Surgery is the only permanent cure for a fistula. We use Fistulotomy for simple cases (95% success) and advanced VAAFT (Video Assisted) for complex tracks to protect your muscles.
It is the most reliable surgery for Simple (Intersphincteric) Fistulas. The surgeon cuts open the skin and muscle over the tunnel, converting it into a flat groove that heals from the bottom up.
The surgeon finds the source of infection inside the anal canal using a probe or dye.
The roof of the fistula tunnel is cut open, converting the tunnel into an open groove.
The infected granulation tissue is scraped away to allow fresh, healthy tissue to grow.
The wound is left open to heal naturally from the inside out (Secondary Intention).
Video Assisted Anal Fistula Treatment is used for high or complex fistulas where cutting the muscle is risky. A tiny camera (Fistuloscope) is inserted into the track to clean it from the inside without making large external cuts.
Usually 24 hours. Most patients go home the next morning.
Can resume desk jobs in 3-5 days. Avoid heavy lifting for 2 weeks.
The wound takes 4-6 weeks to fill up completely. Daily dressing (Sitz bath) is required.
Fistulotomy vs VAAFT
"Surgery is only 50% of the cure. The other 50% depends on how well you keep the wound clean during the healing phase."
Dr. Jaya Maheshwari explains the post-surgery care routine (Sitz Bath) which is crucial for the success of a Fistulotomy.
Simple Fistula
Fistulotomy (Best Success)
Complex Fistula
VAAFT / Laser / Seton
