DIGESTIVE CONDITIONS · PATIENT EDUCATION
Fistula-in-Anoexplained plainly.
An anal fistula is an abnormal tunnel connecting the inside of the anal canal to the skin near the anus, usually following an abscess. It causes recurrent discharge, pain and swelling, and is cured with surgery using sphincter-preserving techniques wherever possible.
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Fistula-in-Ano (Anal Fistula)
in plain language.
Written for patients and families, reviewed by the surgeons who treat it.
- DEFINITION
- An abnormal tract between the anal canal and the skin
- WHO
- Often follows an anal abscess; more common in men
- SEE A SURGEON
- Recurrent discharge, a non-healing opening, or repeated abscesses
- URGENCY FLAGS
- Spreading redness, fever or severe pain — possible active abscess
What is an anal fistula?
An anal fistula is a small tunnel that develops between the anal canal and the skin around the anus. It most often forms after an anal abscess (a collection of pus) fails to heal completely, leaving a track that repeatedly discharges.
Symptoms & causes
Typical symptoms are recurrent discharge of pus or blood, a persistent opening or lump near the anus, itching, and pain that eases when the fistula drains. Most fistulas follow an abscess; some are linked to conditions such as Crohn's disease.
Diagnosis
Diagnosis is clinical, supported where needed by an MRI to map the fistula track in relation to the sphincter muscles. Accurate mapping is essential to plan a cure while protecting continence.
Treatment options
Anal fistulas need surgery to heal. The approach depends on how the track relates to the sphincter — options range from fistulotomy for simple tracks to sphincter-preserving techniques (such as LIFT or laser) for complex ones, prioritising both cure and continence.
This guide was originally published by Dr. Avinash Tank in his medical-education library.Read “Fistula-in-Ano (Anal Fistula)” on dravinashtank.in
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the bigger picture.
Choose a question. Each answer comes from our patient-education library.
This overview was originally published by Dr. Avinash Tank in his medical-education library.Colon & Rectum: the full overview
Learn more about
fistula-in-ano.
Doctor-written guides from Dr. Avinash Tank's medical-education library — understand the condition before you decide on treatment.
These articles live on dravinashtank.in, Dr. Avinash Tank's own site, and open in a new tab.
Fistula-in-Ano,
explained on film.
Surgeon explainers, patient stories and operations from the hospital's own channel.
Bleeding, pain or
swelling at the back passage?
These are common and very treatable. The consultation is private and the examination is quick.
Aboutfistula-in-ano
Fistulas rarely heal on their own because the track stays open and keeps discharging. Surgery is the reliable cure.
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