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Treatment of fistula Very few anal fistulas heal by themselves and the only effective cure for a persistent anal fistula is surgery. Why get your fistula ( Bhagandar ) treated at Healing Hands Clinic??? Being a 'Proctosurgeon', Dr. Jiten chowdhry has treated a large number of fistula cases. His expertise is evident from the fact that he has efficiently managed extremely difficult cases of Complex fistulas and Recurrent fistulas ( those that have been unsuccessfully operated upon before ). He has successfully cured rare cases of fistula, like those extending from rectum to abdomen ( Recto-abdominal ), rectum to groin ( Recto-inguinal ), rectum to tailbone ( Recto-nidal ). Giving an impetus to the existing armamentarium for treating fistulas, Dr. Jiten chowdhry has introduced the Laser surgery FiLaC ( Fistula-tract Laser Closure ), the first of its kind in India. His keenness in research and continual lookout for progress enabled him to devise a treatment he has labelled Distal Ligation Proximal Laser ( DLPL ) . This treatment is an innovation of Dr.Jiten chowdhry himself and is a sphincter-saving procedure with negligible recurrence rate compared to all other techniques. Types of Fistula Grade 1 fistula Grade 2 fistula Grade 3 fistula Grade 4 fistula Frequently asked questions Only a person who has suffered from fistula-in-ano knows what an irksome condition it is to have! In our long-standing experience of treating fistula cases, we have realised that a successful outcome of the treatment depends as much on the patient's cooperation and self-care, as on the surgeon's skill. Hence, we have answered a few queries which patients generally face during their fight against fistula. What do I feel during the procedure? 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! During laser surgery, is the laser probe inserted within the fistula tract to burn it? How does this help? 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'. What happens after the operation? 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. When can I go home? 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. Do I need to follow any specific diet before/after fistula surgery? You do not need a specific diet. Just make sure you eat a healthy, fiber-rich diet before and after surgery. What can I do to promote successful healing? 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. In how many days can I start travelling after a fistula surgery? You may start travelling after a week. Do I need to use a special ( doughnut ) pillow while sitting? You do not need any special pillow after surgery. When can I return to my normal activities? Take complete rest for the first 24 hours. You can gradually resume your daily chores and most people are back to their normal activities in 5-7 days When should I seek help? Fever > 101 degree F Pain not relieved by prescribed medicines Unusual bleeding with bowel movement Persistent nausea or vomiting