• 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 Mumbai

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

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 an anal fistula, exactly?

An anal fistula is an infected tunnel between the skin and the anus, the muscular opening at the end of the digestive tract. The most common cause of anal fistulas is an infection of the anal glands that spreads to the skin. Symptoms include pain, swelling, and the release of blood and pus from the anus. Surgery is usually used to treat anal fistulas.

If you have an anal fistula, you should see a colorectal surgeon or a proctologist. Because of the abscess and infection, the fistula does not heal on its own, and it can spread and cause more problems. As a result, it's best to start treatment as soon as possible.

Diagnosis Of Fistula

At Healing Hands Clinic, an anal fistula is diagnosed after a brief history and a clinical examination that includes a digital rectal examination. At the same time, a proctoscopy (a brief examination of the rectum using a short tube-like scope) is conducted to rule out any additional rectum disorders. Intricate fistulas with difficult-to-define paths may necessitate an MRI Fistulogram.

Causes Of Fistula

  • Anorectal abscess - A primary anorectal abscess is the most prevalent cause of anal fistulas. An anorectal abscess occurs when one of the anal glands becomes inflamed. An abscess, which is a pus-filled accumulation, develops fast as a result of the infection. When an abscess does not heal fully, whether with or without therapy, an anal fistula develops.
  • Inflammation in the intestines is caused by diseases such as Crohn's disease, Diverticulitis, and others.
  • Rectal cancer affects the region around the urethra, and infections including TB, HIV, and sexually transmitted illnesses have been associated to fistula formation.
  • Iatrogenic - a condition brought on by a prior procedure in the region

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 considerable number of fistula patients as a 'Proctology exclusively hospital.' He has demonstrated his competence by effectively managing complicated and recurring fistula situations (those that have previously been unsuccessfully operated on). He has successfully treated fistulas stretching from the rectum to the belly (Recto-abdominal), the rectum to the groin (Recto-inguinal), and the rectum to the tailbone.

Team Healing Hands Clinic's physicians have created the Laser surgery FiLaC (Fistula-tract Laser Closure), the first of its type in India, to add to the present armamentarium for healing fistulas. The proctologist's team created Distal Laser Proximal Ligation. This fistula cure was invented by the Healing Hands Clinic team, directed by Dr. Ashwin Porwal, and is a sphincter-saving approach with a low recurrence rate when compared to all other fistula operations available, making Healing Hands Clinic Asia's number one in fistula treatment. Team Healing Hands Clinic has the global record for treating the most difficult and longest fistula.

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

Under local anaesthesia, the process takes roughly 30-40 minutes to perform. From the outside of the anus, a dramatically emitting Laser Fibre is introduced. The laser is then radiated circumferentially into the fistula tract in a precise amount. The laser's power leads the fistula tract to tumble to a larger extent by regulated photo thermal degradation. The healing process is assisted, facilitated, and hastened as a result.

FiLaC's Advantages

  • It takes less time to recover than other treatments, and because the anal sphincter is retained, there is no chance of incontinence following surgery.
  • It's also safe for high-risk patients, such as those who are hypertensive, have a cardiac problem, or are elderly.

FiLaC Disadvantages

  • There may be some local burning for a while.
  • A postoperative subcutaneous abscess is normally treated with drugs and a bandage, but an incision and drainage under regional anaesthetic may be necessary in some circumstances

Distal Laser Proximal Ligation ( DLPL )

Anal Fistula is a difficult disease to recover from. Any fistula treatment should aim to

  1. Save the sphincter muscles while also preventing incontinence
  2. Prevent recurrence of the disease while keeping the nature of the condition in mind

Most treatments, such as VAAFT, LIFT, and FiLaC, work to close the fistula while leaving the sphincter intact. They all, however, have different recurrence rates. Given the severity of a fistula, even the slightest chance of recurrence can endanger the patient's life.

As a specialised Proctology super specialty, 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 nature of the illness and the cause of recurrences based on our years of treating fistula patients. We developed the DLPL (Distal Laser Proximal Ligation) approach after conducting extensive research and utilising all of our knowledge and experience.

Initially, an abscess pit and the inner opening are excised during this surgery. This is considered during distal tract closure. The Leonardo Laser is then used to close the proximal end of the fistula tract. The laser's radially emitting fibre sends energy to the fistula tract in a circumstantial pattern. This ensures 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 Mumbai 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 Mumbai City