Anorectal Fistula: Causes, Symptoms, & Treatment
Anorectal fistulas are a distressing condition that can significantly affect one’s quality of life. They are often characterized by a small tunnel-like tract that forms between the rectum or anal canal and the skin near the anus. This condition can cause pain, discomfort, and discharge, making it essential to seek prompt medical attention. If you’re in Kolkata and suffering from an anorectal fistula, finding a skilled fistula doctor in Kolkata is crucial. This article, will explore anorectal fistulas, their diagnosis, treatment options, and how to find the right fistula specialist doctor in Kolkata to manage this condition effectively.
What is Anorectal Fistula
Anorectal fistulas typically occur as a result of an infection that begins in an anal gland. This infection can lead to an abscess, which eventually forms a tunnel (fistula) that connects the infected gland to the skin around the anus. The primary symptoms of anorectal fistulas include pain, swelling, and discharge of pus or blood from the affected area.
Also Read: Risk Of Recurrence In Fistula-In-Ano
Types of Anorectal Fistula
There are several types of anorectal fistulas, each with its own characteristics and complexities:
1. Simple Fistulas: These are straightforward, and the tunnel has a single tract that connects the anus or rectum to the skin near the anus. Simple fistulas are generally easier to treat.
2. Complex Fistulas: Complex fistulas have multiple tracts, often branching off in various directions, which can make treatment more challenging.
3. Supralevator Fistulas: These fistulas extend above the levator ani muscle, a muscle responsible for maintaining anal continence. They are typically more complicated to manage.
Diagnosing Anorectal Fistula
Proper diagnosis is the first step towards effective treatment of anorectal fistulas. A fistula doctor in Kolkata will typically follow these steps:
1. Medical History: The doctor will take a detailed medical history, including information about your symptoms, previous surgeries, and any underlying medical conditions.
2. Physical Examination: A physical examination of the affected area is essential for assessing the extent of the fistula, its location, and any associated complications.
3. Imaging Studies: Imaging techniques such as MRI (Magnetic Resonance Imaging) or endoanal ultrasound may be used to visualize the fistula tract and identify any associated abscesses or complications.
Treatment Options for Anorectal Fistula
The treatment for anorectal fistulas depends on the type, location, and complexity of the fistula. The following are common options for fistula treatment in Kolkata:
1. Antibiotics: In some cases, especially when an infection is present, a course of antibiotics may be prescribed to control the infection.
2. Fistulotomy: This is a surgical procedure that involves making an incision along the fistula tract to allow it to heal from the inside out. It is often suitable for simple fistulas.
3. Seton Placement: A seton is a piece of material (suture or thread) that is threaded through the fistula tract. It helps in drainage and allows the tract to heal gradually. Seton placement is often used for complex or high supra levator fistulas.
4. LIFT Procedure: LIFT (Ligation of the Intersphincteric Fistula Tract) is a surgical technique used to treat complex fistulas by dividing the fistula tract and sealing it off.
5. FiLaC (Fistula-tract Laser Closure): This minimally invasive procedure uses laser energy to treat anorectal fistulas, promoting the healing of the tract without making major incisions.
6. VAAFT (Video-assisted Anal Fistula Treatment): VAAFT is a relatively newer, minimally invasive procedure that uses a video endoscope to identify and treat anorectal fistulas.
7. EPSiT (Endoscopic Submucosal Proctectomy with Sphincter Preservation): EPSiT is another minimally invasive approach that preserves the anal sphincter while treating anorectal fistulas.
Choosing the Right Fistula Doctor in Kolkata
Finding a skilled and experienced fistula doctor in Kolkata is crucial for effective treatment. Here are some factors to consider when selecting a healthcare professional for managing your anorectal fistula:
1. Qualifications and Experience: Look for a doctor who specializes in colorectal surgery or proctology and has experience in treating anorectal fistulas.
2. Board Certification: Ensure that the doctor is board-certified and has the necessary qualifications to perform the required procedures.
3. Reputation: Seek recommendations from friends, family, or other healthcare professionals. Online reviews and testimonials can also provide insights into a doctor’s reputation.
4. Communication: Choose a doctor who communicates effectively and is willing to answer your questions and address your concerns.
5. Hospital Affiliation: Confirm the doctor’s affiliation with reputable hospitals in Kolkata, as this can ensure access to necessary facilities and resources.
6. Minimally Invasive Techniques: Inquire if the doctor is experienced in performing minimally invasive procedures such as VAAFT, FiLaC, or EPSiT, which can offer quicker recovery times and reduced post-operative pain.
7. Cost and Insurance: Discuss the cost of treatment and check if your health insurance covers the procedures and consultations.
Conclusion
Anorectal fistulas can be a painful and distressing condition, but with timely diagnosis and appropriate treatment, most patients can achieve a full recovery. Finding a skilled fistula doctor in Kolkata is essential, as they can offer various treatment options, including minimally invasive procedures, to ensure a comfortable and successful healing process. If you suspect you have an anorectal fistula or have been diagnosed with one, don’t hesitate to seek professional medical help and explore the fistula treatment options available to you. Your choice of a qualified and experienced fistula doctor in Kolkata can significantly impact your journey to recovery and improved quality of life.
About Docor
Dr. Azhar Alam
MBBS (Honours), MRCS A (UK),
DNB General Surgery
FIAGES (Gastro Intestinal Surgery)
FMAS (Minimal Access Surgery),
MNAMS (New Delhi)
Consultant Gastrointestinal, Advanced Laparoscopic and Laser Surgeon
Assistant Professor of Surgery, KPC Medical College and Hospital
