Dr. Arwa Medical Center

Anal Fistula Treatment

Anal Fistula

What is Anal Fistula?

An anal fistula is a small infected tunnel that develops between the skin around the anus and the anal canal. It often forms after an anal abscess (a pocket of pus) drains or fails to heal properly. Left untreated, it can cause persistent pain, swelling, and recurrent anal fistula bleeding or discharge.

If you’re experiencing discomfort in the anal area, you may need urgent evaluation and anal fistula treatment by a specialist

Anal Fistula Symptoms

Recognizing the anal fistula symptoms early can prevent complications. Common signs include:
  • 1. Pain, especially during bowel movements
  • 2. Redness or swelling near the anus
  • 3. Blood or foul-smelling discharge from a small opening
  • 4. Skin irritation or itching
  • 5. Recurrent anal abscesses
  • 5. Fever or fatigue in more severe cases

If you notice persistent pain and discharge near the anus, don’t delay — book a consultation for anal fistula diagnosis.

Anal Fistula Causes

Wondering what causes anal fistulas? The most common anal fistula causes include:
  • 1. Complications from an anal abscess
  • 2. Crohn’s disease or other inflammatory bowel disorders
  • 3. Tuberculosis or sexually transmitted infections (STIs)
  • 4. Trauma or surgery near the anus
  • 5. Radiation therapy

Certain underlying conditions such as diabetes or immune disorders may increase your risk.

Anal Fistula Complications

Without proper treatment, an anal fistula can lead to:
  • 1. Chronic infections
  • 2. Recurrent abscesses
  • 3. Anal sphincter damage
  • 4. Sepsis in rare cases

Delaying treatment increases the likelihood of surgical intervention and worsens symptoms. That’s why early anal fistula diagnosis is critical.

Anal Fistula Treatment Options:

At Arwa & Ali Medical Center, we offer both non-surgical and surgical options based on the type and severity of your condition.


Conservative Care:

  • 1. Antibiotics to control infection
  • 2. Sitz baths and hygiene measures
  • 3. Nutritional support, including a tailored anal fistula diet


Anal Fistula Surgery:

For complex or persistent cases, anal fistula surgery may be required. Our expert surgeons use advanced, minimally invasive techniques such as:
  • 1. Fistulotomy (opening and cleaning the tract)
  • 2. VAAFT (Video-Assisted Anal Fistula Treatment)
  • 3. Advancement Flap Procedures
  • 4. Laser Closure
  • 5. Stem Cell or PRP Injections (for recurrent or deep tracts)
We prioritize sphincter-preserving methods to reduce pain, minimize downtime, and prevent incontinence.

Diet for Anal Fistula Healing

A balanced anal fistula diet plays a vital role in recovery. Our specialists recommend:
  • 1. High-fiber foods (whole grains, fruits, vegetables)
  • 2. Hydration: 6–8 glasses of water daily
  • 3. Probiotic-rich foods (yogurt, kefir)
  • 4. Avoiding processed or spicy foods
  • 5. Limiting alcohol and caffeine

Our team will guide you on nutritional choices to prevent constipation and promote healing.

FAQs

What is the most effective treatment for anal fistula?

At Arwa & Ali Medical Center, we offer both non-surgical and surgical treatments depending on your condition. Advanced options include laser closure, VAAFT, and stem cell therapy — all aimed at fast healing and sphincter preservation.

How do I know if I have an anal fistula?

Common signs include pain near the anus, recurrent abscesses, foul-smelling discharge, and skin irritation. If you’re experiencing these symptoms, schedule an exam for accurate anal fistula diagnosis.

Is anal fistula surgery painful?

Modern anal fistula surgeries such as VAAFT and laser closure are minimally invasive with reduced pain and downtime. Most patients recover quickly with proper care and hygiene.

How much does anal fistula surgery cost?

The cost varies based on the technique used and the complexity of the fistula. We offer transparent pricing after a thorough consultation. Insurance may cover part of the treatment depending on your plan.

Can an anal fistula heal without surgery?

Some early or simple fistulas may improve with conservative care, including antibiotics and sitz baths. However, most anal fistulas require surgical intervention to fully heal and prevent recurrence.

What causes anal fistulas?

Anal fistulas often result from untreated or recurrent anal abscesses. Other causes include Crohn’s disease, STIs, surgery near the anus, or chronic inflammation.

What are the risks of leaving an anal fistula untreated?

Untreated fistulas can lead to chronic infection, anal sphincter damage, and even systemic infections like sepsis in rare cases. Early diagnosis and treatment are essential to avoid complications.

Is anal fissure dangerous if left untreated?

Untreated fistulas can lead to chronic infection, anal sphincter damage, and even systemic infections like sepsis in rare cases. Early diagnosis and treatment are essential to avoid complications.

Is laser treatment for anal fistula available?

Yes, we offer laser closure for anal fistulas — a minimally invasive option that promotes healing while preserving sphincter function. It’s suitable for select cases and provides excellent results.

What foods help heal an anal fistula faster?

A high-fiber diet, hydration, and probiotic-rich foods like yogurt can aid healing. Avoid spicy, greasy, and processed foods to reduce irritation and prevent constipation.

Do you treat complex or recurrent anal fistulas?

Absolutely. Our colorectal surgeons specialize in managing complex and recurrent anal fistulas using techniques such as stem cell therapy, advancement flaps, and video-assisted surgery.