Perianal Fistula- Does fistulotomy work?

perianal fistula

The Perianal Fistula is a disease that is very common and widespread. It is usually a condition of inflammatory origin, which in most cases stems from an anal fissure unrecognized or neglected, which infects the tissues deepened until it flows out.

In any case, the Perianal Fistula can be defined as a small tunnel, starting from the anus or rectum, is poured into the tissue up to the outer skin.

Types of Fistula


An apparently incapacitated fistula which shapes a tube that opens just toward one side and closes to the other. These may change into complete fistulas if left untreated.


Fistula with an outside skin opening, which does not connect with any inside organ


This type of fistula has two ends inside the rectum and outside the skin.

Even the variety is so great that to date has not yet been able to classify them unambiguously. The type depends on two factors:

1) The fact that it is a single tunnel (this is called a simple fistula), or having one or more branches inside or outside (something complex fistula);

2) The location of the fistula (or its multiple branches) on internal and external sphincters of the anus and about other spaces that surround the anus, rectum and pelvic organs. In connection with this second factor assumes different names and fistula treatment options very very important.

The Anal fistula usually occurs at the beginning, though not always, as a painful event is critical, that is an anal abscess. When this heals, because it is affected by surgery or because you open yourself out, usually leaving a small pimple on the outside that can not give any problems, or give only modest and sporadic serous secretions or blood: is the outlet of the external fistula, and is in direct come with the anus. If tolerated or ignored, the fistula tends to move in time episodes of abscess and still being able to evolve and deepen fistula create new branches in the tissues, making it more difficult and less safe surgical treatment that inevitably, sooner or later will be required.

Some chronic intestinal diseases such as Crohn’s disease, tend to produce many Perianal Fistulas: in these cases, treatment should not be limited to work on the fistula, but must be combined, and that the fistula on the intestine, for a satisfactory outcome for the patient and the physician.

The diagnosis of anal fistula is simple and is based on the visit proctological accurate, but requires experience to show sensitivity and discretion thoroughly all aspects of the disease. In exceptional cases, particularly in recurrences, may be useful to undergo an additional special as transanal ultrasound.

what is fistula

The fistula identified by one or more species of small holes or “pimples” around anal, which can secrete serum, pus or blood, and that can sometimes ignite giving actual abscesses. Often instead remain entirely without symptoms for years, thus arousing the alert of the patient. The fistula should be evaluated to highlight all possible “tunnel” under the skin, their relationships with the anal sphincters, the presence of “dead-end bags, the seat of the starting point inside the anus. To do this the doctor is forced to use thin probes to track all the “tunnel” from the skin, anus, and sometimes to inject special dyes, however, harmless and painless.

At the end of the evaluation, the physician should be great to have a complete and reliable map of all the “branches” of the fistula, to determine a correct treatment strategy that is always surgical. E ‘key to highlight the possible presence of other concomitant anal diseases. Apparently, all this must be seen within the entire medical history, any previous medical or surgical disease or previous or current therapies.

These evaluations enable the proctologist to make not only a diagnosis of the disease but also a diagnosis of severe and direct the most appropriate care that, in the most favorable cases can begin directly during the visit.

Fistulotomy or Fistula surgery

Options are mainly surgical, but surgery can vary widely from case to case. This type of surgery is called Fistulotomy. In some cases, outpatient treatment of minimal discomfort for the patient, and that results in a single run of a few minutes without anesthesia, in other situations there may be a need for repeated surgical interventions with prolonged medication for months. In any case, the most appropriate care should be determined by an expert medical proctologist

Homeopathy treatment in Perianal Fistula

If you have a strong belief in homeopathy, then you can go for this. In many cases, surgery does not work, but homeopathy treatment works well. So before surgery, you can try for homeopathy. And the best part of homeopathy is free of all side effects. In a guidance of good homeopathy doctor, your mild problem of fistula can go forever.

There are many other ways to treat perianal fistula. Like Fibrin Glue, Bioprosthetic plug, Advancement flap procedures, Seton techniques. Some patients feel relief with fistulotomy, on the other hand, we cannot deny the importance of other can read some success stories HERE.

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