Fistula Treatment at Dr Eleri’s Piles & Fistula Clinic

What is an Anal Abscess or Fistula?

An anal abscess is an infected cavity filled with pus, usually found near the anus or rectum. Most abscesses occur due to an infection in the anal glands. An anal fistula (fistula-in-ano) often develops after an abscess. It is an abnormal tunnel that connects the infected gland inside the anus to the outer skin. This can cause recurrent pain, swelling, and pus discharge. Almost 90% of abscess patients may develop a fistula if left untreated.

Types & Classifications

Abscesses are classified as Perianal (most common), Ischioanal, Intersphincteric, and Supralevator (rare). Fistulas are classified as Intersphincteric (commonest), Transphincteric, Suprasphincteric, and Extrasphincteric (rare). These classifications help decide the most effective treatment plan.

Symptoms

Severe anal pain, swelling, redness, fever, pus or fluid discharge near the anus, itching, and recurrent abscess after drainage are the common symptoms.

Diagnosis

Most abscesses and fistulas are diagnosed with a clinical examination. In complex cases, advanced imaging like 3D Endoanal Ultrasound or Pelvic MRI helps map the fistula tract and identify openings with up to 90% accuracy.

Treatment Options

Abscess treatment usually requires surgical drainage, either under local or general anesthesia. Without proper care, up to 50% of cases may lead to a fistula. Fistula treatment may involve conventional surgery like Fistulotomy/Fistulectomy for simple cases, though these can risk recurrence or incontinence in complex ones. Modern surgical techniques like LIFT, VAAFT, Endorectal flap, and Fibrin glue are also used, but recurrence rates can still be as high as 50%.

Ayurvedic Ksharasutra Therapy – Our Expertise

At Dreleris Piles & Fistula Clinic, we specialize in Ksharasutra Therapy, a proven Ayurvedic parasurgical technique for both simple and complex fistulas. The medicated thread (Ksharasutra) is placed in the fistula tract, ensuring continuous drainage, gradually cutting and healing the tract, and preventing pus buildup. It has antibacterial, anti-inflammatory, and healing properties, with almost nil risk of incontinence or recurrence. Patients are usually able to return to their normal routine within a few days.

Our Advanced Approach

We use modified Ksharasutra techniques combined with modern practices for faster healing and minimal discomfort. These include Fistulotomy with Ksharakarma (quick healing with minimal recurrence), Partial Fistulotomy with Ksharasutra (ideal for straight transphincteric fistulas with less recurrence), and the IFTak Procedure (effective for complex and high-level fistulas).

Indications We Treat

We successfully manage high transphincteric and horseshoe fistulas, complex fistulas extending to the scrotum, gluteal region or abdomen, supra-levator and intersphincteric fistulas, as well as blind internal fistulas with post-anal abscess.

With our Ayurvedic and minimally invasive techniques, we ensure safe, painless, and recurrence-free treatment for anal abscess and fistula.