Anal Fistula Treatment Dubai by Dr Khaldoun Ghareb
  • Jumeirah, Al Wasl Road, Villa 1035
  • 971-4-3808889
  • info@charmemedical.com
Facebook Youtube Instagram
open-navigation
close-navigation
Get An Appointment
Welcome To Charme Day Surgery.
Youtube Instagram Snapchat
open-navigation
close-navigation

Anal Fistula

Anal Fistula

What is Ultherapy?

An anal fistula is an infected tunnel that runs between the skin and the anal opening. This is usually the result of an infection that originates in an anal gland and causes an abscess – a swollen pocket of infected tissue and fluid. The fistula forms a tunnel under the skin and connects with the infected gland.
The small glands inside the anus produce mucous and occasionally become infected. Infections that don’t heal in the right manner can lead to an anal fistula.

Risk Factors for Anal Fistula

A person who has an anal abscess is at a higher risk of getting an anal fistula. Health conditions that affect the bowels are other factors that increase the chances of developing a fistula. These conditions could include Crohn’s disease, sexually transmitted diseases, tuberculosis, certain cancers, and diverticulitis.

Causes of Anal Fistula

The most common causes of an anal fistula are clogged anal glands and abscesses. Other conditions that may cause an anal fistula are Crohn’s disease, which is an inflammatory condition of the intestine, the radiation received as treatment for cancer, trauma, sexually transmitted diseases, tuberculosis, and diverticulitis – a disease in which small pouches form in the large intestine and become inflamed. Patients suffering from certain cancers also develop an anal fistula.

Symptoms of Anal Fistula

A patient suffering from an anal fistula is likely to observe the following signs and symptoms.
  • Pain and swelling around the anal area.
  • Blood or foul-smelling liquid discharge from an opening around the anus.
  • Irritation of the skin around the anus.
  • Pain during bowel movements.
  • Fever, chills, and fatigue

Diagnosis of Anal Fistula

If a patient is experiencing symptoms of an anal fistula, the doctor will start by examining the area around the anus. The doctor will check if there is an opening in the skin, which is also called the fistula tract. She or he will aim to find out how deep this tract may be and the direction in which it is going. Quite often, there is drainage from this external opening.
In some cases, the fistula is not visible on the skin’s surface, and the doctor may recommend additional tests. These tests could include the following:
  • An anoscopy to get a view inside the anus and rectum.
  • EAUS: endoanal ultrasound we can do in the clinic and diagnose the type of fistula.
  • The physician may also recommend an MRI of the anal area for a better view of the fistula tract.
  • In some cases, the surgeon may need to conduct an examination of the patient under anesthesia in the operation theatre for a proper diagnosis.
  • If a fistula is found, your doctor may want to conduct additional tests in order to identify the cause, especially to check whether it is related to Crohn’s disease, as approximately 25% of the people who suffer from Crohn’s disease develop fistulas. In this case, you may require blood tests, X-rays, and a colonoscopy, which is performed under sedation and enables the doctor to view the colon.

Surgical Treatment of Anal Fistula

Open Fistula Pathway Fistulotomy

An anal fistula usually requires a surgical procedure that will be conducted by a colorectal surgeon. The goal of the surgery will be to get rid of the fistula while protecting the anal sphincter muscles. If the fistula is simple, not too close to the anus, and the sphincter muscle is not involved, then a procedure called fistulotomy is usually conducted. The surgeon cuts open the skin and muscle surrounding the tunnel. This enables the opening to heal from the inside out. A plug may be used to close this.

Seton Technology

In case the condition is more complicated, the surgeon may decide to insert a tube, which is known as a seton, into the opening. This tube helps to drain the infected fluid before the surgery is performed. The seton is usually kept in place for at least six weeks.

Fistulotomy or an Advancement Flap Procedure

In the advancement flap procedure, the fistula is covered with a flap, or piece of tissue, taken from the rectum, like a trap door. Another option is to perform a lift procedure in which the skin above the fistula is opened up, the sphincter muscles are spread, and the fistula is tied off. If the patient is suffering from Crohn’s disease, there is a new line of treatment that involves injecting stem cells into the fistula.

Post-surgery Care:

Post-surgery, your surgeon is likely to recommend that you soak the anal area in a warm bath, also known as a sitz bath. It is also advisable to take stool softeners or laxatives for some days.

After Anal and Rectal Surgery

Pain Relief

  • Take pain medicine every three to four hours as needed for pain.
  • Apply lidocaine gel to the anus (inside and out) every two to four hours as needed
  • Take a hot bath in plain water and soak for at least 20 minutes three times a day. This is a minimum, and there is no maximum limit. You can soak as long as you wish. It is the most effective method of controlling pain.
  • Expect the pain to get better at about seven to 14 days after surgery.

Caring for the Surgery Site

  • Remove the dressing the morning after the surgery and then get in a warm tub.
  • After bathing, pat dry or use a hair dryer.
  • After each bowel movement, gently cleanse the area with water or bathe/shower to keep the area clean.
  • If you have been told to place a moist gauze pad on the wound, do so several times a day. Tuck the gauze into the wound so that it covers all the surfaces.

