The Most Common Surgery For Simple Fistulas—tract Is Cut Open To Heal From The Inside Out Book an appointment with the best piles surgeons in Chennai.
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ARUL RADHAKRISHNAN
“best experience at pristyn care ”
Date: 06-11-24
Ebenezer P
“good”
Date: 24-10-24
wilson
“Good prolite patience Over 👍👍”
Date: 24-03-25
ARUL RADHAKRISHNAN
“best experience at pristyn care ”
Date: 06-11-24
Ebenezer P
“good”
Date: 24-10-24
wilson
“Good prolite patience Over 👍👍”
Date: 24-03-25
An anal fistula is an abnormal connection between the anal canal and the perianal skin. Pristyn Care offers the latest minimally invasive laser technology to treat fistula. This process allows treating anal fistula without pain and nominal recurrence rate.
1. Fistulotomy : Incising open the fistula tract to allow healing from the inside out
Best for: Simple, superficial fistulas.
Pros: ~95% healing; outpatient; minimal sphincter damage
Risks: Low risk of incontinence in simple cases, higher for complex tracts.
Best for: Extensions or recurrent tracts, but more tissue disruption.
Risks: Higher risk of sphincter injury.
Best for: Complex fistulas traversing muscle.
Pros: Sphincter-preserving, ~75–94% success; lower incontinence .
Ideal for: Simple/transsphincteric fistulas through muscle.
Outcome: ~70% healing; used for complex cases.
FiLaC: Laser energy destroys fistula lining.
VAAFT: Visual curettage and ablation via endoscopy.
DLPL: Laser ablates the tract while ligating internal opening—sphincter-sparing, ~99% success in complex fistulas
Pros: Precise, minimal incontinence risk, outpatient.
Outcome: Success rates vary (10–80%), minimal surgical risk.
Cost Estimates
Range: ₹20,000–₹150,000 depending on procedure
Average costs:
Fistulotomy: ₹25,000–₹60,000
LIFT: ₹45,000–₹90,000
Advancement flap: ₹70,000–₹80,000
Laser: ₹35,000–₹60,000 .
VAAFT: ₹80,000–₹100,000
DLPL: typically under laser/easy ablation range.
Incontinence risk: Minimal for LIFT, FiLaC, VAAFT; fistulotomy and fistulectomy carry more risk
DLPL: 98–99% success in complex fistulas with no reported incontinence
Recurrence: Lower with newer sphincter-sparing techniques, higher in complex or Crohn’s-associated cases.
The cost of fistula surgery in Chennai can range between Rs. 47,000 to Rs. 55,000. But various factors can impact this price range, and a few of those factors are the consultation fee, type and location of the hospital, cost of diagnostic tests, and amount to be paid for medications. If you wish to know the exact cost of fistula treatment, you can talk to our medical coordinators.
Surgeons may take around 30 to 45 minutes to complete the laser fistula surgery. It also depends on the expertise of the surgeon and the overall health condition of the patient.
You can apply ice multiple times a day for 10-20 minutes. Soak your anus in warm water for 15-20 minutes everyday. When you sit on the toilet seat, support your feet with a step stool. Place a gauze or maxi pad to absorb the drainage from your anal fistula.
According to medical reports, more than 50 percent of anal fistulas may recur or re-presnet as a new fistula.Fistulas have a potential of recurring despite proper treatment. However, the recurrence rate is dependent on the surgical technique followed for the treatment. In case there arises any symptoms that indicate the recurrence of anal fistula, you should consult an anirectal surgeon/ proctologist/ or a colorectal surgeon for diagnossis and treatment.
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