Fistula Surgery
Fistulotomy
Fistulotomy involves laying open the entire fistula tract to allow healing from the base upward. It remains the most effective treatment for simple, low intersphincteric and low transsphincteric fistulas with cure rates exceeding 95 percent. Dr. Adarsh, based in Bangalore, carefully assesses sphincter involvement before recommending this approach.
About Fistulotomy
Fistulotomy is the gold standard surgical treatment for simple anal fistulas involving minimal sphincter muscle. The procedure involves laying open the fistula tract, allowing it to heal from the inside out. Dr. Adarsh carefully assesses the fistula anatomy with MRI and examination under anesthesia to determine if fistulotomy is safe without risking continence.
Laser Fistula Treatment (FiLaC) — A radial-emitting laser fiber is inserted into the fistula tract to seal it, preserving sphincter function.
Signs & Symptoms
Persistent perianal discharge (pus or blood)
Recurrent perianal abscess
Visible external opening near the anus
Pain and swelling around the anus
Itching and skin irritation from chronic discharge
Treatment Approaches
Primary Fistulotomy
Staged Fistulotomy with Seton
Why Choose This Approach
Benefits of Treatment
Highest cure rate for simple fistulas (95%+)
Single-stage definitive procedure
Short operative time (20-30 minutes)
Rapid healing (4-6 weeks)
Low recurrence rate
Recovery Timeline
Same-day or next-day discharge.
Sitz baths. Wound dressing changes. Mild discomfort.
Wound gradually fills in from the base. Light activities.
Complete wound healing.
Why Choose Dr. Adarsh for Fistulotomy?
Expert Surgeon in Bangalore
Over 20+ years of experience performing fistulotomy procedures in Bangalore with excellent outcomes. Fellowship-trained in Belgium and Boston University, USA.
Faster Recovery
Minimally invasive techniques mean less pain, smaller scars, and quicker return to normal activities.
Advanced Technology
Access to the latest laparoscopic, robotic, and laser surgical equipment at Apollo Clinic, Indiranagar, Bengaluru.
Personalized Care
Every patient across Bangalore receives a customized treatment plan based on their specific condition and health goals.
Common Questions
Frequently Asked Questions
Related Procedures
Explore other fistula surgery procedures offered by Dr. Adarsh.
Book Your Fistulotomy Consultation
Discuss your fistulotomy treatment options with Dr. Adarsh M. Patil at Apollo Clinic, Indiranagar, Bengaluru. Get a personalized assessment and transparent cost estimate.