Fistula in ano / Bhagandar Treatment in Pimpri Chinchwad Pune
Fistula in ano is a tubuler structure having two openings one internally in ano rectal canal while another externally on the surface of perianal skin.
Anal fistulae are generally secondary to anal abscesses.
Anal glands which are located between the two layers of anal sphincters, drain into the anal canal. If the outlet of these glands become blocked an abscess can form which can eventually point to the skin surface. The track formed by this process is called fistula.
Types of Fissure
Superficial And Deep
Superficial anal fissures look like a paper cut, and generally get self-heal within a week. However, some anal fissures become chronic and deep and will not heal. The most common cause of non-healing is spasming of the internal anal sphincter muscle which results in impaired blood supply to the anal mucosa.
Types Of Fistula
1. Low level
- Subcutaneous
- Sub mucous
- Low anal
2. High level
- High anal
- Pelvic rectal
Symptoms
- Pain
- Discharge either bloody or purulent
- Pruritus ani – Itching at anal opening
- Systemic symptoms like fever if abscess becomes infected.
Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred to as EUA — Examination Under Anaesthesia). The examination can be ananoscopy.
Possible findings
- The opening of the fistula onto the skin may be seen
- The area may be painful on examination.
Investigations
- Probing
- Fistulogram
- Proctoscopy & sigmoidoscopy
Treatment – Kshar sutra Treatment
Ayurveda the ancient science of Indian medicine, describes Herbal Setons made from various Salts and Alkaline Herbs used to cure anal fistulae. This treatment, known as “Kshar Sutra Therapy” is very popular in India and considered to be the Safest and the Most Successful treatment of Anal Fistula.
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Address:- Pimpri Chinchwad Branch – Flat 201, 2nd floor, Sampada House, Opp. Manakarnika medical store, Chapekar chowk, Chinchwad, Pune – 33.
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