Fistula Treatment – Different Options with Pros & Cons

Struggling with pain, swelling, or discharge near the anal area?
An anal fistula rarely heals on its own, and choosing the right treatment is key for long-term relief.
There are different treatment options, each with its own benefits and drawbacks. Understanding them helps you make an informed decision.
1. Laser Fistula Surgery
Pros:
- Minimally invasive — no large cuts or stitches
- Minimal pain and bleeding
- Fast recovery — often a day-care procedure
- Low risk of recurrence
- Preserves anal sphincter function
Cons:
- Slightly higher cost than traditional surgery
- Requires access to specialized equipment and expertise
2. Traditional Fistulotomy
Pros:
- Simple and effective for simple fistulas
- Widely available and less costly
Cons:
- Longer recovery time
- Higher pain and bleeding post-surgery
- Risk of anal sphincter damage in complex fistulas
- Higher chance of recurrence for complex tracts
3. Seton Placement
Pros:
- Used for complex fistulas or those involving sphincter muscles
- Helps drain infection and reduce recurrence
- Can be combined with definitive surgery later
Cons:
- Multiple visits may be required
- Discomfort from the seton string
- Healing takes longer compared to laser surgery
4. Fibrin Glue / Bioprosthetic Plug
Pros:
- Non-invasive or minimally invasive
- Preserves sphincter function
- Quick procedure with minimal pain
Cons:
- Lower success rate compared to laser or fistulotomy
- May require repeat procedures
- Not suitable for all types of fistulas
Choosing the Right Treatment
The best treatment depends on:
- Type and complexity of fistula
- Location and number of tracts
- Patient’s overall health
- Preference for minimally invasive surgery vs conventional methods
For most patients, laser fistula surgery offers the best combination of precision, fast recovery, and low recurrence.
Meet Your Fistula Specialist in Thane
If you’re looking for expert fistula treatment in Thane, Dr. Ankur Bhanushali is a trusted choice.
With over 18 years of experience in laser and laparoscopic anorectal surgeries, Dr. Bhanushali provides tailored, minimally invasive treatments for fistula, fissure, piles, and other anorectal conditions — ensuring fast recovery and permanent relief.
📍 Dr. Ankur Bhanushali – Laser & Laparoscopic Surgeon
1st Floor, Aayush Multispecialty Hospital, Marigold Apartment, Almeda Road, Panch Pakhdi, Thane West – 400602
🌐 Website: https://www.drankurbhanushali.com
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📧 Email: dr.ankur.bhanushali@gmail.com
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💡 Choosing the right fistula treatment makes all the difference.
With expert guidance, advanced laser options can provide fast, safe, and long-lasting relief.
Reach out today and take the first step toward a pain-free life.