┬аTop-rated Colorectal Surgeon in Bhopal
Dr Pradeep Saxena
Call us / WhatsApp : 6261337796
Dr Pradeep Saxena
Call us / WhatsApp : 6261337796
Specialized center in Bhopal for state-of-the-art treatment of Fistula in Ano. 30+ years of Surgical Expertise.
Get rid of the persistent pain, swelling, redness and pus discharge around anus.┬а
Consult with the top-rated colorectal surgeon in Bhopal for in-depth examination, accurate diagnosis and advanced treatment of complex and recurrent fistulas.┬а
Precise, sphincter-saving surgery with optimum results.
┬аDetailed follow-up consultations to ensure complete healing.┬а┬а
Book an Appointment with the most trusted and Best Fistula Surgeon in Bhopal┬а┬а
Dr Pradeep Saxena, MS, FMAS, FHPBS, FACRSI
Advanced Laparoscopic & Open Surgery
Trusted Expertise, Proven Outcomes.
рднреЛрдкрд╛рд▓ рдореЗрдВ рдЧреБрджрд╛ рд░реЛрдЧ рд╡рд┐рд╢реЗрд╖рдЬреНрдЮ рджреНрд╡рд╛рд░рд╛ рднрдЧрдВрджрд░ рдХрд╛ рдЗрд▓рд╛рдЬред
рднреЛрдкрд╛рд▓ рдореЗрдВ 'рдлрд┐рд╕реНрдЯреБрд▓рд╛ рдЗрди рдПрдиреЛ' (рдЧреБрджрд╛ рдирд╛рд▓рд╡реНрд░рдг) рдХреЗ рдЕрддреНрдпрд╛рдзреБрдирд┐рдХ рдЗрд▓рд╛рдЬ рдХреЗ рд▓рд┐рдП рдПрдХ рд╡рд┐рд╢реЗрд╖ рд╕реЗрдВрдЯрд░ред рд╕рд░реНрдЬрд░реА рдореЗрдВ 30+ рд╕рд╛рд▓ рдХрд╛ рдЕрдиреБрднрд╡ред
рдЧреБрджрд╛ рдХреЗ рдЖрд╕-рдкрд╛рд╕ рд╣реЛрдиреЗ рд╡рд╛рд▓реЗ рд▓рдЧрд╛рддрд╛рд░ рджрд░реНрдж, рд╕реВрдЬрди, рд▓рд╛рд▓рд┐рдорд╛ рдФрд░ рдорд╡рд╛рдж рдирд┐рдХрд▓рдиреЗ рдХреА рд╕рдорд╕реНрдпрд╛ рд╕реЗ рдЫреБрдЯрдХрд╛рд░рд╛ рдкрд╛рдПрдВред
рдЬрдЯрд┐рд▓ рдФрд░ рдмрд╛рд░-рдмрд╛рд░ рд╣реЛрдиреЗ рд╡рд╛рд▓реЗ рдлрд┐рд╕реНрдЯреБрд▓рд╛ рдХреА рдЧрд╣рд░реА рдЬрд╛рдВрдЪ, рд╕рдЯреАрдХ рдкрд╣рдЪрд╛рди рдФрд░ рдЖрдзреБрдирд┐рдХ рдЗрд▓рд╛рдЬ рдХреЗ рд▓рд┐рдП рднреЛрдкрд╛рд▓ рдХреЗ рд╕рдмрд╕реЗ рдЕрдЪреНрдЫреЗ рдХреЛрд▓реЛрд░реЗрдХреНрдЯрд▓ рд╕рд░реНрдЬрди рд╕реЗ рд╕рд▓рд╛рд╣ рд▓реЗрдВред
рд╕рдЯреАрдХ рд╕рд░реНрдЬрд░реА, рдЬрд┐рд╕рдореЗрдВ рд╕реНрдлрд┐рдВрдХреНрдЯрд░ (рдорд╛рдВрд╕рдкреЗрд╢реА) рдХреЛ рдиреБрдХрд╕рд╛рди рдирд╣реАрдВ рдкрд╣реБрдБрдЪрддрд╛ рдФрд░ рд╕рдмрд╕реЗ рдЕрдЪреНрдЫреЗ рдирддреАрдЬреЗ рдорд┐рд▓рддреЗ рд╣реИрдВред
рдкреВрд░реА рддрд░рд╣ рд╕реЗ рдареАрдХ рд╣реЛрдиреЗ рдХреА рдкреБрд╖реНрдЯрд┐ рдХрд░рдиреЗ рдХреЗ рд▓рд┐рдП рд╡рд┐рд╕реНрддрд╛рд░ рд╕реЗ рдлреЙрд▓реЛ-рдЕрдк рдкрд░рд╛рдорд░реНрд╢ рджрд┐рдП рдЬрд╛рддреЗ рд╣реИрдВред
An anal fistula can be a persistent and painful problem, often recurring if not treated with precision. At our Bhopal Surgery Clinic, we use high-definition imaging and skilled surgical techniques to track and seal the fistula tract completely.┬а
MRI-Guided Precision: We map the fistula path before surgery to ensure no hidden branches are missed.
