Fistula & Fissure Treatments
Anal fistulas and anal fissures are two distinct but often confused anorectal conditions that can cause significant pain and discomfort. Dr. Pravin Goykar provides specialised surgical and minimally invasive treatment for both conditions, tailored to each patient's clinical presentation and severity.
Anal Fissure
An anal fissure is a small tear or crack in the lining of the anal canal. It typically causes sharp pain during bowel movements, along with minor bleeding. Fissures can be acute (short-term) or chronic (persistent), and the treatment approach differs accordingly.
Treatment Options for Anal Fissure
- Conservative Management – Dietary modifications, increased fluid intake, topical medications and sitz baths for acute fissures.
- Botulinum Toxin Injection – Used in selected chronic fissures to relax the internal anal sphincter and promote healing.
- Lateral Internal Sphincterotomy (LIS) – A minor surgical procedure to release sphincter spasm, commonly performed for chronic fissures that have not responded to conservative treatment.
- Laser-Assisted Fissure Treatment – A minimally invasive option for selected patients, involving laser energy to promote healing with minimal tissue disruption.
Anal Fistula
An anal fistula is an abnormal tunnel-like tract that forms between the inner lining of the anal canal and the skin around the anus. It usually develops following an anal abscess. Most anal fistulas require surgical treatment, as they rarely heal on their own.
Treatment Options for Anal Fistula
- Fistulotomy – Surgical laying open of the fistula tract, suitable for simple, low-lying fistulas.
- Seton Placement – A staged surgical technique using a suture through the fistula tract, used for complex or high fistulas to preserve sphincter function.
- VAAFT (Video-Assisted Anal Fistula Treatment) – A minimally invasive endoscopic technique that allows direct visualisation and treatment of the fistula tract.
- Laser Fistula Treatment (FiLaC) – A sphincter-preserving laser procedure that obliterates the fistula tract from the inside, offering a minimally invasive alternative for selected cases.
- Fibrin Glue / Plug – Biological material used to seal the fistula tract in selected cases.
Why Timely Treatment Matters
Untreated anal fistulas can lead to recurrent infections, abscess formation, and worsening of the tract. Chronic anal fissures can significantly impact quality of life. Early assessment and appropriate treatment planning help prevent complications and promote faster recovery.
Why Choose Dr. Pravin Goykar?
- Expertise in both conventional and minimally invasive anorectal procedures
- Experience with laser-based fistula and fissure treatments
- Careful pre-operative assessment and individualised surgical planning
- Focus on sphincter preservation and long-term outcomes
- Comprehensive follow-up care