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Laser Treatment of anal fistula ANO

Fistula-in-Ano: Understanding, Diagnosis, and Modern Treatment Options


What is a Fistula-in-Ano?

A fistula-in-ano is a small tunnel or passage that develops between the inside of the anus and the skin around it. It usually starts after an infection near the anus that leads to an abscess. When the abscess drains, it may leave behind a tract, creating a fistula.

Common Symptoms

If you have a fistula, you may experience:

• Constant pain around the anus
• Swelling, redness, or tenderness near the anus
• Pus or smelly discharge (especially when sitting or passing stool)
• Soiling of underwear with pus or blood
• Fever (if an abscess is present)

If you notice any of these signs, it is important to get it checked by a specialist early.

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How is a Fistula Diagnosed?

Step 1: Clinical Evaluation

A thorough examination by a trained doctor is the first and most important step. They will gently inspect and feel around the area to check for:

• External openings (small holes)
• Tenderness or swelling
• Discharge of pus

Step 2: Digital Rectal Examination

A gentle finger examination inside the rectum helps locate the internal opening and assess the extent of the tract.

Step 3: Imaging Tests (If Needed)

For complex or recurrent fistulas, advanced imaging like MRI may be recommended. MRI gives a detailed view of the fistula tract, helping doctors plan the best treatment.

Why Is Proper Diagnosis Important?

Because every fistula is different! Some are simple, with a straightforward path. Others are complex, involving multiple tracts and sphincter muscles. Proper diagnosis helps avoid unnecessary surgeries, reduces the chance of recurrence, and protects the muscles that control continence.

How is a Fistula Classified?

Doctors classify fistulas based on their path and relation to the anal muscles (sphincters):

• Simple Fistula: Easy to treat; small and not involving much muscle.
• Complex Fistula: Larger, branching, or involving significant muscles; needs careful surgery.

A famous guideline called Park's Classification is used to understand different types of fistulas.

Treatment Options for Fistula-in-Ano

The main goal is to cure the fistula while preserving muscle function and avoiding recurrence.

Treatment depends on the type of fistula and may include:
• Fistulotomy: Opening the tract and allowing it to heal naturally (good for simple fistulas).
• Seton Placement: A thread is placed to help drain the infection and control Healing (often used in complex cases).
• Laser Surgery: A modern technique where a laser closes the tract from the inside — leading to faster healing, less pain, and minimal scarring.
• Advancement Flap or LIFT Procedure: Specialized surgeries for high or complex fistulas.
Our center also offers advanced laser-based treatments that allow patients to heal faster with minimal pain and excellent results.

Important: Not Every Fistula Is for Laser!

Laser Alone Has No Role in Fistula – It Must Be Used Intelligently

In today's world, many clinics and hospitals claim,
"We treat fistulas with a laser!"
Do not be fooled — a laser is not a magic wand.

👉 Laser alone cannot cure fistulas.
👉 Only experienced surgeons know when, where, and how to use it properly.

Fistula is a complex disease, and using a laser wrongly can cause more harm than good.
If someone says they treat every fistula with only Laser, please be cautious!
Only true experts know which fistula can benefit from Laser — and when Laser must be combined with other techniques for the best and safest results.



So, How Should Laser Be Used in Fistula Surgery?
✅ Laser works beautifully when it is intelligently combined with other precise surgical techniques like:
• Coring out the tract (ProctoCor or FiXcision)
• SLOFT (Submucosal Ligation of Fistula Tract)
• LIFT (Ligation of Inter-sphincteric Fistula Tract)
• Proper excision of the infected tissue

Why Is Laser Alone Not Enough?


Fistula-in-ano often has:
• Hidden branches (secondary tracts)
• Deep infection pockets
• Internal openings that must be properly closed or excised
🚫 Laser cannot treat all of these problems on its own.
🚫 Without removing the internal opening or cleaning hidden infections, fistulas will recur.

What Happens If Laser Is Used Wrongly?


• The fistula may come back (recurrence)
• You may need more surgeries
• Healing may take longer
• You may face complications that could have been avoided

The Truth Every Patient Should Know:


✔️ Laser is a wonderful tool — in expert hands.
✔️ It is not a replacement for good surgical principles.
✔️ Success lies in the surgeon's skill, not just the machine.

Why Choose Dr. Kamal Gupta?

• 34+ years of surgical experience
• Pioneer of hybrid laser techniques in India
• Inventor of ProctoCor, a special instrument to treat fistula safely
• Uses Laser wisely, only when it benefits you
• Tailor-made treatment for every individual case
At Karan Hospital, Jalandhar, we believe in honest advice, safe surgery, and happy recoveries — not false promises.

🩺 Take-Home Message


✅ Do not fall for fancy words.
✅ Trust only an expert who knows when, where, and how to use Laser in fistula treatment.
✅ Get a personalized, safe, and scientific approach — not one-size-fits-all shortcuts.

