• Painless Laser Procedure
  • 30-45 Minutes Procedure
  • No cuts & no stitches
  • Get Back To Your Regular Routine in 3 Days
  • Same day discharge
  • Cashless Facility, All Insurance Covered

Best Advanced Laser Fistula Treatment in Bengaluru

Healing Hands Clinic - India’s Preffered Destination for Fistula Treatment in Bengaluru

Trusted by over 1,00,000 + Patients

Trusted by over 1,00,000 + Patients

Best Fistula Hospital in India

Best Fistula doctors in Asia As Per Google (4.9) ★★★★★

Treated complex fistula cases from around the globe

Treated complex fistula cases from around the globe

Center of excellence for proctology

Center of excellence for proctology

World record holder of treating the most complex and longest fistula

World record holder of treating the most complex and longest fistula

Advanced Infrastructure to treat fistula

Advanced Infrastructure to treat fistula

( OR )

What is anal fistula ?

An anal fistula is an infected tunnel between the skin and the anus, the muscle opening at the end of the digestive tract. The majority of anal fistulas are caused by an infection of the anal glands that spreads to the skin. Symptoms include pain, swelling, and the secretion of blood and pus from the anus. Surgery is usually used to treat anal fistulas.

Anal Fistula does require the attention of a colorectal surgeon or a proctologist. Due to the abscess and infection, the fistula does not heal on its own, and it may spread and cause further complications. As a result, it is preferable to begin treatment as soon as possible.

Diagnosis Of Fistula

An anal fistula is diagnosed at Healing Hands Clinic after a brief history and a clinical examination that includes a digital rectal examination. At the same time, a proctoscopy (a minor examination of the rectum with a small tube-like scope) is performed to check for any concurrent rectum conditions. For complicated fistulas with difficult-to-define tracts, an MRI Fistulogram may be required.

Causes Of Fistula

  • Anorectal abscess - A primary anorectal abscess is the most common cause of anal fistulas. An anorectal abscess develops when one of the anal glands becomes infected. An abscess, which is a pus-filled collection, develops quickly as a result of the infection. When an abscess does not heal completely, whether with or without treatment, an anal fistula develops.
  • Inflammation of the intestines is caused by diseases such as Crohn's disease, Diverticulitis, and others.
  • Rectal cancer affects the area around the urethra, and infections such as tuberculosis, HIV, and sexually transmitted diseases have been linked to fistula formation.
  • Iatrogenic - resulting from previous surgery in the area.

Benefits of Laser Treatment

Particulars Open Surgery Laser Surgery
Cuts Multiple Minimal
Scars / Stitches Multiple Minimal
Painless Procedure No Yes
Blood Loss High Low
Infection Chances High Low
Hospital Stay Bed Rest Required Quick Recovery
Hospital Duration Long Short
Technology Outdated Most Advanced

Why should you seek treatment for your anal fistula (Bhagandar) at Healing Hands Clinic?

Dr. Ashwin Porwal has treated a large number of fistula cases as a 'Proctology only hospital.' He has successfully managed extremely difficult cases of Complex fistulas and Recurrent fistulas, demonstrating his expertise (those that have previously been unsuccessfully operated on). He has successfully treated fistulas extending from the rectum to the abdomen (Recto-abdominal), the rectum to the groin (Recto-inguinal), and the rectum to the tailbone.

Team Healing Hands Clinic's surgeons have introduced the Laser surgery FiLaC (Fistula-tract Laser Closure), the first of its kind in India, to add to the current armamentarium for ministering fistulas. The proctologist's team developed a treatment called Distal Laser Proximal Ligation. This fistula cure was developed by the Healing Hands Clinic team, led by Dr Ashwin Porwal, and is a sphincter-saving technique with a low recurrence rate when compared to all other fistula procedures available, making Healing Hands Clinic Asia's number one in treating fistulas. Team Healing Hands Clinic holds the world record for treating the most complicated and longest fistula.

Dr. Ashwin Porwal, the founder surgeon of Healing Hands Clinic, was the first to introduce the Leonardo Laser, which is used to treat anal fistulas, in India. The goal of the medical approach is to gently remove the fistula tract while avoiding injury to the sphincter muscles.

