Before/After Image

Anal fistula treatment

Patient Review

  • Patient's Name: Rohan
  • Patient's Age: 26
  • Patient's Gender: male


  • Mild, dull pain in the perianal region
  • A feeling of nodule like structure
  • A tiny amount of pus discharge occasionally
  • Irritation
  • Itching

Case Presentation

The patient was under local anesthesia. He was treated successfully with kshar sutra ligation treatment. The patient was relaxed and felt no pain during and after the procedure. 

Fistulas can be caused by several things. What is the most common reason for a fistula?

Anal fistulas are most commonly caused by clogged anal glands and anal abscesses. An anal fistula can also be caused by the less common disorders listed below: Crohn's disease is a long-term inflammatory bowel disease that damages the intestines (an inflammatory disease of the intestine) Radiation is a form of electromagnetic radiation (treatment for cancer)



Treatment and prognosis

  • Kshar sutra ligation along with excision

Physical Examination & Tests

  • Inspection
  • Palpation
  • Probing
  • Patency test
  • Proctoscopy
  • USG Local Part
  • Preoperative blood investigations


The patient was delighted after having the treatment. It was like the only way for him to get back into regular life. As per the patient - "I'm very thankful to Dr. Dipesh. He took utmost care of my problem. He adequately examined my complication and then offered the best treatment for me. I never thought that I could get rid of this without Dr. Dipesh's help.

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