
Fistula Treatment at Dr. Dictin’s Proctology Clinic
At our clinic, we specialize in the treatment of both simple and complex fistula And fistula is a notorious grave disease and very difficult to treat.Our patient-centered approach is grounded in a commitment to educating our patients and implementing appropriate treatment strategies. We understand that anal fistulas can be a source of discomfort and concern, which is why we prioritize clear communication and individualized care. Whether it's addressing acute cases or managing chronic conditions, our experienced healthcare professionals are dedicated to providing effective and compassionate treatment options that promote healing and improve the quality of life for our patients.
Type of Fistula
Intersphincteric Fistula
Intersphincteric fistula, also known as intersphincteric anal fistula, is a specific type of anal fistula that originates in the anal canal and extends into the surrounding tissues. This condition is characterized by an abnormal tunnel or tract that forms between the inner and outer sphincter muscles of the anus. Intersphincteric fistulas can be painful and uncomfortable, often accompanied by symptoms such as anal discharge, swelling, and discomfort during bowel movements.
At our clinic, we have expertise in diagnosing and treating intersphincteric fistulas. Our patient-centered approach ensures that individuals with this condition receive thorough evaluations, clear explanations of their condition, and appropriate treatment strategies tailored to their specific needs. We are dedicated to providing compassionate care and effective interventions to alleviate symptoms, promote healing, and enhance the overall well-being of our patients dealing with intersphincteric fistulas.
Transsphincteric Fistula
Transsphincteric fistulas, originating from anal infections or abscesses, are characterized by a challenging pathway that traverses both the internal and external anal sphincter muscles. Symptoms include persistent anal pain and discharge, sometimes accompanied by fever. Accurate diagnosis relies on physical exams and imaging studies like MRI or endoanal ultrasound.
Managing transsphincteric fistulas involves surgical interventions such as fistulotomy, seton placement, or advanced techniques like fistula plugs or advancement flaps. These treatments aim to close the fistula while maintaining anal sphincter function.
Complications like recurrent infections and abscess formation can arise if treatment is delayed or inadequate. Therefore, seeking prompt medical attention is essential to prevent complications and enhance the patient's quality of life.
Suprasphincteric Fistula
Suprasphincteric fistulas represent a particularly intricate form of anal fistula. Unlike other types, they take a route that goes above the external sphincter muscle before reaching the skin's surface. This unique pathway poses diagnostic and treatment challenges because of their complex anatomy.
Due to their complicated nature, suprasphincteric fistulas are associated with a higher risk of complications. These may include chronic pain, recurrent infections, and abscess formation. As a result, a specialized approach is often necessary for diagnosis and treatment. Surgical procedures tailored to the specific anatomy of suprasphincteric fistulas are typically required to effectively close the fistula tract and minimize the risk of complications. Early and appropriate medical attention is crucial to manage these challenging fistulas successfully.
Our Specialities

Medications
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Initial use of medications to control infection and inflammation.
Surgical Interventions
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Surgical procedures such as fistulotomy, fistulectomy, IFTAK & TROPIS, or more complex techniques based on the specific case.


Post-Treatment Care
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Ensuring proper healing and follow-up appointments to monitor progress and prevent complications.