Laser Fistula Closure (FiLaC): A minimally invasive way to seal the tract without cutting the sphincter muscles, ensuring zero risk of incontinence.
Sphincter-Saving Approach: Our priority is preserving your natural function while ensuring the fistula is gone for good.
Expert Care in Bhopal: No need to travel to metros; get high-class proctology care right here in MP's capital.┬а
рднрдЧрдВрджрд░ рдПрдХ рдЬрдЯрд┐рд▓ рдмреАрдорд╛рд░реА рд╣реИ рдЬреЛ рдЕрдХреНрд╕рд░ рд╕рд╣реА рдЗрд▓рд╛рдЬ рди рдорд┐рд▓рдиреЗ рдкрд░ рджреЛрдмрд╛рд░рд╛ рд╣реЛ рдЬрд╛рддреА рд╣реИред рднреЛрдкрд╛рд▓ рдХреЗ рд╣рдорд╛рд░реЗ рдХреЗрдВрджреНрд░ рдкрд░ рд╣рдо рдЖрдзреБрдирд┐рдХ MRI рдЧрд╛рдЗрдбреЗрдб рд╕рд░реНрдЬрд┐рдХрд▓ рдЧрд╛рдЗрдбреЗрдб рд╕рд░реНрдЬрд┐рдХрд▓ рдФрд░ рд▓реЗрдЬрд░ рддрдХрдиреАрдХ (FiLaC) рдХрд╛ рдЙрдкрдпреЛрдЧ рдХрд░рддреЗ рд╣реИрдВ, рдЬрд┐рд╕рд╕реЗ рдШрд╛рд╡ рдЕрдВрджрд░ рд╕реЗ рдкреВрд░реА рддрд░рд╣ рднрд░ рдЬрд╛рддрд╛ рд╣реИред┬а
рдорд╛рдВрд╕рдкреЗрд╢рд┐рдпреЛрдВ рдХреА рд╕реБрд░рдХреНрд╖рд╛: рд▓реЗрдЬрд░ рддрдХрдиреАрдХ рд╕реЗ рдорд▓ рдирд┐рдпрдВрддреНрд░рдг рд╡рд╛рд▓реА рдорд╛рдВрд╕рдкреЗрд╢рд┐рдпреЛрдВ рдХреЛ рдХреЛрдИ рдиреБрдХрд╕рд╛рди рдирд╣реАрдВ рдкрд╣реБрдБрдЪрддрд╛ред
рдХрдо рджрд░реНрдж, рдХреЛрдИ рдмреЬрд╛ рдШрд╛рд╡ рдирд╣реАрдВ: рдкрд╛рд░рдВрдкрд░рд┐рдХ рд╕рд░реНрдЬрд░реА рдХреА рддреБрд▓рдирд╛ рдореЗрдВ рдЗрд╕рдореЗрдВ рдмрд╣реБрдд рдХрдо рджрд░реНрдж рд╣реЛрддрд╛ рд╣реИред
рд╕реНрдлрд┐рдВрдХреНрдЯрд░ (рдорд╛рдВрд╕рдкреЗрд╢реА) рдХреЛ рд╕реБрд░рдХреНрд╖рд┐рдд рд░рдЦрдиреЗ рдХрд╛ рддрд░реАрдХрд╛: рд╣рдорд╛рд░реА рдкрд╣рд▓реА рдкреНрд░рд╛рдердорд┐рдХрддрд╛ рдЖрдкрдХреА рдкреНрд░рд╛рдХреГрддрд┐рдХ рдХрд╛рд░реНрдпрдкреНрд░рдгрд╛рд▓реА рдХреЛ рд╕реБрд░рдХреНрд╖рд┐рдд рд░рдЦрдирд╛ рд╣реИ, рд╕рд╛рде рд╣реА рдпрд╣ рдкрдХреНрдХрд╛ рдХрд░рдирд╛ рд╣реИ рдХрд┐ рднрдЧрдВрджрд░ рд╣рдореЗрд╢рд╛ рдХреЗ рд▓рд┐рдП рдареАрдХ рд╣реЛ рдЬрд╛рдПред
рд╕рдЯреАрдХ рдЬрд╛рдВрдЪ: рд╣рдо MRI рдЧрд╛рдЗрдбреЗрдб рд╕рд░реНрдЬрд┐рдХрд▓ рджреВрд░рдмреАрди (VAAFT) рдХреА рдорджрдж рд╕реЗ рднрдЧрдВрджрд░ рдХреА рдЧрд╣рд░рд╛рдИ рддрдХ рдкрд╣реБрдБрдЪрддреЗ рд╣реИрдВ рддрд╛рдХрд┐ рджреЛрдмрд╛рд░рд╛ рд╣реЛрдиреЗ рдХреА рдЧреБрдВрдЬрд╛рдЗрд╢ рди рд░рд╣реЗред
рднреЛрдкрд╛рд▓ рдореЗрдВ рд╡рд┐рд╢реЗрд╖рдЬреНрдЮ рджреЗрдЦрднрд╛рд▓: рдмрдбрд╝реЗ рд╢рд╣рд░реЛрдВ (рдореЗрдЯреНрд░реЛ) рдореЗрдВ рдЬрд╛рдиреЗ рдХреА рдЬрд╝рд░реВрд░рдд рдирд╣реАрдВ; MP рдХреА рд░рд╛рдЬрдзрд╛рдиреА рдореЗрдВ рд╣реА рдкрд╛рдПрдВ рдкреНрд░реЛрдХреНрдЯреЛрд▓реЙрдЬреА рджреЗрдЦрднрд╛рд▓ред
