Anal Fistula Surgery

What is Anal Fistula?

Anal fistula is an abnormal tract between internal anal canal and perianal skin. Usually follows abscess drainage. Causes purulent drainage, pain, and recurrent symptoms. Common in Crohn's disease. Requires surgical treatment for cure.

Symptoms & Diagnosis

Purulent discharge
Perianal pain and swelling
History of abscess
Visible external opening

Imaging: MRI or endorectal ultrasound for fistula anatomy and classification.

Surgical Treatment

Simple Fistulotomy

For straightforward, low fistulas crossing minimal sphincter. Divides fistula tract. High healing rates with minimal incontinence risk.

Complex Fistula Management

For high or multiple tract fistulas, Dr. Ashok Kumar uses advanced sphincter-preserving techniques including flap procedures and staged management.

Recovery & Outcomes

Hospital stay 1-2 days. Healing 6-12 weeks. Success rates 80-90% for simple fistulas. Regular follow-up for healing and infection. Most patients achieve complete cure without incontinence.