A fistula is an abnormal connection between two hollow spaces (epithelial surfaces), such as blood vessels, intestines, or other hollow organs. Fistulas are usually caused by injuries or surgeries resulting in infection or inflammation. Also sometimes fistulae are created for therapeutic purpose.
Types of fistulas include:
Physical examination: to determine the extent and pathway of the fistula
An Anal fistula (also known as fistula-in-ano) is a small tunnel that can develop between anal canal and the skin near the anus often resulting from an untreated or inadequately treated perianal abscess. No medicinal treatment shows complete cure of anal fistula except few conditions like tubercular fistula. Early surgery, short & straight fistula tract and anal fistula treatment with ksharasutra give promising results with high rate of success.
Fast facts on Anal fistula
Essentially surgical intervention required.
Recurrence is common.
Should be planned for surgery as early as possible, late cases are mostly complicated.
Anal fistula treatment with ksharasutra shows high rate of success.
What Causes Anal fistula?
Abscess in buttock and/or around the anus.
Long standing anal fissure.
Traumatic injury to the perianal region.
Not maintaining local hygiene.
What are the symptoms of Anal fistula?
There may be single or multiple wounds.
Passing of flatus through the tunnel like wound.
What are the must know facts about Anal fistula?
Anal fistula is notoriously famous for its recurrence even after repeated surgery.
An anal sphincter-sparing or minimal invasive surgery should always be the choice of patient as well as surgeon.
Different surgical modalities are available for treatment of Anal fistula like fistulectomy, fistulotomy, video assisted anal fistula treatment, fistula treatment with laser, fistula plug, two-stage seton fistulotomy and multistage anal fistula treatment with ksharasutra, etc.
Anal fistula treatment with ksharasutra (Ayurvedic) has shown the promising result with the lowest rate of reported recurrence and complications like incontinence of stool.
Medicinal treatment is not considered as curative management except in few conditions like tuberculous fistula.
Hi, there. Let’s say you are driving to your office, trying to mentally recall all the things that you have already done in the day and the tasks you are supposed to accomplish. During the mind mapping, you realise that you haven’t gone to the bathroom. Big deal. You can take time to go later, right? I mean, it isn’t like your workplace doesn’t have a toilet. So, you are done with your day and heading back home, thinking of dinner, already. Hold on, there’s been a no show from your poop. It’s okay, you can go later.
It’s been a couple of days now that you haven’t gone to the toilet properly, and as you drive through your usual route to your office, you wonder if you might have a problem in your rear end. Just then, your eye, coincidentally, notices an ad on the road. It’s about laser treatment. Dismissing it as one of those ‘get silky smooth skin’ ads that you don’t care about, you drive on. Even though the ad is gone, your problems with the rear end haven’t. There’s pain, there’s swelling around your anal region and worse still, there is some sort of very foul-smelling fluid oozing out. Oh dear. These are the hallmarks of a pretty nasty problem that’s building down there. You are embarrassed to even talk to anybody about this.
What would they think?
That you are someone with very poor anal hygiene, that you are dirty. You surely don’t want that! So, you do what most people with a smartphone do. You Google. Even before you can figure out what’s happening, the same laser ad is served to you on your screen. You scroll past, trying to understand what could have gone wrong with you. It looks like you have a fistula. Oh no! But then, instead of going to a doctor, you walk into a pharmacy and ask for medicines that Dr Google prescribes. Done deal, you consider, but hey, that might not be the case, actually. As your problem worsens and your whole routine starts falling out of place, you contemplate going to a doctor, but the thought of all those machines popping in and out of your sensitive parts traumatises you. What happens if those treatments render you the slave of an adult diaper? So, you Google again. The same ad appears. “What the hell,” you think to yourself, finally succumbing into clicking it. “Laser treatment for fistula. Painless and quick” Oh, there’s a ray of hope. A painless treatment would be great, right?
Bursting The Bubble Let’s first get down to the finer details.
The ads that you are shown on your smartphone are curated especially for you. The keywords that you use in your search along with how many times you have used them in the past will determine what ads you see. That said, nobody is denying the effectiveness of laser as a medical tool. It’s a marvellous medical development that’s soon emerging as a doctor’s favourite. But, before you opt for this aggressively advertised treatment type, you need to know several things that are veiled from you and many others.
The Important Factors Before you go for a treatment for fistula, it’s best to first consult with an experienced coloproctologist, because hey, they are the people who know this stuff best. You can’t just walk into a hospital or clinic and say, “I’d like to order one laser treatment for fistula, please.”
It’s a different ballgame here. Your doctor needs to examine you and understand the following things.
A Dose Of Reality
The reason behind going into so many details is the fact that as a patient, you deserve to know the truth before you make any healthcare decision. The fact of the matter is - laser treatments alone are not effective for complex and high-grade fistulas. They are great as a tool for a surgery, but they can’t be termed as a treatment in themselves, especially when it comes to fistulas, because their clinical outcomes are not very pleasing. Even though they are very precise and cause minimal tissue burning, in turn minimising blood loss and helping quick recovery, they need to be combined with other procedure to be effective.