If you are suffering from anal pain, swelling, or pus discharge, we offer the best options for fistula treatment in Bhopal. Our expert fistula surgeon in Bhopal provides compassionate care with the most suitable and affordable surgical techniques to ensure prompt healing, a high success rate and low recurrence. Dr. Pradeep Saxena has successfully treated hundreds of patients suffering from complicated, chronic, and recurrent fistula-in-ano.┬а
Explore more about Anal fistula , perianal abscess, ischiorectal abscess, MRI fistulography, medical treatment for anal fistula, fistulectomy, surgery for anal fistula, treatment of complex and recurrent fistula, seton insertion etc.┬а
Information for patients:┬а
Fistula (рднрдЧрдВрджрд░): An abnormal tunnel connecting the inside of the anus to the skin outside, often leaking pus or blood.
What is anal fistula: Anal fistula is one or multiple small external openings in the skin near the anus that discharge pus off and on. The external opening leads to a tubular tract that opens inside the anal canal through an internal opening. Anal fistula result due to infection in the anal glands, which spread in the perianal region and burst open through the skin near the anus. It is a chronic suppurative disease that is well-known for chronic perianal pus discharge, frequent exacerbations, and recurrences after treatment. The most accepted factor for the causation of Fistula-in-ano is infection beginning in the anal crypt glands.┬а
Symptoms of anal fistula: Pain in or around the anus, pus discharge through the external opening in the skin around the anus or anal canal, swelling around the anus, bleeding & pus discharge from the anus, itching around the anus, etc. A history of abdominal pain, loss of weight, altered bowel habits, tenesmus, bleeding per rectum, tuberculosis, HIV, CrohnтАЩs disease, diverticulitis, and pelvic radiation therapy may suggest a complex fistula.┬а
Clinical evaluation of fistula: The surgeon will examine the perianal region and abdomen to evaluate the fistula. The external openings, fistula tract with its relationship to anal sphincters and internal opening inside the anal canal are confirmed. The surgeon will do perrectal examination and a proctoscopic examination of the anal canal to confirm the findings.┬а
Investigations: Before planning a surgical intervention, the surgeon may require imaging studies like fistulography, MRI fistulography or perineal ultrasound to see the course of the fistula tract, presence of abscesses ( Pus collections), relationship of fistula tract to anal sphincters &┬а finding┬а the internal opening in the anal canal. Surgery guided by MR imaging has shown to reduce recurrence and complications like incontinence due to inaccurate surgical assessment of fistula. Routine blood tests and viral markers like Hbsag, HCV and HIV tests are also done.
