• 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 Nashik

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

2 Lac + Happy 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 Fistula ( Bhagandar )?

An anal fistula ( Bhagandar / Fistula in ano ) is a tiny tunnel that expands between the border of the anus and the surface near the anus. It is the effect of an occurring anal bump. The fistula includes an area with 2 openings – An internal opening into the rectum or an Outer opening piercing the surface of the buttocks

Does Fistula need medical treatment?

Yes, It is important to consider a specialist doctor's treatment who is understood as a proctologist. Fistula does not cure on its own due to the disorder, the infection may spread and create complications. Thus early medication is better for you if you are diagnosed with Fistula.

Diagnosis Of Fistula

If the doctor believes you have a fistula, they'll ask about your medical record and give you a medical test. Some fistulas are spotted easily and some aren’t. The doctor will probably send you to give some medical tests like MRI Fistulogram, Proctoscopy followed by a brief history understanding.

Causes Of Fistula

Inside your anus are many glands that create fluid. Periodically, they get clogged. When that occurs, bacteria can develop a swollen bag of infected tissue and fluid which are also known as an abscess. If you don’t deal with the abscess, it’ll develop. Ultimately, it’ll create its direction to the outside and hit a hole in the skin near your anus so the gunk inside it can soak. The fistula is the hole that relates the gland to that entrance. For most of the duration, an abscess affects a fistula. They can also arrive from situations like tuberculosis, sexually transmitted diseases, and ongoing disease that causes your bowels, such as Crohn’s infection and ulcerative colitis

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

About Fistula Treatments

FiLaC ( Fistula-tract Laser Closure )

This method of dealing with fistula is accomplished using the Leonardo Laser and was first introduced in India by Dr Ashwin Porwal who is the founder of Healing Hands Clinic. The objective of the medical method is to carefully remove the fistula tract without hurting the sphincter muscles.

Advantages of FiLaC

  • It has a wonderful healing pace as compared to all other techniques.
  • It can be performed to cure difficult and tricky fistulas like recto-inguinal, recto-gluteal fistulas or others.
  • It is safe for high-risk patients like those with hypertension, cardiac patients and even for old age people.

Distal Laser Proximal Ligation ( DLPL )

Healing Hands Clinic, being a specialist in Proctology ( a department of surgery that deals with the rectum and gluteal region), have altogether dealt with a large number of Fistula patients. In our understanding of dealing with fistula patients over the prior years, we have tried to understand the importance of the disease and the reason for recurrences. Behind in-depth research and applying all understanding and skills, we have devised a method which is recognised as DLPL - Distal Laser Proximal Ligation to treat complex fistula.

In this procedure, an abscess hole along with the inner opening is only excised. This is regarded as the closure of the distal area. The proximal part of the fistula area is then closed with the Leonardo Laser. With the radially emitting fiber of the laser, power is applied to the fistula area in a circumferential behavior. This ensures the entire closure of the area

The Centre has trained more than 100+ Fistula experts across the world. It is recognised as a centre of superiority for training specialists from Europe, the Middle East, Asia.

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

Nashik, Maharashtra

Healing Hands Clinic,
3rd floor, Above MacDonald
Opp. Big Bazar, College road,
Nashik, Maharashtra - 422005

Tel : +918888366662