Introduction | Treatment
It is important to treat an anal fistula to relieve the symptoms and prevent re-infection. The goal of treatment is to cure the fistula with as little impact as possible on the sphincter muscles. Patients treated for anal fistulas at One Stop Procedure Clinic benefit from skilled surgeons specialized in treating common anorectal diseases.
The surgeon first probes to find the fistula’s internal opening. Then the surgeon cuts the tract open and curettes it, then the wound is stitched in a way that the fistula is laid open.
To treat a more complicated fistula, the surgeon may lay open only the segment where the tracts join and remove the remainder of the tracts. The surgery may be performed in more than one stage or repeated if the entire tract can’t be found.
Fistulectomy with Advancement Rectal Flap
A surgeon may core out the tract and then cut a flap into the rectal wall to remove the fistula’s internal opening. The flap is then stitched back down.
A seton (silk string or rubber band) is used to allow the seton to slowly cut all the way through the muscle over the course of several weeks, it also help the fistula drain.
In some cases, a fibrin glue or a plug of collagen protein is used to seal up and heal a fistula rather than cutting it open.