PERIANAL FISTULA
WHAT IS A
PERIANAL FISTULA
A perianal fistula is an abnormal connection (tunnel) between the skin around the anus and the inside of the anal canal. It’s a condition that can cause discomfort, pain, and irritation, but with proper medical care, it can be effectively treated.
Diagnosis is made through clinical examination. In some cases, additional tests such as magnetic resonance imaging (MRI) or ultrasound may be needed for accurate mapping of the fistula.
Causes & Symptoms
Pain or burning in the anal area
Difficulty sitting or during defecation
Redness and swelling
Leakage of fluids or pus
WHO IS AFFECTED?
- People aged 30-50: It’s more common in this age group, although it can occur in younger or older patients.
- Men: The condition is slightly more common in men compared to women.
- People with a history of abscesses: Patients who have had anal abscesses in the past are more prone to developing fistulas.
- People with inflammatory bowel diseases: Conditions such as Crohn’s disease or ulcerative colitis increase the risk of developing perianal fistulas.
- People with sedentary lifestyles: Prolonged sitting, especially in office jobs or drivers, can contribute to problems in the perianal area.
- People with chronic infection: Those with chronic or frequent infections in the anal area are at higher risk.
THE DOCTOR
ADVISES
Treating a perianal fistula begins with understanding the problem and adopting appropriate practices for relief and prevention of its worsening.
Surgical treatment of perianal fistula is one of the most effective methods for complete cure of the condition.
With years of experience in diagnosing and treating perianal conditions, we are at your disposal to resolve any concerns you may have.
In any case, keep in mind the following:
- Recognize the Symptoms
- Pay Attention to Anal Area Hygiene
- Adopt Healthy Dietary Habits
- Avoid a Sedentary Lifestyle
- Treat Abscesses Promptly
If you notice an abscess in the anal area, consult a specialist immediately. Infections that are not properly treated can lead to the development of a fistula.
THE PROCEDURE
CONSULTATION
SURGERY
RECOVERY
During the consultation session, we will present you with the treatment options suitable for your case:
Traditional Methods: Such as fistulectomy or fistulotomy.
Modern Minimally Invasive Techniques: Such as the use of therapeutic laser (FILAC), which reduces discomfort and accelerates recovery.
Personalization of Treatment: Each patient is unique, and together we will find the treatment that fits your needs and medical history.
Surgery for perianal fistula is usually performed under general or local anesthesia, depending on the severity of the case:
The most common methods include fistulectomy (removal of the fistula) or the use of modern methods, such as therapeutic laser (FILAC).
Most procedures last 30-60 minutes.
Proper post-operative care is crucial for full recovery:
Follow the instructions you will receive: Use prescribed medications, such as painkillers or antibiotics, to prevent pain and infections.
Cleanliness of the area: Wash gently with lukewarm water and avoid using aggressive products.
Avoid constipation: Add fiber to your diet and drink plenty of water.
Rest: Avoid intense physical activity for the first few days and prefer to rest in a comfortable position.
ΠΡΙΝ
& ΜΕΤΑ
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FAQs
How long does the procedure take?
The duration of the procedure usually ranges from 30 to 60 minutes depending on the complexity of the fistula.
Is hospital stay required after the procedure?
When it comes to laser treatment, hospitalization is usually same-day and does not require longer stay or overnight at the hospital, while most basic daily activities are allowed to be performed.
When is bathing allowed?
Bathing is normally allowed from the same day. The only restriction is to avoid rubbing the wound area. Simple washing with water and soap is sufficient.
Is a special diet needed?
It’s good to follow a special diet after surgery to avoid constipation. This is always done in consultation with the treating physician.
Is medication needed?
Due to the microbes present in the area, mild antibiotics and a cream that increases wound healing may be needed. Pain is mild, but analgesic medications can be taken.
How is wound care done?
There is no large wound. Simple cleanliness and good hygiene of the area is the best care for this small wound.
Η Κλινική
