Surgery is the only standard treatment for most fistulas-in-ano. The primary goal of surgery is to remove the infected tract completely, prevent recurrence, and preserve the patient’s continence. Here’s why surgery is generally preferred:

• Complete Removal of the Tract: Surgical techniques allow the surgeon to recognize and remove the entire fistula tract. If any part of the tract remains, the infection will persist and cause recurrence.
• Prevention of Recurrent Abscesses: Without surgery, the opening continues to drain pus and cause repeated abscess formation. Surgery removes the root cause, minimizing the chance of future abscesses.
• Minimally Invasive Options are Available: Modern surgical options such as the VAAFT (Video-Assisted Anal Fistula Treatment), LIFT procedure (Ligation of Intersphincteric Fistula Tract), and laser treatments offer minimally invasive solutions with faster recovery and minimal risk of complications.
• Preserving Continence: A major concern for patients is the fear of losing bowel control after fistula surgery. An experienced colorectal surgeon like Dr. Samrat Jankar ensures that advanced techniques are used to protect the sphincter muscles and preserve continence.
• Faster Recovery and Improved Quality of Life: Living with a fistula means dealing with daily discharge, pain, and embarrassment. Surgery provides a permanent solution, restoring comfort and dignity.