Introduction
Surgery to correct an anal fistula may entail a few options, depending on the amount of anal sphincter muscle that has been affected by the development of the fistula. This can only be fully determined at the time of surgery.
Treatment options will be covered at an appointment prior to surgery, when the aims of surgery and the risks involved will be explained in depth.
Procedure
Surgery to correct an anal fistula is conducted under general anaesthetic. In most cases you will be able to go home on the same day, after a period of observation. Surgery for anal fistula depends on the amount of anal sphincter muscle the fistula channel crosses. This is assessed whilst under anaesthetic. Surgery can involve any one of the following:
- Laying the fistula open (fistulotomy).
- Inserting a rubber band into the fistula (seton).
- Ligation of the intersphincteric tract (LIFT procedure).
- Insertion of a fistula plug or glue.
Dr Jamnagerwalla will speak to you about the likelihood of each procedure during your consultation, and the potential risks involved.
Risks
The risk of fistula surgery include:
- Incontinence.
- Recurrence.
- Infection.
Postoperative Instructions
Please refer to the page Going Home after Surgery on your Bottom.
