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Writer's pictureDr Vishal Soni

FAQs Answered: Peri Anal Fistula & Abscesses

Updated: Nov 3


Various locations for abscess around the Anal Canal
Peri-Anal Sepsis


Anal Fistulous track
Fistula in Ano

Can I avoid #Surgery & not get operated?

Anal #Fistula once formed, persists for life, unless treated. In case of #Ischiorectal or a #Perianal #Abscess it would increase In size & ultimately rupture from the weakest portion in the wall. These are purely Surgical Illnesses needing some form of intervention for complete cure.


Is #MRI Pelvis a must?

It’s a standard advice to all our patients to undergo MRI of Pelvis. Although a thorough clinical examination can give plenty information. Having a cross-sectional study helps in better treatment planning, risk stratification & understanding. Hence recommended.


Not in all patients. However if there is a history of Abdominal Pain, Weight loss, Bleeding in Stool then its worthwhile getting the colon thoroughly checked.

Is #Laser the best treatment?

The inquiry & preference for LASER originate from an incorrect myth that it’s a pain free & side-effect less modality! Few points here, its not a new technique but an energy source and has been there around since decades. The use doesn’t guarantee pain-free state. There are few fistula where the use is recommended! Other techniques like #VAAFT, #LIFT etc which have emerged over last decade & been used successfully.


We use the concept of PersonalSpaceSurgery to decide the best possible treatment & surgical approach for you.


How bad can the pain be after surgery?

It can range from mild to severe. There are plenty of factors that come into picture for the same. But in any situation we ensure that the pain is taken care of & the patient is comfortable.

Can pain be prevented or minimized?

Yes. With newer & advanced techniques, we can precisely predict which patients are likely to develop issues with pain & manage them proactively. Our #Algologist (Pain Specialist – Dr Milan Mehta) is internationally trained in managing these cases to ensure a pain-free recovery

Will there be any incontinence?

The techniques of surgery we rely on, ensure a fine balance between Sphincter Preservation & avoidance of recurrence. All our efforts are focused on ensuring continence & it remains central to the care offered.

The above concerns are duly addressed in our Approach to the entire spectrum of Fistulous Disease with #PersonalSpaceSurgery.


Is Personal Space Surgery a new Surgical Technique?

#PSS is an aggregation of all our efforts in managing patients with various Peri-Anal Conditions, including Anal Fistula Disease. It includes Investigations, Treatment planning, Surgery & Post-Operative Care. It ensures best possible outcomes.

How tough is wound care & can I do it at home?

The standard post-operative recovery involves stay in the hospital for a day or two where wound care is done under strict supervision. Meanwhile the patient & the family members actively participate in wound care & continue it at home, very comfortably. We have a team of trained & experienced Staff to help the patient at home with wound care. Its very rare for the patient to have to visit hospital for daily Wound Care.


Does it recur?

Very rarely. Cure from fistula has two components – Surgical & Patient healing. Patient healing can be influenced only in a limited fashion & all surgical techniques have a limitation too. Our recurrence rates match global standards & stand at less than 1%.


Can I eat normally after Surgery?

Absolutely Yes. The Surgery is planned in such a way that the bodily functions & the wound would not interfere in daily food habits. Almost all our patients go back to normal full diet in less than a week after surgery.


Schedule an OPD appointment to get yourself evaluated & to inquire regarding Personal Space Surgery @ Zydus Hospitals, Ahmedabad, Gujarat.

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