Anal fistula is a chronic tunnel between the bowel and the skin around the anus. Modern sphincter-preserving techniques have transformed outcomes.
What is it?
Most fistulas develop after an anal gland abscess. They cause discharge, irritation and recurrent infection.
Investigations
Clinical examination, MRI of the pelvis to map the tract and a careful examination under anaesthesia.
Traditional repair
Fistulotomy — laying the tract open. Effective for simple low fistulas but unsuitable for high or complex tracts.
Sphincter-preserving options
VAAFT (video-assisted), LIFT, fibrin glue or seton placement — chosen based on anatomy.
Recovery
Day-care or one-night admission. Healing over 4–6 weeks with regular reviews.
Frequently Asked Questions
Related Topics
fistula in ano Dubai
VAAFT
proctology