Types of fistula with relationship of fistula tract to the anal sphincters.
┬аType of fistula: ParkтАЩs classification which is most widely used defines four groups of fistula-in-ano that result from crypto glandular infections according to the course of fistula tract┬а in relation to anal sphincters.┬а
Intershincteric (70%)┬а
Transsphincteric (25%)
Suprashincteric (5%)
Extrasphincteric. (1%)
Complex fistula is a term used for high transsphincteric, suprasphincteric, extrasphincteric, multiple tracts or abscess, recurrent, rectovaginal, rectourethral & pouch related fistula┬а
Treatment of anal fistula: Treatment of anal fistula remains challenging. No definitive medical therapy is available for this condition. Surgery remains the main treatment for perianal abscesses and anal fistula. Fistulotomy (Laying open of fistula tract) and fistulectomy ( Excision of the fistula tract) are the most commonly performed operations for fistula in ano. It is important for the surgeon to ascertain the course of fistula tract in relation to anal sphincters ( Muscles that control anal continence). The sphincters must be preserved or repaired when excising the fistula tract otherwise feacal incontinence will result. Because of complexity of the fistula tract surgeonтАЩs faced the problems of potential adverse effects on continence arising from division of the involved anal sphincter and there were recurrences in many cases.┬а┬а
Ligation of the intersphincteric fistula tract (LIFT) is an alternative minimally invasive surgical option for complex trans-sphincteric fistulas first described in 2007 by Arun Rojansakul. It is performed by entering the intersphincteric plane, identifying the fistula tract and hooking it out to ligate and divide the tract with the intention to securely close the internal opening and excise the infected cryptoglandular tissue.┬а LIFT is associated with less incontinence & recurrence rate (8-28%) in complex anal fistula.
Seton placement has been found useful in complex fistulas (i.e., high transsphincteric, suprasphincteric, extrasphincteric), multiple fistulas, recurrent fistulas, anterior fistulas in female patients and in patients with poor sphincter pressures. Setons are to use to drain pus, to bit by bit cut through the remaining sphincters over few weeks and simultaneously promote fibrosis, and healing of sphincters thereby curing the fistula without causing incontinence. Setons used commonly are no-1 proline or nylon suture or silastic vessel markers. The success rates for cutting setons varies from 82-100%. Recurrence rate after seton placement in various studies are up to 17% and incontinence rates can be more than 30%.┬а
Video assisted anal fistula treatment (VAAFT) described by Piercarlo Meinero is done by rigid fistuloscope. The fistula tract is first irrigated to observe the tract, branches and internal opening. Then the fistula tract and its branches are electro cauterized under direct vision and all necrotic material is removed by perfusion. Finally the internal opening is closed by suture, stapler or mucosal advancement flaps. The limitations are inadequate exploration and identification of curved tracts, side branches and internal opening. Collateral thermal damage to adjacent normal tissue can also occur.┬а
Treating complex fistula still remains a challenge for the surgeons. Endoanal advancement flaps and fecal diversion may be required in patients with perineal necrotizing fasciitis, severe anorectal Crohn disease, rectovaginal fistulas, and radiation induced fistulas.Keeping in view the high recurrence rates and problem of incontinence associated with complex fistula alternative treatments for fistula were investigated. Advances in biotechnology led to the development of tissue adhesives and biomaterials used as fistula plugs. These less invasive therapies have decreased postoperative morbidity and risk of incontinence, but long-term data about recurrence needs to be validated.┬а┬а
Thus resorting to fundamental principles of careful clinical evaluation, control of sepsis, identification of fistula tracts, secondary extensions and adequate drainage of the wound can improve the healing rates with minimal morbidity and recurrence.┬а
Healed fistula┬а
Our published study on anal fistula: ┬а ┬а ┬а Saxena P, Yadav SS. A prospective study of fistula in ano with reference to clinicopathology, imaging and management. Int Surg J 2019;6:1664-72
Get rid of the persistent pain, swelling, redness and pus discharge around anus. Don't let a fistula in ano affect your quality of life. Get treated by the leading Coloproctologist in Bhopal. Book your Appointment┬а