Anal fistula surgery is often the only permanent solution for recurrent discharge, pain, and infection near the anus. Many patients feel anxious before the procedure. They have questions about pain, recovery, success rate, and recurrence. According to Dr Samrat Jankar, proper awareness before surgery helps reduce fear and improves recovery. If you are planning fistula surgery, here are 10 important things you should know.
1. Proper Diagnosis Is Very Important:
Not all fistulas are the same. Some are simple. Some are complex. The treatment plan depends on the type and depth of the fistula.
Your surgeon may advise MRI pelvis or other imaging tests to map the exact fistula tract. Without proper mapping, recurrence risk increases. Always choose an experienced colorectal surgeon for accurate diagnosis.
2. Surgery Is the Only Permanent Cure:
Medicines and antibiotics may reduce infection temporarily. But they cannot close the fistula tract permanently.
Surgery is required to remove or close the infected tunnel. Delaying surgery can lead to repeated abscess formation and worsening infection.
3. There Are Different Types of Procedures:
Fistula surgery is not a single method. Options include:
- Fistulotomy
- Fistulectomy
- Laser fistula treatment
- LIFT procedure
- Seton placement
The choice depends on fistula type and muscle involvement. Dr Samrat Jankar carefully selects the safest and most effective method for each patient.
4. Muscle Preservation Is Crucial:
The anal sphincter muscle controls bowel movement. If damaged, it can cause incontinence.
That is why selecting the correct surgical technique is important. Sphincter-saving procedures are preferred for complex fistulas. An experienced surgeon reduces the risk of complications.
5. Recurrence Is Possible but Preventable:
Fistula recurrence usually happens due to incomplete tract removal, hidden branches, or untreated infection.
With proper imaging, surgical planning, and post-operative care, recurrence risk can be significantly reduced. Choosing a specialist lowers this risk.
6. Recovery Takes Time:
Healing does not happen overnight. Some procedures leave an open wound that heals gradually from inside.
Mild pain, discharge, and discomfort are normal during healing. Most patients return to routine work within a few days to a week, depending on the procedure. Patience during healing is important.
7. Post-Surgery Care Is Essential:
Good hygiene plays a major role in recovery.
- Patients are advised to:
- Take regular sitz baths
- Keep the area clean and dry
- Follow prescribed medicines
- Eat a high-fibre diet
- Avoid constipation
Ignoring post-surgery instructions can delay healing.
8. Underlying Conditions Must Be Controlled:
Conditions like diabetes, Crohn’s disease, or tuberculosis can affect healing.
Blood sugar control is very important before and after surgery. Your doctor may recommend additional tests if needed. Treating the root cause ensures better long-term results.
9. Pain Is Usually Manageable:
Many patients fear severe pain after surgery. But modern techniques and pain control medicines make recovery comfortable.
Laser and minimally invasive procedures often result in less pain compared to traditional surgery. Discuss pain management options with your surgeon.
10. Choosing the Right Surgeon Makes a Big Difference:
Fistula surgery requires experience and precision. Incorrect technique increases recurrence risk.
Consulting an experienced colorectal specialist like Dr Samrat Jankar ensures:
- Proper fistula mapping
- Correct procedure selection
- Muscle preservation
- Lower recurrence rate
- Better recovery
Expert care improves confidence and outcomes.
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Final Words:
Fistula surgery can provide permanent relief when done correctly. Being informed before surgery helps you prepare physically and mentally.
Do not ignore symptoms like discharge, pain, or recurrent abscess. Early consultation leads to easier treatment and faster healing.
If you are planning fistula surgery, Book an appointment with Dr Samrat Jankar at Kaizen fistula care for expert evaluation and personalised care. Proper planning today ensures a comfortable tomorrow.
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