Menu

+91 6284 619 757

Book Free Consultant

Our Doctors

Clinic Location

Fistula in ano is an abnormal tract between the anal canal and the skin around the anus. It usually develops as a result of an anal abscess that has not healed completely, leading to persistent infection and drainage.

Causes of Fistula in ano

  • Anal Abscess Infected anal glands lead to pus accumulation, which may form a fistula.
  • Chronic Constipation Can increase the risk of anal gland blockage and infections.
  • Inflammatory Bowel Disease (IBD) Crohn’s Disease and Ulcerative Colitis causes chronic inflammation, and increasing fistula in ano.
  • Tuberculosis (TB) can cause tubercular anal fistulas.
  • Trauma or Injury (STIs) Anal surgery, childbirth-related tears, or rectal injuries.
  • Sexually Transmitted Infections (STIs) Infections like syphilis or HIV may contribute.
  • Radiation Therapy Used in pelvic cancers may damage tissues.
  • Cancer or Tumors Rectal or anal cancers can lead to fistula formation.

Symptoms of Fistula in ano

  • Persistent Discharge – Pus or blood leakage from an opening near the anus.
  • Recurrent Abscesses – Frequent swelling and pus collection in the anal region.

  • Pain and Discomfort – Throbbing or sharp pain, especially while sitting or passing stool.

  • Swelling Around the Anus – A lump or inflamed area 
near the anal opening.
  • Itching and Irritation – Constant discomfort and skin irritation around the anus.
  • Foul-Smelling Discharge – Pus with a bad odor due to infection.
  • Difficulty in Bowel Movements – Pain or discomfort during defecation..
  • Low-Grade Fever – Occasionally present due to infection.

Treatment of Fistula in ano  

Fistulotomy

The fistula tract is cut open and allowed to heal naturally (most common and effective method).

Seton Placement

A surgical thread (seton) is placed to help drain infection and allow slow healing.

LIFT Procedure (Ligation of Intersphincteric Fistula Tract)

The fistula tract is tied off to prevent infection while preserving sphincter function.

Advancement Flap 
Surgery

Healthy tissue is used to cover the internal opening of the fistula to promote healing.

Fibrin Glue or Collagen
Plug

Non-surgical methods that involve sealing the fistula with a special glue or plug .

VAAFT (Video-Assisted 
Anal Fistula Treatment)

A minimally invasive procedure using an endoscope to remove the fistula.

Antibiotics

Used to control infection before or after surgery.

Painkillers

To manage post-operative pain.

Stool Softeners or Laxatives

To ease bowel movements and prevent straining.

Maintain good anal hygiene

Sitz baths (warm water baths) for pain relief and healing

High-fiber diet to prevent constipation

Adequate fluid intake to keep stools soft.

Reasons Why Kshar Sutra is the Best Treatment for Fistula in Ano

Minimally Invasive & No Major Surgery

Unlike modern surgeries like fistulectomy or fistulotomy, Kshar Sutra does not require large incisions.

The procedure is done under local anesthesia, making it safer for high-risk patients

High Success Rate & Low Recurrence

The Kshar Sutra thread continuously releases herbal alkaline medicine, which gradually cuts through the fistulous tract while healing it.

The procedure is done under local anesthesia, making it safer for high-risk patients

Removes the Entire Infected Tract

The medicated thread dissolves infected tissues and promotes healing from the inside out, ensuring complete removal of pus and debris.

Less Pain & Faster Recovery

Since it is a controlled process, the patient experiences less pain and minimal bleeding.

The healing is gradual yet steady, reducing post-treatment complications.

Effective for Complex & Recurrent Cases

Kshar Sutra works even for high anal, multiple, and recurrent fistulas, where modern surgeries have higher failure rates.

Preserves Anal Sphincter Function

Unlike conventional surgery, which may damage the sphincter muscle and cause incontinence, Kshar Sutra preserves anal function, making it ideal for long-term results.

Cost-Effective & OPD-Based Treatment

The procedure does not require prolonged hospital stays, making it more affordable and convenient.


Patients can continue their daily activities with minimal restrictions.

Kshar Sutra Treatment for Fistula in ano

Kshar Sutra is considered one of the best treatments for Fistula in Ano due to its high success rate, minimal recurrence, and non-invasive nature. It is an Ayurvedic para-surgical procedure that involves the use of a medicated thread (Kshar Sutra) to treat fistulas effectively.

Procedure of Kshar Sutra Treatment

Insertion of Kshar Sutra
A medicated thread is passed through the fistula tract using a probe under local or spinal anesthesia.

Gradual Cutting & Healing

The thread slowly cuts through the fistula while promoting drainage and healing It is replaced with a fresh Kshar Sutra every 7–10 days until the tract completely heals.

Healing & Recovery

The process takes 4–8 weeks, depending on the length and complexity of the fistula. The wound heals naturally without damaging the anal sphincter, thus preventing incontinence

Reasons Why Kshar Sutra is the Best Treatment for Fistula in Ano

Minimally Invasive & No Major Surgery
Unlike modern surgeries like fistulectomy or fistulotomy, Kshar Sutra does not require large incisions.

The procedure is done under local anesthesia, making it safer for high-risk patients.

High Success Rate & Low Recurrence

The Kshar Sutra thread continuously releases herbal alkaline medicine, which gradually cuts through the fistulous tract while healing it.

Studies suggest a lower recurrence rate compared to conventional surgery.

Removes the Entire Infected Tract

The medicated thread dissolves infected tissues and promotes healing from the inside out, ensuring complete removal of pus and debris.

Less Pain & Faster Recovery

Since it is a controlled process, the patient experiences less pain and minimal bleeding.

The healing is gradual yet steady, reducing post-treatment complications.

Effective for Complex & Recurrent Cases

Kshar Sutra works even for high anal, multiple, and recurrent fistulas, where modern surgeries have higher failure rates.

Preserves Anal Sphincter Function

Unlike conventional surgery, which may damage the sphincter muscle and cause incontinence, Kshar Sutra preserves anal function, making it ideal for long-term results.

Provide Best Treatment Solution in Town

Our team can assist you in transforming your business Latest tech capabilities to stay ahead transforming
Book Consultant
Scroll to Top