• 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 Hyderabad

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

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

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What is anal fistula ?

An infected tunnel between the skin and the anus, the muscle opening at the end of the digestive tract, is known as an anal fistula. An infection of the anal glands that spreads to the skin causes the majority of anal fistulas. Pain, swelling, and the secretion of blood and pus from the anus are all symptoms. Anal fistulas are usually treated with surgery.

Yes, Anal Fistula necessitates the care of a colorectal surgeon or a proctologist. The fistula does not heal on its own due to the abscess and infection, and it may spread and cause further complications. As a result, the sooner you start treatment, the better

Diagnosis Of Fistula

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

Causes Of Fistula

  • Anorectal abscess - The most common cause of anal fistulas is a primary anorectal abscess. When one of the anal glands becomes infected, an anorectal abscess develops. The infection quickly develops into an abscess, which is a pus-filled collection. An anal fistula develops when an abscess does not heal completely, whether with or without treatment.
  • Intestinal diseases like Crohn's disease, Diverticulitis, and others cause the intestines to become inflamed.
  • Rectal cancer affects the area around the urethra, and infections like tuberculosis, HIV, and sexually transmitted diseases have been linked to the formation of fistulas.
  • Iatrogenic - caused by prior 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 choose Healing Hands Clinic to treat your anal fistula (Bhagandar)?

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

To add to the current armamentarium for ministering fistulas, Team Healing Hands Clinic's surgeons have introduced the Laser surgery FiLaC (Fistula-tract Laser Closure), the first of its kind in India. A treatment called Distal Laser Proximal Ligation was developed by the proctologist's team. The Healing Hands Clinic team, led by Dr Ashwin Porwal, developed this fistula cure, which 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. The world record for treating the most complicated and longest fistula is held by Team Healing Hands Clinic.

About Fistula Treatments

FiLaC ( Fistula-tract Laser Closure )

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

The procedure takes about 30-40 minutes to complete and is done under concise anaesthesia. A radically emitting Laser Fibre is inserted from the outside of the anus. The laser is then radiated in a specific amount circumferential into the fistula tract. Through regulated photo thermal destruction, the laser's power causes the fistula tract to tumble to a greater degree. This also aids, facilitates, and accelerates the healing process.

Advantages of FiLaC

  • It takes less time to recover than other techniques, and because the anal sphincter is preserved, there is no risk of incontinence following surgery.
  • It's also safe for high-risk patients like hypertensive patients, cardiac patients, and even the elderly.
  • It's possible to do it in fistulas as complex as recto-inguinal, recto-gluteal, and others.

Possible Drawback of FiLaC

  • There may be some regional burning for a time.
  • A postoperative subcutaneous abscess is usually treated with medications and a bandage, but in rare cases, an incision and drainage under regional anaesthesia may be required.

Distal Laser Proximal Ligation ( DLPL )

Fistula is a challenging condition to heal. Ultimately, any fistula treatment should aim

  1. To save the sphincter muscles and prevent incontinence.
  2. To prevent recurrence, taking into account the condition's nature

The majority of techniques, such as VAAFT, LIFT, and FiLaC, succeed in closing the fistula while preserving the sphincter. They all have different recurrence rates, though. Given the severity of a fistula, even a small chance of recurrence can be a life-threatening situation for the patient.

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

During this procedure, an abscess pit and the interior opening are first excised. This is taken into account by the distal tract closure. The Leonardo Laser is then used to close the fistula tract's proximal end. The radially emitting fibre of the laser delivers energy to the fistula tract circumstantially. This ensures that the tract is closed completely.


Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic Hyderabad 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 Hyderabad City

Jubilee Hills, Hyderabad

MCH No.8-2-293/82/A/729/1/1F1,
1st Floor, DK's Kavya House
Road No.36, Opposite Neeru's Emporio,
Madhapur Metro station Piller number 1698,
Beside Indian oil petrol pump,
Jubilee Hills Main Road, Jubilee Hills,
Hyderabad, Telangana.

Tel : +917947044470