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Advanced Laser Treatment of Fistula in Kolkata



Painless laser-assisted fistula surgery using optical laser fiber ensures faster recovery, has high success rates and very low recurrence rates. Discover the best surgeons for laser fistula treatment in Kolkata at Aroga Lifecare.

What is fistula?

Fistula is a tunnel which forms inside the anal cavity and can run up to the skin outside, generally following an incorrectly healed infection or anal abscess.

It can be repaired by a general surgeon through a short surgery.

Duration: 30 mins

Hospitalization: 1-2 days


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Fistula – Symptoms

Common symptoms of fistula include:

  • Pain, itchiness, swelling and red rashes around your anus
  • Bleeding from pores around the anus
  • Painful, hard and straining bowel movements
  • Fever
  • Foul-smelling ooze (pus) from a hole near the anus

Fistula – Causes

In most cases, an anal abscess causes anal fistula. An anal abscess is a pus-filled lump in the anus. It happens when a gland inside the anus gets blocked or clogged due to an infection.

An anal abscess, if left untreated, grows in size, and punches a hole in the skin inside the anus so that the pus can find a way to drain. This creates a tunnel which is known as a fistula.

Fistulas can also be caused due to chronic constipation or diarrhoea and strained bowel movements.

Fistula – Diagnosis

To check for an anal abscess or a fistula, your doctor or nurse will look at your anus and do a “digital rectal exam.” During a digital rectal exam, your doctor or nurse will put a gloved finger into your anus and rectum to feel for lumps or anything abnormal.

He or she might also order an “imaging test,” such as an MRI or a CT scan.

Fistula – Treatment

There are a few natural remedies which you can adopt to ease the symptoms to a certain extent. These include:

  • Sitz baths – Sitting in warm water several times a day can provide relief as it helps keep the rectal area clean and prevents bacteria build-up.
  • Increased personal hygiene – Do make it a point to practice effective hygiene to keep the anal region clean and bacteria-free as not doing it can lead to further infection
  • Using a cushion or pillow to sit on several times a day can is also known to make people comfortable

However, surgery is the only option to treat a fistula effectively. You can choose from various surgical options:

  • Laser Closure of Anal Fistula – Radially emitted laser energy using optical fibre is used to seal the fistula. This is a minimally invasive surgery with no major safety concerns. It is performed under general anaesthesia and can be done in a very short duration. It is important to choose the right proctologist and hospital for laser treatment of fistula as it needs experience to perfect it.
  • Fistulotomy – This is the traditional treatment and is the most common way of treating fistula. The proctologist shall cut along the whole length of the fistula to open it up so that it drains and heals as a flat scar. However, a fistulotomy can result in fecal incontinence if some of the sphincter muscles are cut open.

Seton Techniques – If the risk of incontinence is high, the doctor may open up the fistula by inserting a seton – a piece of surgical thread and keeping it inside for several weeks. This method allows fistulas to drain. To cure it completely, the doctor may tie tighter setons to cut through the fistula slowly. This involves several sittings with the doctor.

Fistula – Risks & Complications

Fistula surgeries carry a few risks as any other surgical procedure. Some of them include:

  • Bowel incontinence due to cutting open sphincter muscles
  • Infection – this may require treatment using antibiotics
  • Recurrence of the fistula may occur in certain cases despite surgery

The level of risk depends on the location of the fistula and the specific procedure that is adopted to treat it.

Fistula – Pre Op Care

Fistula treatment is done under general anaesthesia. The doctor will ask for following fasting requirements for general anaesthesia – generally for up to 6 hours before the surgery. You may be given a laxative to clean your bowels completely before the surgery.

You may even need an enema (bowel washout) before the surgery. Anti-clotting injection may be given right before the surgery starts.

Fistula – Post Op Care

You will need to rest until the effects of the anaesthesia pass. The doctor may recommend having fluids to start eating and drinking when you feel ready.

A nurse will clean the wound and redress it the morning after the surgery. It is normal to have some bleeding afterwards. The wound will have to be redressed constantly till it completely heals leaving behind a scar.

You may be prescribed painkillers, antibiotics and laxatives by the doctor to heal faster.

Preventive measures can help you manage your fistula better and can also help you recover faster after your surgery.

  • Include more roughage in your diet to help with your bowel movement
  • Avoid spicy food preparations or dairy products as they can irritate the area for surgical area, and can be constipating
  • Drink lots of water

Avoid caffeine and alcohol

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Frequently Asked Questionss

How is Laser Treatment done?

Laser Treatment is the most advanced treatment for Piles, Fissure, Fistula and Varicose Veins. It is a modern day care and completely painless procedure which results in faster recovery, minimal blood loss, high success rates and low recurrence rates.


What are the chances of recurrence post-treatment?

Laser Treatments for Piles, Fissure and Fistula are USFDA approved procedures and have success rates in excess of 95% of the cases. The chances of recurrence are 2-3% and depend largely on following dietary precautions post surgery.


Is the treatment expensive?

Not really. At Aroga Lifecare, we want to make sure that you get the best treatment at the lowest possible cost. We have multiple packages based on your budget and location. We ensure that you have the smoothest end-to-end surgical experience.


What happens if fistula is left untreated?

Fistulas are painful and can cause a lot of complications if left untreated. Fistulas can develop serious infections, which can lead to sepsis. Sepsis is a dangerous condition which can cause emergencies.


How can I cure my fistula without surgery?

Fistulas cannot be treated effectively without surgical intervention by a proctologist. The only non-surgical method of treating it is by injecting fibrin glue inside the fistula which seals the fistula and helps it heal on its own.


What we Offer

  • Standard Surgery packages
  • All major insurances / TPAs covered & smooth claim clearance
  • Hassle free hospital admission and discharge
  • 24/7 Aroga assistance on call and at hospital
  • Post-surgery consultation and support
  • COVID19 safety measures in place

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