Rectal fistula treatment

Rectal fistula — is an abnormal canal that forms between the rectum and the surrounding soft tissue, more commonly the skin near the anus. It may look like a tiny hole near the anus.

Spontaneous healing of anal fistula is rare. In most cases, surgery is required to treat the disease. The type and technique of surgery depends on the type and condition of the fistula.

Non-surgical treatment for fistula in the anus area

The only non-surgical treatment for anal fistula that is currently used is the application of fibrin glue. This is done by administering an injection of glue into the fistula in the anus area to bring the edges closer together and prevent a cavity forming. Eventually the cells of the surrounding tissue will sprout into the glue and the fistulous passage will be closed.

Many patients prefer this method because it is safe and painless. However, it is less effective than surgical methods and laser removal of rectal fistula. According to some studies, most patients treated with this technique experience complications or recurrences within 16 months of treatment.

Why surgical treatment for anal fistula is necessary

The goal of surgical treatment is to heal the fistula without damaging the sphincter muscles. This damage can lead to future complications such as fecal incontinence. Surgery is usually performed under general anesthesia, although local anesthesia may be appropriate in some patients