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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Anal Fistula Be Treated?

Male,73 years, weight 60 kg, height 5.4, has been suffering from anal fistula for one year. Fistula-gram shows evidence of a fistula track seen in right perianal region communicating with rectum Fistula In Ano Please suggest what to do? Where to do ? Which specialty doctor does treat this? Which process if to operate should I adopt? Please suggest.
Thu, 25 Feb 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of fistula in ano, internal opening in the rectum means this is a high anal fistula.
This is very typical to treat as this is not curable in a single stage.
Hence the following are the options:
A general Surgeon or Proctologist would operate you in stages so the at the internal sphincter is saves and thus the continence.
Secondly a seton can be passed.
Ayurvedic version if Kshar-sutra.
All have its advantage or disadvantages, discuss with your referring Doctor so that you get an appropriate education, information and then can decided on your own which therapy will be suitable for you.
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How Can Anal Fistula Be Treated?

Hi. Thanks for your query. Noted your history of fistula in ano, internal opening in the rectum means this is a high anal fistula. This is very typical to treat as this is not curable in a single stage. Hence the following are the options: A general Surgeon or Proctologist would operate you in stages so the at the internal sphincter is saves and thus the continence. Secondly a seton can be passed. Ayurvedic version if Kshar-sutra. All have its advantage or disadvantages, discuss with your referring Doctor so that you get an appropriate education, information and then can decided on your own which therapy will be suitable for you.