Anal fistulas can be a painful and persistent condition that disrupts daily life. While surgery is often recommended to treat them, many patients are surprised and frustrated when the problem returns. Understanding fistula recurrence causes is essential for successful long-term treatment.
At Amrut Hospital, Dr. Pramod D. Bahekar, a highly skilled fistula laser treatment doctor in Dombivli, offers advanced solutions to address not only the fistula itself but also the underlying reasons it comes back.
His approach focuses on anal fistula recurrence prevention through High-Tech surgical techniques and precise aftercare.
What is an Anal Fistula?
An anal fistula is an abnormal tunnel-like connection between the anal canal and the skin around the anus. It often develops after an abscess in the anal glands fails to heal completely.
Common symptoms include:
- Persistent pain and swelling around the anus
- Discharge of pus or blood
- Recurrent abscesses
- Skin irritation and discomfort when sitting
How Anal Fistulas Develop?
Most anal fistulas form when an anal gland becomes infected, leading to an abscess. If the abscess does not heal properly, it can leave behind a tract that connects internally to the anal canal and externally to the skin.
When the infection persists or healing is incomplete, the risk of fistula recurrence increases significantly.
Why Fistulas Come Back After Surgery?
Common Fistula Recurrence Causes
Many patients wonder why fistulas come back after surgery. Some of the most frequent causes include:
- Incomplete removal of the fistula tract during surgery
- Multiple hidden or branching tracts that go undetected during the procedure
- Ongoing infection or inflammation in the anal glands
- Underlying health conditions like Crohn’s disease or tuberculosis
Risk Factors for Fistula Recurrence
Certain factors can increase the likelihood of recurrence:
- Chronic digestive or inflammatory disorders
- Poor post-operative wound care
- Smoking and weakened immunity
- Delayed or missed follow-up treatments
Challenges with Traditional Fistula Surgery
Conventional fistula surgeries often have higher recurrence rates due to difficulty in completely removing all tracts. They may also carry risks like:
- Potential damage to anal sphincter muscles, leading to incontinence
- Longer healing time and discomfort
- Higher chances of residual infection
Modern Surgical Approaches to Prevent Recurrence
Fistula Laser Treatment
Laser surgery is a breakthrough in fistula management. It works by precisely sealing the fistula tract from the inside, minimizing damage to surrounding tissues.
Benefits of fistula laser treatment include:
- Lower anal fistula recurrence rates
- Minimal pain and scarring
- Faster recovery and return to normal activities
- Reduced risk of incontinence
Patients in Mumbai and nearby areas can access fistula laser treatment in Dombivli at Amrut Hospital under Dr. Bahekar’s expert care.
LIFT Procedure and Recurrence
The LIFT procedure (Ligation of Intersphincteric Fistula Tract) is another modern technique designed to minimize recurrence. It involves sealing the fistula tract between the anal sphincter muscles, preserving muscle function and preventing leakage.
While LIFT procedure fistula recurrence can still occur, proper case selection and precise execution can greatly improve outcomes.
Combination Approaches
For complex fistulas, a combination of treatments may be used:
- Imaging techniques like MRI or endoanal ultrasound to detect all tracts
- Seton placement before laser surgery for better drainage and healing
- Customized treatment plans to address underlying causes
Anal Fistula Recurrence Prevention Strategies
Before Surgery
- Accurate diagnosis with advanced imaging
- Treatment of any active infection
- Managing chronic conditions like Crohn’s disease
After Surgery
- Following wound care instructions strictly
- Keeping the anal area clean and dry
- Attending all follow-up appointments
- Lifestyle changes: eat a fiber-rich diet, stay hydrated, and avoid smoking
Why Choose Dr. Pramod D. Bahekar for Fistula Surgery in Dombivli?
- Expertise: Years of experience in advanced fistula surgery
- Technology: Access to the latest fistula laser treatment in Dombivli
- Results: High success rate in anal fistula recurrence prevention
- Patient Care: Individualized treatment plans and compassionate approach
Conclusion
Fistula recurrence can be frustrating, but with the right surgical approach and proper aftercare, it is possible to achieve lasting results. Techniques like fistula laser treatment and the LIFT procedure have significantly reduced recurrence rates.
If you are struggling with a recurring anal fistula, consult Dr. Pramod D. Bahekar, an experienced fistula laser treatment doctor in Dombivli, at Amrut Hospital for safe, effective, and advanced care.