• 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 Pune

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

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 exactly is an anal fistula?

An infected tunnel between the skin and the anus, the muscular 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 is the most common cause of anal fistulas. Pain, swelling, and the release of blood and pus from the anus are all symptoms. Anal fistulas are usually treated with surgery.

A colorectal surgeon or a proctologist should be consulted if you have an anal fistula. The fistula does not heal on its own due to the abscess and infection, and it may spread and cause further difficulties. As a result, it's best to get started on treatment right away.

Diagnosis Of Fistula

An anal fistula is diagnosed following a brief history and a clinical examination that includes a digital rectal examination at Healing Hands Clinic. A proctoscopy (a minor inspection of the rectum with a short tube-like scope) is performed at the same time to rule out any other rectum diseases. An MRI Fistulogram may be required for intricate fistulas with difficult-to-define pathways.

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. As a result of the infection, an abscess, which is a pus-filled collection, develops quickly. An anal fistula develops when an abscess does not heal completely, whether with or without treatment.
  • Diseases like Crohn's disease, Diverticulitis, and others cause inflammation of the intestines.
  • Rectal cancer affects the area surrounding the urethra, and infections like tuberculosis, HIV, and sexually transmitted diseases have been linked to the development of fistulas.
  • Iatrogenic - caused by a previous operation 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 come to Healing Hands Clinic for treatment of your anal fistula (Bhagandar)?

As a 'Proctology only hospital,' Dr. Ashwin Porwal has treated a large number of fistula cases. He has successfully managed complex and recurrent fistula cases, demonstrating his expertise (those that have previously been unsuccessfully operated on). Fistulas extending from the rectum to the abdomen (Recto-abdominal), the rectum to the groyne (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. 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.

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 in a gentle manner while avoiding injury to the sphincter muscles.

The procedure takes about 30-40 minutes to complete and is done under local anaesthesia. A radically emitting Laser Fibre is inserted from the outside of the anus. The laser is then radiated in a specific amount circumferentially into the fistula tract. Through regulated photo thermal destruction, the laser's power causes the fistula tract to tumble to a greater extent. As a result, the healing process is aided, facilitated, and accelerated.

FiLaC's Merits

  • It takes less time to recover than other techniques, and because the anal sphincter is preserved, there is no risk of incontinence after surgery.
  • It's also safe for high-risk patients, such as those who are hypertensive, have a heart condition, or are elderly.
  • It is possible to perform it on a variety of fistulas, including recto-inguinal, recto-gluteal, and others.

FiLaC Demerits

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

Distal Laser Proximal Ligation ( DLPL )

Fistula is a challenging condition to heal. The ultimate goal of any fistula treatment should be to

  1. Save the sphincter muscles and prevent incontinence.
  2. Prevent recurrence while keeping the nature of the condition in mind

The majority of treatments, such as VAAFT, LIFT, and FiLaC, work to close the fistula while leaving the sphincter intact. However, t hey all have distinct recurrence rates. Given the severity of a fistula, even a slight possibility of recurrence can jeopardise the patient's life.

Healing Hands Clinic has treated a huge number of Fistula cases as a specialised Proctology super specialty (a department of surgery that deals with the rectum and gluteal region). Based on our years of treating fistula patients, we've attempted to comprehend the nature of the sickness and the cause of recurrences. After completing considerable research and utilising all of our knowledge and experience, we developed the DLPL (Distal Laser Proximal Ligation) approach.

During this surgery, an abscess pit and the inner opening are initially excised. This is taken into account during distal tract closure. The Leonardo Laser is then utilised to shut the fistula tract's proximal end. In a circumstantial pattern, the laser's radially emitting fibre sends energy to the fistula tract. This ensures that the tract is closed entirely.


Dr Ashwin Porwal | Best Fistula doctor in Pune | Best Fistula surgeon in Pune

Dr Ashwin Porwal, Dr Paresh M Gandhi, Dr Deepak Kulkarni, Dr Chaitanya Shah, Dr Mayur Narayankar

Healing Hands Clinic comprises renowned Fistula doctors all having over 10+ Years of experience in treating Fistula. The Fistula specialist at Healing Hands Clinic, Pune, gained popularity due to their success in treating 20000+ patients with Laparoscopy and Laser Fistula Treatment. The team has successfully treated complicated cases of Obstructed and Recurrent Fistula.

All our hernia surgeons in Pune are renowned for their operational skills and calm deportment. The team of Hernia experts in Pune have worked and treated patients with Dr John Murphy ( Ex-president American Hernia Society ) and has exceptional skills at 3D Mesh hernia repair.

The team of Healing Hands Clinic is extremely prolific and active in arranging conferences, CMEs and training in the best interest of the medical fraternity so that treatment of hernia can be available to all our fellow citizens in India.

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 Pune City