An anal fistula is an abnormal tunnel that forms between the inner lining of the anal canal and the outer skin near the anus. It usually develops after an infection in an anal gland leads to an abscess that fails to heal properly. As the infection drains, it creates a tract that may persist, causing ongoing discharge, pain, or swelling.
While not life-threatening, an untreated fistula can severely impact quality of life and lead to repeated infections. Fistulas can be simple or complex and are classified based on their path relative to the anal sphincter muscles. Prompt diagnosis and appropriate treatment, especially in high-risk or recurrent cases, are essential to avoid complications.
Clinical Assessment : A doctor will examine the anal area for signs of external openings, discharge, or redness. Gentle pressure may reveal pus drainage.
Digital Rectal Examination (DRE) : Used to assess the internal opening or path of the fistula and check for tenderness or induration.
Imaging Studies
Anal fistulas rarely heal on their own and often require surgical treatment. The type of surgery depends on the complexity and location of the fistula.
Non-Surgical Measures (for selected cases)
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Spontaneous healing is rare. Most fistulas require medical or surgical intervention to close the tract completely.
Modern surgical techniques are minimally invasive. Post-op pain is manageable and recovery is usually smooth.
If you notice pus discharge, recurring abscesses, or a small hole near the anus, a fistula could be present and should be examined.
Our team uses sphincter-sparing procedures like LIFT or VAAFT to preserve continence and function.
Yes, especially if underlying conditions like Crohn’s disease are not managed. Proper surgical technique and follow-up reduce the risk.