An anal fistula is an uncomfortable, messy, condition. If you're dealing with one or more fistulas, you'll surely want them to be gone. I've put together a basic guide to anal fistulas to help you understand this difficult condition and what options are available. Anal fistulas require surgery, but there are multiple approaches to choose, including surgical removal of the tissue track using standard general surgery techniques or using a laser for ablation of the fistula track. An anal fistula, also known as fistula-in-ano, is a small channel that connects the rectum to the outer skin of the buttocks. When a fistula forms, it can cause complications for the sufferer, such as irritation, infection, and draining pus and fecal material.
Anal fistula is often followed with an infection that does not easily heal with medications alone.
There are various ways to repair a fistula, but a surgery is considered to be the most effective one for permanent results. Additionally, fistula may occur if the anal abscess bursts before it has been treated.
Or, a fistula might also develop if teh anal abscess has not healed completely, or if the pus or the infected fluid clogged in the abscess has not been drained completely. SOme of the the risk factors are:.
Proctoscopy - In this process, the proctologists usesa specialised telescope that has an attached fistula probe which helps him to see inside the rectum of the person. Anal ultrasound - In this process, the doctos uses high frequency sound waves to capture the surface of the anal canal in imaging forms. MRI and CT scan - These imaging tests are done to see inside the anal canal and lining of the anus.
Additionally, these tests can also help the proctologist evaluate the extent of the inflammation of the anal lining. The condition of anal fistula might often not get treated with medications or home remedies and the patient might need a surgical intervention.
The modern laser-assisted technique is considered to be the best and the most effective way to get rid of anal fistula.
The benefits of laser surgery include no repeated visits to the hospital and speedy recovery of the patient. The laser treatment is minimally invasive, causes no bleeding and there are no big cuts or incisions involved in the treatment. There are no chances of risks after the surgery if the patient follows the instructions given by the doctor for fast and complete healing.
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CC Discovery. Wednesday, October 6, About Us. Trending Now. An anal fistula is most commonly caused by a n anal abscess.
The fistula is the tunnel that connects the gland to that opening. Most of the time, an abscess causes a fistula. It's rare, but they can also come from conditions like tuberculosis, sexually Estimated Reading Time: 3 mins
It can also be caused by conditions that affect the intestines part of your digestive system. An abscess is a painful collection of pus.
An anal abscess usually develops after a small gland just inside the anus becomes infected with bacteria.
The cause of the abscess is often unknown, although abscesses are more common in people with immune deficiencies, such as HIV and AIDS. Particularly when a procedure involves cutting through the anal sphincter, incontinence is a serious concern.
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Simple fistulas are often easier to treat without damaging the sphincter, but as fistulas become more complex, the risks increase. Unfortunately, more conservative measures designed to preserve continence are more likely to fail over time and may need to be repeated.
What will happen if a fistula is left untreated? - Dr. Rajasekhar M R
A seton is a thin piece of material, such as rubber or surgical thread, which is run through the fistula and around the anus to create a loop. It is usually used to help widen, heal and drain a fistula-in-ano before proceeding with another treatment method.
An anal fistula is most commonly caused by a n anal abscess. It can also be caused by conditions that affect the intestines (part of your digestive system). Anal abscess. An abscess is a painful collection of pus. An anal abscess usually develops after a small gland Estimated Reading Time: 2 mins Causes of anal fistulas. Most anal fistulas develop after an anal abscess. You can get one if the abscess does not heal properly after the pus has drained away. Less common causes of anal fistulas include: Crohn's disease - a long-term condition in which the digestive system becomes inflamedEstimated Reading Time: 2 mins What causes an anal fistula? The leading causes of an anal fistula are clogged anal glands and anal abscesses. Other, much less common, conditions that can cause an anal fistula include: Crohn's disease (an inflammatory disease of the intestine) Radiation (treatment for cancer) Trauma; Sexually transmitted diseases; Tuberculosis
Sometimes, a seton is used on its own to heal a fistula. The seton is pulled tight so it will slowly cut through the tissue around the fistula and leave scar tissue in its place.
One of the most common treatment methods for fistula-in-ano, a fistulotomy is a surgical procedure in which the fistula channel is cut open. It is also known as "unroofing" the fistula.
Cause of anal fistula
After the doctor cleans any infection out of the fistula tract, the tunnel is flattened. The work is sewn into place to hold the channel open and promote healing. Fistulotomy on simple fistulas has a high success rate and can prevent recurrence.
However, in more complicated cases, there is a significant risk of damage to the sphincter muscle involved with this procedure. When the entire fistula is cut out and removed from the body, the procedure is known as a fistulectomy.
Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract (anus). Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to the Anal Fistulas/Perianal Fistulas. Abnormal connection between the epithelialized surface of the anal canal and the perianal skin. Anorectal Fistula occurs between the anal canal and the skin around the anal opening. Rectovaginal or Anovaginal Fistula occurs when a hole develops between the rectum or anus and the vagina Other causes of an anal fistula may include: Crohn's disease - Crohn's disease is a type of inflammatory bowel disease (IBD) which is a major cause of fistula formation. It is a chronic condition, where the mucosal lining of the digestive system gets inflamed. This disease has proven to be the cause of fistula formation in many men till gleicyferreira.comted Reading Time: 6 mins
The surgery can be highly effective at healing a fistula-in-ano and preventing a recurrence. It is sometimes considered the best treatment method for complicated fistulas.
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However, fistulectomy does carry serious drawbacks. The recovery time-four to six weeks-is longer than for other treatment methods.
Also, fecal incontinence is a risk with this surgery. There several different anal fistula closure options available.
These treatments attempt to fill the space of the fistula in order to help close up the channel. One method involves inserting a conical plug into the fistula. Another approach fills the channel with fibrin glue.
While these anal fistula closure methods are, in some ways, better because they do not involve cutting the sphincter muscles, they are also not as reliable as other approaches.
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