Activity

  • You may do what you feel comfortable doing after surgery. Do not sit for longer than 10 to 15 minutes at a time. You may sit on a foam pillow but avoid rubber rings or “donuts.”
  • Avoid driving a car while taking pain medication.
  • You may go back to work when you feel ready to do so. This may take several days to several weeks, depending upon the procedure. Ask your doctor for specific limitations.

Follow-up

  • Make an appointment with your surgeon for ten days after surgery.

What to Expect After Surgery

Constipation

  • The pain medication can cause constipation, and passing a hard stool will just add to the pain. Take a stool softener if you are taking pain medicine. (Movicol –fibrilax-fybogel….) Twice a day is the recommended stool softener.
  • Be sure to drink six to eight glasses of water or other non-caffeinated beverage a day.
  • Do not give yourself an enema unless you get approval from your surgeon.
  • If two days pass without a bowel movement, take a tablespoon duphalac 30 ml in the evening. If you still have had no results after three days, call your surgeon.

Bleeding

  • Some bleeding with each bowel movement is expected. If the bleeding does not stop within an6 hour after a bowel movement, if the amount of bleeding is worse with time, or if you are passing clots of blood, call your surgeon.

Urinating

  • It may be difficult to urinate after the surgery. You may strain to urinate — this will not harm the area that was operated on. If you are not able to urinate, try sitting down (men) or try urinating in a warm bathtub. If you are still unable to urinate 18 hours after surgery, go to the Emergency Department. They may need to place a catheter into your bladder to empty it. Do not wait longer than 12 to 18 hours.

Colorectal Proctology

Our specialized proctologist offers effective treatments and support to help you overcome this condition.

Colorectal Proctology

Anal Fissure
Previous
Anal Itching
Next

Book Appointment

    SPECIALIST

    Meet the Doctors

    Dr Khaldoun Ghareb

    Specialist General Surgery

    View Doctor Profile
    INSURANCE

    Our Insurance Partners

    Book now, pay later with Tabby

    You can now pay easily with Tabby! Book your appointment with any of our specialists and pay later with Tabby!

    Book an Appointment
    Corporates

    Our Corporate Partners

    GOOGLE REVIEWS

    We love to hear from you!

    ام عبدالله
    ام عبدالله
    2023-08-28
    عيادة متميزة بخدماتها والجودة العالية ، صراحة منذ بدأت التعامل معهم لم اقم بتغير العيادة سواء عيادة التجميل او الأسنان وانتم الى العيادة خير الأطباء ذو الخبرة واتمنى لهم التوفيق.
    Sonia Ali
    Sonia Ali
    2023-08-17
    I recently had my root canals done by Dr. Padma Gandi, and I must say that she is best in her field. She quickly did my multiple root canals, and was very careful and focused while doing them. The good part is that Dr. Padma was so considerate of the pain I was feeling, and tried her best that I wont feel it during the procedure or afterwards. I highly highly recommend her for any dental procedures.
    ليلي عبدالله
    ليلي عبدالله
    2023-08-17
    شكرا لطاقم عيادة شارم بالاخص الدكتورة غادة
    Hessa Nasser
    Hessa Nasser
    2023-07-17
    Dr. Javier and his staff are the best! Amazing work and amazing results ? Thank you all
    Om Omar
    Om Omar
    2023-07-11
    كانت تجربة جدا رائعه مع الدكتور خافيير سويت عندو عمليتين و النتيجه خيال رائعهبشكر الدكتور على حسن تعاملو ذوق و أخلاق و جدا أمين و مش تجاري بالمرة و بينصح المريض شو بيحتاج بالظبطتعامل الطاقم الطبي و الاستقبال و الأخت أميرة كان أكثر من رائع .بالتوفيق نشالله
    Faiza Malik
    Faiza Malik
    2023-07-09
    I got amazing results of my laser procedure. Charme team is amazing. Receptionists, Nurses, doctors everyone!Thank you Charme!
    Fatima Alhassawi
    Fatima Alhassawi
    2023-07-03
    I would like to thank Dr.Javier Enrique he did an amazing surgery I'm so happy with my results he gave me a boost in my confidence he makes sure that everything was excellent before and after my surgery I can't thank him enough my surgery was very smooth my stitches looks amazing and all the staff were very nice they helped me in everything I asked for Thanks Everyone 🙂
    Elaheh Majidi
    Elaheh Majidi
    2023-07-03
    Dr. Momena Nagy is very professional and caring. Highly recommend.
    cool girl
    cool girl
    2023-06-23
    Aurrora is the best laser technician I have ever tried. I have tried so many laser places before but it never works until my friend told me about charm day surgery and specifically with aurroa and I have never changed my laser place or technician again because the results were amazing. Thank you aurroa
    Home Doctors Specialities About Contact