What Are The Treatments For Fistula?

What is an anal fistula?

It is a tunnel like abnormal connection between your anal canal to the surrounding skin. This is caused to the result of abscess formation which is secondary to any injury or infection in the anal a canal.

What causes anal fistula?

Most fistulas are caused by simple hair follicle infection which was not treated completely/properly.

There is an abundance of hair follicles on the body. Some of them are found in the anal canal and if any one of them around anal canal gets infected an abscess can form which may turn into fistula. 

Infection is most common in people who sit for a very long amount of time. People who sit in an unhygienic or hot/sweating environment are at  a significantly higher risk. When infection happens, there is pus collection and abscess formation. If the abscess is drained properly then chances of fistula formation decreases drastically.

Are there different kinds of fistula?

Yes, fistulas can be of different types and they are classified depending on the involvement of sphincter muscles and internal opening. Visit best clinic in Bangalore, Bottom’s up clinic for effective treatment of each type of anal fistulas.

What are the symptoms of Fistula?

Pain, discomfort, swelling, discharge, soreness, redness, fever and bleeding are some common symptoms. There can also be fecal incontinence. The patient can feel a feeling of fullness even after passing stools and can lose their ability to control passing of stools. There can also be mucoid discharge from the anus.

There is recurrent discharge of pus around the anal area which stops and starts. This collection of pus can turn into an abscess which can form into a fistula.

How is Fistula treated?

Only way to cure the fistula is by surgery. Most of the fistulas are simple and do not involve sphincter muscles so cutting it out fully will cure the fistula. If fistula involves sphincter muscles then cutting out fistula in one operation is not the solution as it might cure fistula but it will be one with incontinence. If sphincters are damaged one would lose control over the passing the stool and might have to run to the toilet every time one gets sensation or there is a prospect of passing on its own. So in these  scenarios, patients will need to have patience and might need two/three operations.


There are various treatments which are being done to cure fistula like laser treatment, ayurvedic treatment and advanced surgical procedures.


Kshar sutra is one of the most well known and successful Ayurvedic treatment methods with high success rate done for the treatment of anal fistulas

The results are usually permanent and there is extremely little chance for the condition to recur.

Kshar Sutra (Seton) is an Ayurvedic Para-surgical therapy for the management of anorectal disorders.

There are little to no side effects due to the Kshar Sutra treatment. There can be a very mild post procedural pain which is easily manageable. The therapy comes as a very safe and a sure method to treat the anal fistula.

  • Patients must take a strict liquid diet before six hours of the surgery. Patients can start a semi-solid diet after 3-4 hours.
  • After the procedure is completed, From the next day patients are advised to take a warm sitz bath at least thrice for at least 3 week.
  • One of the many benefits of Kahar Sutra therapy is fast recovery.
  • Patients recover in just 3-5 days after the complete treatment is over, requiring very little bed rest.
  • Five to six hours of stay at hospital taking only 30-45 mins for the procedure to get done.

For best kshar sutra treatment in bangalore visit Bottom’s up clinic.


This is a well known surgical procedure done to treat fistulas. In this procedure the fistula tract is completely cut out. Under general anesthesia, the fistula tract is removed and the groove that is formed is left behind to heal.

  • Fistulectomy is performed in a hospital either under general or spinal anesthesia. This is an outpatient procedure, which means that the patient is discharged once the effects of anesthetics have worn off.
  • The patient is kept admitted only if complications occur during or after the procedure.
  • The entire procedure takes only 45 minutes to an hour while patients often take 4 to 6 weeks to heal completely.

This procedure carries with risk of damage to the sphincter muscle resulting in fecal incontinence and that’s why it is usually used as a laser treatment option for Complex fistula.

For hassle free fistula treatment in Bangalore at low cost visit bottom’s up clinic.


Fistulotomy is another popular procedure used for the treatment of fistula. During the fistulotomy, your doctor will make an incision in your body to open up the abnormal connection between the two organs and the actual procedure takes about an hour.

A fistulotomy is an outpatient procedure which means that after the procedure an overnight hospital stay would not be required.

Your doctor will send you home with some instructions that are –

  • Keep the wound clean and packed with gauze.
  • Rest for the first 24 hours after the procedure.
  • You can resume your normal diet following the surgery.
  • Avoid heavy exercises.
  • Avoid weight lifting.
  • You may have some cramping and nausea immediately following the procedure, medications will be given to deal with the same.
  • You may also experience constipation as a side effect of your pain medications.
  • It may take 3-12 weeks to fully recover from a fistulotomy.


Video assisted anal fistula treatment technique is a minimally invasive and sphincter-saving procedure for complex fistula treatment. In this technique a video telescope allows surgeons to see inside the fistula tract and treat it.

  • VAAFT is claimed to be the only technique that allows the surgeon to see inside the anal fistula tract.
  • Then the internal opening is located using an endoscope light.
  • VAAFT is designed to only affect the fistula tract.
  • VAAFT preserves sphincter muscle function and there is no faecal continence.

Visit your doctor in Bottom’s up clinic right away to know about VAAFT surgery in Bangalore.


LIFT procedure is done usually to treat Complex fistulas. The procedure aims to tie off and close the  fistula tract which travels between the internal and external sphincter muscle. Firstly, a seton is kept in the fistula tract, forcing it to widen over time and after a few weeks, the surgeon removes the infected tissue and closes the internal fistula opening.

The operation is usually carried out as day surgery. There are little to no postoperative complications. Patients are prescribed antibiotics for a week, and simple analgesia to reduce pain. The advantage of LIFT procedure is that the fistula access between the sphincter muscles, thus avoiding cutting them.

Visit bottom’s up clinic in Bangalore for treatment and management of anal fistula. Bottom’s up clinic is one stop for treatment of anal fistulas and their management.


FiLac technique uses the Leonardo Laser. The aim of the procedure is to gently remove the fistula tract without damaging the sphincter muscle. It is easily done and has little to no complications after the surgery. After the patient takes general anesthesia the surgeon requires about 30-40 minute to finish the procedure. The patient is observed and then discharged within 24 hours. Recurrence of fistula is rare after the surgery.

If you are worried due to anal fistula and want a hassle free treatment and diagnosis done visit bottom’s up clinic in Bangalore for the low cost treatment of fistula.


At Bottom’s Up Clinics – we do a combination of the world’s best treatment options to give you the best results. We frequently employ a combination of Laser Therapy with LIFT technique which is the best result oriented therapy so far and with the least amount of recurrence. Also since these are minimally invasive techniques, there is absolutely no chance of sphincter/valve damage leading to loss of bowel control.

Visit bottom’s up clinic in Bangalore for treatment and management of anal fistula. Bottom’s up clinic is one stop for treatment of anal fistulas and their management.

A wide range of ayurvedic and safe surgical procedures are used to treat anal fistulas. Our team of  best nutritionists will ensure that you follow the right diet during and after the treatment.

At Bottom’s Up Clinic we use advanced techniques to help ensure that there is no recurrence and patient goes home happy.

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