The procedure lasts about 30-40 minutes and is performed under local anaesthesia. From the outside of the anus, a radically emitting Laser Fibre is inserted. The laser is then radiated circumferentially into the fistula tract in a specific amount. The laser's power causes the fistula tract to tumble to a greater extent through regulated photo thermal destruction. The healing process is also aided, facilitated, and accelerated as a result of this.

Advantages of FiLaC

  • It takes less time to recover than other techniques, and there is no risk of incontinence after surgery as the anal sphincter is preserved.
  • It's also safe for high-risk patients like hypertensive, cardiac, and elderly patients.
  • It can be done in a variety of fistulas, including recto-inguinal, recto-gluteal, and others.

Possible Drawback of FiLaC

  • For a while, there may be some regional burning.
  • In most cases, a postoperative subcutaneous abscess is treated with medications and a bandage, but in rare cases, an incision and drainage under regional anaesthesia may be necessary.

Distal Laser Proximal Ligation ( DLPL )

Fistula is a difficult condition to treat.

  1. To save the sphincter muscles and prevent incontinence.
  2. To prevent recurrence while taking into account the nature of the condition

The majority of techniques, including VAAFT, LIFT, and FiLaC, are successful in closing the fistula while leaving the sphincter intact. They all, however, have different recurrence rates. Given the seriousness of a fistula, even a small chance of recurrence can put the patient's life in jeopardy.

As a specialised Proctology super speciality, Healing Hands Clinic has treated a large number of Fistula cases (a department of surgery that deals with the rectum and gluteal region). We've tried to understand the essence of the illness and the cause of recurrences based on our years of treating fistula patients. We developed the DLPL (Distal Laser Proximal Ligation). technique after conducting extensive research and applying all of our knowledge and skill.

An abscess pit and the interior opening are first excised during this procedure. The distal tract closure takes this into account. The Leonardo Laser is then used to close the proximal end of the fistula tract. The laser's radially emitting fibre delivers energy to the fistula tract in a circumstantial pattern. This secures that the tract is completely closed.


Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic Bengaluru is headed by a team of Surgeons with more than 10+ years of experience in Proctology treating complex and recurrent Piles & Fistulas. Patients are advised either FILAC or DLPL based on the grade and complexity. 

Dr.Porwal , After an in-depth study and applying all his knowledge and skills, he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation.he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation. In this procedure any abcess cavity along with the internal opening is first excised.This is followed by closure of the distal tract. The proximal part of the fistula tract is then sealed with the Leonardo Laser. With the radially emitting fibre of the laser, energy is applied circumferentially to the fistula tract. This ensures complete closure of the tract.


Frequently Asked Questions (FAQ's)

It's like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes. Occasionally, only the lower half of your body is anaesthetised and you will be alert and probably having a chat with your doctor!

Yes, the laser probe is inserted within the fistula tract and the laser energy is applied circumferentially to coagulate ( burn ) it. The tract heals by a process called 'secondary intention'.

You will normally be able to start drinking water shortly after the procedure and can start eating as soon as you are hungry. You will be able to get out of bed a few hours after surgery. You are likely to have some pain after the procedure that is easily controlled with painkillers.

If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.

At times you may be given a discharge after 24 hours in which case you may need to stay in the hospital for a night.Before you are discharged you will be advised about post-operative care, painkillers and laxatives.

You do not need a specific diet. Just make sure you eat a healthy, fiber-rich diet before and after surgery.

Get plenty of rest, take a Sitz bath about 3 times a day ( especially after a bowel movement ), maintain self-hygiene and consume a fibre rich diet.

You may start travelling after a week.

Fever > 101 degree F
Pain not relieved by prescribed medicines
Unusual bleeding with bowel movement
Persistent nausea or vomiting

Patient Resources

Dr Porwal Treats Re Recurrent Guteal Fistula with Distal Laser Proximal Ligation

Recurrent fistula case from Zagreb Croatia Europe finally got cured by Dr Porwal Laser DLPL surgery

8 Years old boy suffering from Fistula (Bhagandar) successfully treated at Healing Hands Clinic

Spread across Bengaluru City

J.P. Nagar, Bengaluru

#281,Ground Floor,Krishna Towers,
15th Cross,5th Phase,

Tel : +917947044201

Indiranagar, Bengaluru

3rd Floor Krishvi Aspire, #516,
Chinmaya Mission Hospital Rd,
opp. Nature's Basket, Indiranagar, Bengaluru,
Karnataka 560038

Tel : +917947044201