Anal Fistula Treatment in Navi Mumbai
- Second opinion and redo surgery anal fistula expert in Navi Mumbai

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What Are The Options For Anal Fistula Treatment in Navi Mumbai?
Dr Jhawar regularly treats complex and recurrent fistulas at Apollo Hospital Navi Mumbai and Zen Hospital, Chembur, Mumbai. He is an Expert in sphincter-saving procedures like LASER, VAAFT, DLPL, and LIFT.
LASER (FiLaC) &DLPL
The FiLaC (Fistula-tract Laser Closure) is a minimally invasive technique where a laser probe is inserted into the fistula tract. It uses controlled laser energy to close off the fistula. This method offers:
- Quick recovery: Patients experience minimal post-operative pain and shorter healing times.
- Less scarring: Due to its non-invasive nature, there is little to no scarring.
VAAFT (Video-Assisted Anal Fistula Treatment):
VAAFT is a modern surgical technique that uses a tiny camera to visualize the fistula tract from the inside. Benefits include:
- Precision: The video assistance allows for better visualization, making the surgery more accurate.
- Faster recovery and minimal discomfort: The minimally invasive approach leads to less post-operative pain and a quicker recovery period.
LIFT (Ligation of Intersphincteric Fistula Tract):
The LIFT procedure involves accessing the fistula through a small incision between the anal sphincters. It is ideal for treating complex fistulas. Key benefits include:
- High success rate: LIFT has shown excellent outcomes in terms of fistula healing.
- Preservation of continence: This technique avoids damage to the anal sphincter, maintaining bowel control.
What Are The Benefits of Advanced Anal Fistula Treatment In Navi Mumbai?
Sphincter Preservation:
Advanced methods like VAAFT, LIFT, and LASER ensure that the anal sphincter muscles remain intact, reducing the risk of incontinence. This is especially crucial for maintaining normal bowel function post-surgery.
Less Pain:
Minimally invasive techniques result in significantly reduced post-operative pain, leading to a more comfortable recovery.
Minimal Recovery Time:
Compared to traditional surgery, patients experience faster healing, allowing them to return to normal activities sooner with fewer complications.
Reduced Risk of Recurrence:
Advanced techniques like LASER, VAAFT, and LIFT offer more precise treatment, minimizing the chance of fistula recurrence.
Minimal Scarring:
Due to the minimally invasive nature of these surgeries, patients experience very little to no scarring, enhancing cosmetic outcomes.
Lower Infection Risk:
The precise and minimally invasive approach reduces the risk of post-surgical infections compared to traditional surgery.
Improved Quality of Life:
Faster recovery and less discomfort allow patients to resume daily activities more quickly, improving their overall quality of life post-surgery.
Why Should You Trust Dr. Nitish for Anal Fistula Treatment in Navi Mumbai?
Dr. Nitish Jhawar is a leading expert in anal fistula surgeries in Mumbai, specializing in advanced techniques like VAAFT and LIFT. With over 24 years of experience, he is among the few surgeons in the city performing these minimally invasive procedures.
His expertise in treating complex fistulas ensures reduced recovery time, minimal pain, and excellent surgical outcomes. Patients trust him for his precision and compassionate care, making him a top choice for anal fistula surgeries in Mumbai.
What is an Anal Fistula?
An anal fistula is an abnormal tunnel that forms between the skin around the anus and the inside of the anal canal. It often results from an infection in the anal glands that leads to an abscess. When untreated, the infection creates this fistulous tract.
Why is Surgery Needed for an Anal Fistula?
- Fistulas rarely heal on their own: Without surgery, the fistula may persist and worsen.
- Prevent infection recurrence: Surgery eliminates the infected tract, reducing the chance of recurrent abscesses or infections.
- Avoid complications: Untreated fistulas can lead to chronic pain, abscesses, and systemic infections.
- Faster healing with advanced techniques: Modern surgical methods like VAAFT, LIFT, and LASER promote quicker recovery and reduce the risk of incontinence.
- Long-term relief: Surgery offers permanent resolution compared to temporary symptom relief.
Symptoms of Anal Fistula
- Persistent Pain: Especially during or after bowel movements.
- Swelling and Redness: Around the anus.
- Bleeding: Blood may appear in the stool.
- Discharge: A smelly, bloody, or pus-like discharge from the anal opening.
- Skin Irritation: Due to constant leakage and drainage.
- Recurrent Abscesses: Painful, swollen areas that fill with pus.
- Fever: Occasionally, an infection may cause fever.
If you’re experiencing these symptoms, it could indicate an anal fistula and should be assessed by a specialist.
How Dr. Nitish Diagnose Anal Fistula?
Digital Rectal Exam (DRE):
The doctor uses a gloved finger to feel inside the rectum and assess the presence of any fistulous tracts or abnormalities around the anal region. This is a quick, manual exam to evaluate the external and internal areas.
Colonoscopy:
A colonoscopy involves inserting a flexible tube with a camera into the rectum to inspect the lower gastrointestinal tract. This helps detect the fistula and underlying conditions like Crohn's disease, which contribute to the fistula.
Imaging Tests (MRI or Ultrasound):
Magnetic Resonance Imaging (MRI) or Endoanal Ultrasound provides highly detailed images of the anal canal, helping the surgeon determine the complexity and location of the fistula. This imaging is crucial in planning the most appropriate surgical intervention, especially for complex cases.
These methods are essential for accurately diagnosing the fistula, its location, and any underlying causes that may need treatment alongside the surgery.
Frequently Asked Questions (FAQs)
Recurrence of an anal fistula is often due to incomplete healing, residual infection, or untreated secondary tracts. Inadequate post-operative care or complex fistula structures can also contribute.
To prevent fistula recurrence, follow these key steps: maintain proper hygiene, eat a high-fiber diet to avoid constipation, and stay well-hydrated. After surgery, follow post-op care instructions closely, keep the area clean, avoid heavy activities, and attend follow-up appointments. Watch Dr. Nitish’s video for more detailed prevention tips here.
Recovery involves maintaining hygiene, following a high-fiber diet to prevent constipation, and avoiding strenuous activities. Medications may be prescribed to manage pain and prevent infection.
Adopt a high-fiber diet, stay hydrated, avoid straining during bowel movements, and maintain regular exercise to support digestive health.
Warm sitz baths, consuming high-fiber foods, drinking plenty of water, and using gentle cleansers around the anal area can help soothe symptoms.
Reduced pain, minimal drainage, no swelling or redness, and the closing of the fistula opening are signs of proper healing.