Fistula In Anosimple/ Complex

Precise Diagnosis & Advanced Surgical Solutions for Anal Fistulas

Overview

A fistula-in-ano is an abnormal tunnel-like connection between the anal canal and the skin around the anus. It usually results from an infection or abscess that fails to heal properly. Fistulas can be classified as simple or complex, based on their path and involvement with surrounding muscle tissue.

Causes of Anal Fistula

• Chronic or recurrent anal abscess
• Crohn’s disease (inflammatory bowel disease)
• Tuberculosis (rare cause in India)
• Radiation therapy or prior surgery
• Trauma or local infections

Types of Fistula-in-Ano

1. Simple Fistula

• Superficial, low-lying tract
• Usually involves minimal muscle tissue
• Easier to treat surgically

2. Complex Fistula

• High or multiple tracts
• Involves sphincter muscles
• May be associated with Crohn’s disease or previous surgeries
• Requires specialized techniques to avoid incontinence

Symptoms

• Persistent discharge of pus or stool near the anus
• Pain, swelling, or irritation around the anal area
• Recurrent perianal abscesses
• Foul-smelling discharge
• Bleeding during bowel movements
• Itching or burning sensation

Diagnosis

Accurate diagnosis is crucial for effective treatment and to prevent recurrence.

• Clinical Examination – Inspection and digital rectal exam
• Proctoscopy – Visual examination of the anal canal
• MRI Fistulogram – Gold standard to map complex tracts
• Endoanal Ultrasound – For assessment of internal opening and sphincter involvement

Why Choose Us for Fistula Surgery?

• MCh GI Surgery, AIIMS New Delhi
• Director of Surgical Gastroenterology and Robotic Surgery at CARE Hospitals
• Expertise in complex, recurrent, and high anal fistulas
• Offers robotic, laser, and minimally invasive options
• Emphasis on continence preservation and reduced recurrence

Regain Comfort & Control – Get Expert Care for Anal Fistulas

Ignoring a fistula can lead to recurrent infections and discomfort. We specialize in curative and sphincter-safe treatments for both simple and complex anal fistulas. Get back to a pain-free life with expert surgical intervention.