Fistula
You are on the right page if you are seeking information about fistulas and their treatment options. In India, 1 in 10 people experiences problems related to anorectal issues, but unfortunately, not many are aware of the condition, available treatment options, and the potential complications that may arise if treatment is delayed. At Kaizen Gastro Care, we offer advanced and comprehensive anal fistula treatment in Pune. Dr. Samrat Jankar – Fistula Specialist in Pune and Gastrophysiologist Dr. Rupali Bandgar-Jankar, & our team specializes in the diagnosis and management of anal fistulas, providing personalized care to each patient. If you are experiencing symptoms of an anal fistula, don’t wait to seek treatment. Contact Kaizen Gastro Care to schedule a consultation and learn more about our advanced treatment options for anal fistulas.
What is anal fistula?
An anal fistula is an abnormal connection between the anal canal and the perianal skin. Fistula in Ano denotes a small opening/opening by the side of the anus discharging blood mixed with foul-smelling pus staining the undergarments of the patient. Fistulae either result from a ruptured abscess or a surgically drained peri-anal abscess.
Causes of Fistulas:
Anal fistulas are typically caused by an infection in an anal gland. Other causes may include:
- Crohn’s disease: An inflammatory bowel disease that can affect the digestive tract.
- Trauma: Injury to the anal area, such as during childbirth or surgery.
- Inflammatory bowel disease: Conditions like Crohn’s disease or ulcerative colitis can increase the risk of anal fistulas.
Symptoms of Fistulas:
Common symptoms of anal fistulas include:
- Pain or discomfort, especially during bowel movements.
- Swelling around the anus.
- Discharge of pus or blood from the anus.
- Itching or irritation around the anus.
Diagnosis of anal fistula:
We have advanced and latest diagnostic tools, devices, and tests to make sure you are diagnosed properly and receive the appropriate treatment. Kaizen doctors are highly trained in diagnosing anal fistulas with the help of the latest laboratory tests and scans. Usually, we perform a physical examination of your anal area to find the tract or fistula. If the fistula tract is not identifiable, our doctors can recommend a few tests like:
- X-ray of the anal area
- Colonoscopy
- Anoscopy
- MRI scan
- Ultrasound
Along with the above-mentioned tests, we check and evaluate your past and present medical and medication history. By doing so, we can rule out the presence of underlying disease or any past medical condition responsible for causing anal fistulas.
Treatment of Chronic Anal Fistula:
At Kaizen Gastro Care, we offer a range of advanced treatment options for anal fistulas, tailored to each patient’s specific needs. Led by Dr. Rupali Bandgar-Jankar, our team specializes in the diagnosis and management of anal fistulas, providing compassionate care and excellent outcomes.
- Fistulotomy: This surgical procedure involves cutting open the fistula tract to allow it to heal from the inside out. It is often used for simple, superficial fistulas and has a high success rate.
- Ligation of the intersphincteric Fistula Tract (LIFT): LIFT is a minimally invasive procedure that involves tying off the fistula tract at the level of the internal sphincter muscle. It is effective for certain types of fistulas and has a lower risk of incontinence compared to other procedures.
- FiLaC (Fistula-tract Laser Closure): FiLaC is a minimally invasive procedure that uses a laser to close off the fistula tract. It is effective for complex fistulas and has a shorter recovery time compared to traditional surgery.
- VAAFT (Video-Assisted Anal Fistula Treatment): VAAFT is a minimally invasive procedure that uses a specialized endoscope to locate and treat the fistula tract. It is effective for complex fistulas and has a high success rate.
- Fistula Plug: This procedure involves inserting a biocompatible plug into the fistula tract to seal it off. It is effective for certain types of fistulas and has a low risk of incontinence.
- PILTEC (Procedure for Prolapse and Hemorrhoids with Ligation of the Intersphincteric Fistula Tract): PILTEC is a modification of the LIFT procedure that also treats hemorrhoids. It is effective for fistulas associated with hemorrhoids and has a high success rate.
Importance of Anorectal Manometry in Anal Fistula Management:
Anorectal manometry is a diagnostic procedure used to assess the function of the muscles and nerves in the rectum and anus. It plays a crucial role in the management of anal fistulas by providing valuable information about the function of the anal sphincter muscles and identifying any abnormalities that may be contributing to the fistula.
One of the key benefits of anorectal manometry in anal fistula management is its ability to help guide treatment decisions. By measuring the pressure and coordination of the anal sphincter muscles, anorectal manometry can help determine the most appropriate surgical or non-surgical approach for treating the fistula. For example, in cases where there is evidence of sphincter dysfunction, surgery may be recommended to repair the fistula and improve muscle function.
Anorectal manometry can also help predict the likelihood of success for certain treatments. For instance, if anorectal manometry reveals significant sphincter dysfunction, the surgeon may recommend a different surgical approach or additional procedures to improve outcomes. Furthermore, anorectal manometry can be used to monitor the effectiveness of treatment. After surgery or other interventions, repeat anorectal manometry can be performed to assess the impact of the treatment on anal sphincter function and determine if further interventions are needed.
Why Choose Dr. Rupali Bandgar-Janakr for Chronic Anal Fistula Treatment?
- Expertise and Experience: Rupali Bandgar-Jankar is a highly skilled Consultant Gastrophysiologist with specialized expertise in diagnosing and treating gastrointestinal disorders, including anal fistulas. With years of experience and advanced training, Dr. Rupali possesses the knowledge and proficiency necessary to provide comprehensive care for patients with anal fistulas.
- Advanced Treatment Options: Rupali offers a range of advanced treatment options for anal fistulas, including minimally invasive procedures such as FiLaC, VAAFT, and LIFT. These procedures are effective in treating complex fistulas while minimizing discomfort and reducing recovery time.
- Comprehensive Care: At Kaizen Gastro Care, we provide comprehensive care for patients with anal fistulas, including preoperative counseling, surgical treatment, and postoperative follow-up. Dr. Rupali takes the time to listen to her patients’ concerns, answer their questions, and provide support throughout their treatment journey.
- Personalized Approach: Rupali takes a personalized approach to anal fistula treatment, tailoring treatment plans to each patient’s unique needs and preferences. She works closely with each patient to develop a plan that achieves the best possible outcomes.
- Patient-Centered Care: Patients who choose Dr. Rupali for anal fistula treatment can expect compassionate and patient-centered care. Dr. Rupali is dedicated to providing the highest level of care and ensuring that her patients are comfortable and well-informed throughout their treatment.
- Positive Patient Experiences: Rupali’s dedication to providing high-quality care is reflected in the positive feedback and testimonials from her patients. Patients consistently commend Dr. Rupali for her expertise, professionalism, and compassionate approach to care.
Request a Call Back:
Dr. Rupali Bandgar-Jankar at Kaizen Gastro Care’s highly specialized doctors offers trusted medical advice and expert care for Constipation. Don’t hesitate to get in touch with our best gastrophysiologist in Pune if you’re experiencing symptoms of constipation. For more information about our comprehensive treatment options, or to request an appointment with the best Gastroenterologist in Pune call 9763635252