more convenient and more effective than Surgery in patients suffering from Anal Fistula.

In this treatment; first of all Fistula tract is defined with respect to depth, direction and branching pattern by careful manual probing and MRI Fistulogram. Once the Fistula tract has been defined properly; Graded KsharsutraTM - a specialized medicated thread is placed in Fistula tract. Medicine released from KsharsutraTM debrides the Fistula tract and induces healing. This medicine works for 5-7 days so old Ksharsutra needs to be replaced by a new thread at week or 10 days interval.

No. of Ksharsutra changes required for complete healing of Fistula depends on length of Fistulous tract. It has been observed that a Fistula tract of 3 cm length usually requires 4-5 Graded KsharsutraTM sittings at weekly intervals for complete healing. Thus with this recent concept of Graded Ksharsutra treatment of Anal Fistula has become more easy and more effective.
6268 people found this helpful