An anal fistula ( Bhagandar / Fistula in ano ) is a small channel that develops between the end of the bowel and the skin around the anus. It frequently is the result of a previous or current anal abscess. Fistula has a tract with two openings - Internal opening into the rectum or anal canal and External opening through the skin of the buttocks.
SURGICAL ( OPEN PROCEDURE ) |
NON SURGICAL ( LASER ) |
Invasive- cutting the wound with blade | Non-Invasive procedure |
Blood loss | No loss of blood |
Highly painful | Less painful |
Hospitalization for few days | Day care procedures ( discharge in few hours ) |
Wound dressing for few days | No dressing required |
Bed rest required | Bed rest not required - Quick recovery |
Possibility of recurrence | No recurrence |
Usually a brief history followed by clinical evaluation - including a digital rectal examination is enough to diagnose an anal fistula. At the same time Proctoscopy ( a minor inspection of the rectum using a small tube like scope ) is also done to check for any concomitant condition in the rectum.
An MRI Fistulogram may be needed for complicated fistulas in which the tract is difficult to delineate. Fistulography, an X-Ray of the fistula after injecting a contrast solution is not done any longer as it may lead to the formation of a false tract due to forceful injection of the dye.
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