Anal Fistula: What It Is, Symptoms and Treatments?


Anal fistula can be a painful and persistent issue, affecting the quality of life for those who suffer from them. Understanding what an anal fistula is, its symptoms, and the various treatment options available—including non-surgical approaches—can help individuals seek the right care and improve their health outcomes. Dr. S.K. Singh at Sushruta Anorectal Institute is a specialist in treating fistula without surgery, offering expert care and innovative treatment options. This blog will delve into the details of anal fistula, their symptoms, and the best treatment options available.

What is an Anal Fistula?

An anal fistula is an abnormal connection or tunnel between the end of the bowel and the skin near the anus. It typically develops after an anal abscess, an infected cavity filled with pus near the anus. When the abscess drains or is surgically opened, a fistula can form, creating a persistent connection between the infected gland inside the anus and the skin outside.

Anal fistula can be classified based on their complexity:

  • Simple Fistula: These are relatively straightforward and have a single tract.
  • Complex Fistula: These involve multiple tracts or cross sphincter muscles, making them more challenging to treat.

Symptoms of Anal Fistula

The symptoms of an anal fistula can vary, but common signs include:

  1. Pain: Persistent pain, particularly when sitting or during bowel movements.
  2. Swelling and Redness: Swelling and redness around the anus.
  3. Discharge: A constant or intermittent discharge of pus or blood from an opening near the anus.
  4. Recurrent Abscesses: Frequent occurrence of abscesses in the anal region.
  5. Foul-Smelling Discharge: The presence of a foul-smelling discharge, which may be accompanied by itching or irritation.

If you experience any of these symptoms, it’s important to seek medical attention promptly. An untreated anal fistula can lead to further complications, including infection and systemic illness.

Fistula Treatment

When it comes to fistula treatment, several options are available, ranging from conservative management to surgical intervention. The choice of treatment depends on the complexity of the fistula and the patient’s overall health.

  1. Conservative Management
    • Antibiotics: In some cases, antibiotics may be prescribed to treat or prevent infection, especially if there is an associated abscess.
    • Pain Relief: Over-the-counter pain relievers can help manage discomfort and pain associated with anal fistula
  2. Fistula Treatment Without Surgery
    • Seton Placement: A seton is a surgical thread that is placed in the fistula tract to help drain the infection and promote healing. This method can be used as a step towards other treatments or as a standalone approach in some cases.
    • Fibrin Glue: This involves injecting a special glue into the fistula tract to seal it and allow it to heal. It’s a minimally invasive option that can be effective for certain types of fistula.
    • Kshar Sutra Therapy: An Ayurvedic treatment that involves threading a medicated thread through the fistula tract. The thread gradually cuts through the fistula while promoting healing. Dr. S.K. Singh at Sushruta Anorectal Institute is renowned for using this traditional method effectively, providing a non-surgical alternative for many patients.
  3. Surgical Treatments
    • Fistulotomy: This is the most common surgical procedure for simple fistula, where the fistula tract is opened and allowed to heal as a flat scar. It’s effective but may not be suitable for fistula that cross significant portions of the sphincter muscles.
    • LIFT Procedure (Ligation of Intersphincteric Fistula Tract): This modern technique involves accessing the fistula tract between the sphincter muscles, then tying it off and removing the infected tissue. It aims to preserve sphincter function and reduce the risk of incontinence.
    • Advancement Flap Procedure: For complex or recurrent fistula, this procedure involves covering the internal opening of the fistula with a flap of rectal tissue to promote healing.

At Sushruta Anorectal Institute, Dr. S.K Singh specializes in non-surgical treatments for anal fistula. Understanding the fears and concerns that many patients have regarding surgery, Dr. S.K Singh focuses on alternative therapies that provide effective relief without the need for invasive procedures.

  1. Comprehensive Diagnosis: Accurate diagnosis is the first step towards effective treatment. Dr. Singh employs advanced diagnostic tools and techniques to thoroughly assess the fistula and determine the best course of action.
  2. Personalized Treatment Plans: Each patient receives a personalized treatment plan tailored to their specific condition. Whether it’s through Kshar Sutra therapy or other non-surgical methods, the goal is to promote healing and minimize discomfort.
  3. Holistic Approach: Dr. Singh’s approach to fistula treatment integrates modern medical practices with traditional Ayurvedic principles. This holistic approach ensures that patients receive comprehensive care that addresses not just the symptoms but also the underlying causes of the condition.
  4. Patient Education and Support: Educating patients about their condition and treatment options is a cornerstone of care at Sushruta Anorectal Institute. Patients are provided with detailed information and ongoing support throughout their treatment journey.

Success Stories from Sushruta Anorectal Institute

Many patients have found relief from anal fistula through the expert care provided by Dr. S.K. Singh at Sushruta Anorectal Institute. Here are a few testimonials:

  • Ravi S.: After years of dealing with painful fistula and multiple surgeries, I found relief through Dr. S.K Singh non-surgical treatment. The Kshar Sutra therapy worked wonders, and I’m finally pain-free.
  • Anjali M.: I was hesitant about surgery, so I sought Dr. S.K Singh expertise. His holistic approach and the use of natural remedies helped me heal without the need for invasive procedures.


Anal fistula can be a challenging condition to manage, but with the right treatment approach, effective relief is possible. At Sushruta Anorectal Institute, Dr. S.K. Singh offers specialized care for fistula treatment without surgery, providing patients with innovative and holistic solutions.

By focusing on non-surgical treatments and personalized care plans, Dr. S.K Singh ensures that each patient receives the best possible outcome. If you’re struggling with an anal fistula, don’t hesitate to seek help from the best in the field. Contact Sushruta Anorectal Institute today and take the first step towards healing and reclaiming your quality of life.

Read More: What are Natural Remedies for Anal Fissure?

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