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Fistula, in Hindi, Definition, Symptoms, Treatment, Surgery, How Fistula Cure Without Surgery

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Fistula, in Hindi, Definition, Symptoms, Treatment, Surgery, How Fistula Cure Without Surgery
Anal fistula or Fistula-in-ano is the medical term for an infected tunnel that develops between the skin and the anal canal.

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Anal fistula is the medical term for an infected tunnel that develops between the skin and the anal canal.

Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in collection of pus near anal opening that drains through the skin next to the anus. The fistula then forms a tunnel under the skin and connects with the infected gland.

Surgery is usually needed to treat anal fistula as even after medical therapy, infection persists in fistula tract and it does not heal completely.

Treatment
Treatment of anal fistula depends on the fistula’s location and complexity. The goals are to repair the anal fistula completely to prevent recurrence and to protect the sphincter muscles. Damage to these muscles can lead to fecal incontinence.

The options include:

The surgeon cuts the fistula’s internal opening, scrapes and flushes out the infected tissue.
Advancement rectal flap.The surgeon creates a flap from the rectal wall before removing the fistula’s internal opening. The flap is then used to cover the repair. This procedure can reduce the amount of sphincter muscle that is cut.
Seton placement.The surgeon places a silk or latex string (seton) into the fistula to help drain the infection. This is usually done for higher fistula.
Video-Assisted Anal Fistula Treatment (VAAFT) – This involves visualization of fistula tract using a video scope and tract is then coagulated with electric current or laser.
In cases of complex fistula, more-invasive procedures may be recommended, including:

Ostomy and stoma.The surgeon creates a temporary opening in the abdomen to divert waste into a collection bag, to allow the anal area time to heal.
Muscle flap.In very complex anal fistulas, the channel may be filled with healthy muscle tissue from the thigh, labia or buttock.


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Anal fistula
An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poo leaves the body).

They're usually the result of an infection near the anus causing a collection of pus (abscess) in the nearby tissue.

When the pus drains away, it can leave a small channel behind.

Anal fistulas can cause unpleasant symptoms, such as discomfort and skin irritation, and will not usually get better on their own.

Surgery is recommended in most cases.

Symptoms of an anal fistula

skin irritation around the anus
a constant, throbbing pain that may be worse when you sit down, move around, poo or cough
smelly discharge from near your anus
passing pus or blood when you poo
swelling and redness around your anus and a high temperature (fever) if you also have an abscess
difficulty controlling bowel movements (bowel incontinence) in some cases
The end of the fistula might be visible as a hole in the skin near your anus, although this may be difficult for you to see yourself.


These may include:

a further physical and rectal examination
a proctoscopy, where a special telescope with a light on the end is used to look inside your anus
an ultrasound scan, MRI scan or CT scan
Causes of anal fistulas
Most anal fistulas develop after an anal abscess.
Less common causes of anal fistulas include:

Crohn's disease
diverticulitis
intestine (colon)
hidradenitis suppurativa
infection with tuberculosis (TB) or HIV
a complication of surgery near the anus
Treatments for an anal fistula
Anal fistulas usually require surgery as they rarely heal if left untreated.

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