Frequently Asked Questions (FAQs) About Fistula and Laser Surgery

About Fistula-in-Ano

A fistula-in-ano is a small tunnel between the inside of the anus and the skin around it, usually caused by a previous infection or abscess. It often leads to persistent pain, discharge, and swelling.

Fistulas usually develop from infections in small anal glands. When the infection doesn't heal properly, it can create a tunnel between the inside and outside of the anus.
About Laser Surgery for Fistula

No. Not every fistula is suitable for laser treatment. Laser must be combined with other techniques like coring, SLOFT, or LIFT for best results, especially in complex fistulas. Expert judgment is crucial to decide when Laser is appropriate.

✅ Minimally invasive
✅ Less pain
✅ Smaller wounds and better cosmetic Healing
✅ Faster recovery (back to normal life within 3–5 days)
✅ Lower risk of incontinence
✅ Less chance of infection when done properly

Most patients are back to their normal daily activities in 3 to 5 days after surgery. Complete wound healing may take around 4 to 6 weeks, depending on the complexity of the fistula and personal care.

Recurrence and Healing

Yes, recurrence can happen, but the chances are much lower with expert surgery and proper wound care. Recurrence usually happens if:
• The internal opening was not properly closed or treated
• Hidden branches were missed
• Poor wound hygiene after surgery

✅ Follow your doctor's instructions carefully
✅ Keep the wound clean and dry
✅ Avoid straining during bowel movements
✅ Maintain good hygiene
✅ Attend regular follow-up visits

Wound Care After Surgery

Good wound care is critical for Healing.
Neglecting hygiene can lead to:
• Infection
• Delayed Healing
• Higher chances of recurrence

• Clean the area gently with clean water after each bowel movement
• Avoid using dry tissue paper roughly
• Pat dry or air dry the area
• Apply prescribed ointments if advised
• Regular dressings as suggested by your doctor
• Never leave the wound wet or dirty

Dressings are usually needed for the initial few days, then as advised by your surgeon. Some wounds need dressing 2–3 times a week, others daily — depending on the case.

Educating Patients and Family

At Karan Hospital under Dr. Kamal Gupta, we believe Education is as important as surgery!
✅ We educate both the patient and their attendant (partner or family member) on:
• How to clean the wound safely
• How to do proper dressings
• How to maintain hygiene
• How to recognize warning signs early
✅ We train your partner so they can help you clean and care for the wound at home — ensuring a faster and smoother recovery.

Why Choose Dr. Kamal Gupta?

• 34+ years of surgical expertise
• A pioneer in hybrid laser techniques for fistula
• Inventor of the ProctoCor instrument for safer, better results
• Personalized treatment plan for every patient — no "one-size-fits-all" shortcuts
• Focus on complete care: surgery + patient education + wound care guidance
• Honest counseling: No false promises, only genuine expert advice

At Karan Hospital, Jalandhar, you are not just operated upon — you are cared for, taught, and empowered for your best recovery!

🩺 Take-Home Messages

✅ Laser surgery is effective when used smartly by experts.
✅ Healing and Success depend on proper technique and good wound care.
✅ Education and hygiene are the keys to faster, better Healing.
✅ Always choose a surgeon who understands fistulas deeply — not just someone who "does lasers."

📞 Need Help?

ADDRESS Karan Hospital, Jalandhar
MOBILE +91 8725048415
Visit www.karanhospital.com | www.drkamalgupta.com
EMAIL drkamalgupta.appointments@gmail.com

Testimonials

What Our Patients Say

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Hundal Trucking LLC

I was referred to Dr Kamal Gupta’s Karan Hospital as I was suffering from fistula and it had to be operated to get rid of it. Dr Gupta and team did a great job I was operated on March 31st and had couple of follow up visits and I am ready to go back to US after the treatment. The whole team at the hospital is very courteous and knows their job description very well. The facility is clean and well maintained and the costing too was reasonable. I recommend all patients to this hospital for best results. I wish them all the best.

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Dr Saab

I had fistula in ano since 2,3 years. I specially came from Canada for this treatment. Dr Kamal treated me very well and explained everything to me very clearly. They took me for surgery on January and now after 3 months I’m fully cured. I recommend everyone to visit here for this treatment

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Raj Banger

I had suffered from fistula in ano since one year. I had visited so many hospital but one of my known recommend me to visited Karan hospital. I visited their and now I'm fully satisfied after 3 months of treatment. I'm very thankful to Dr Kamal Gupta and his staff for treating me very well. So I recommend each and everyone visited to Karan Hospital and get yourself treated from here.

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Rohit Kumar

I had fissure in ano since very long time so I visited karan hospital for my treatment. Dr kamal gupta is very good surgeon and his team also very understanding towards patient. So i recommend everyone to visit here and get yourself treated.

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Cities: Jalandhar Amritsar Pathankot Ludhiana Bathinda Kapurthala Kartarpur