Fistula-in-Ano: assessment and treatment in Bhayandar
It swells, leaks pus and feels better. You think it has gone—then it returns. A small tunnel under the skin may be keeping the problem alive.
Consult Sparsh Clinic in Bhayandar East, serving Mira Bhayandar. Treatment is chosen after examination.
Symptoms you may notice
- Repeated swelling
- Pus stains
- Wetness
- Pain that comes and goes
Treatment options
- A check-up to find the tunnel.
- Draining any trapped infection.
- A procedure chosen to treat the tunnel and protect bowel control.
- Special medicines when an illness such as Crohn’s disease is involved.
When to seek urgent care
Fever or increasing pain and swelling needs prompt care.
Research reference
A 2025 review found that several muscle-preserving operations can help, but healing varies and repeat treatment may be needed. Differences between studies prevent a reliable ranking of the best procedure.
2025 · Failure rates and complications of four sphincter-sparing techniques for the treatment of fistula-in-ano: a systematic review and network meta-analysis · DOI: 10.1007/s10151-025-03152-0Assessment and diagnosis
The examination looks for the external opening and infection. MRI or other imaging may help map a complex or recurrent tract before choosing treatment.
Choosing nonsurgical care or surgery
Treatment depends on the tract and how much sphincter muscle is involved. Drainage, a seton or another operation may be considered; the aim includes protecting bowel control.
Limitations and risks to discuss
Discuss recurrence, delayed healing, further procedures and possible continence changes. A procedure suitable for a simple fistula may not suit a complex one.
Recovery and follow-up
Ask about dressings, discharge, bowel care and follow-up. A seton may form part of a staged plan rather than a one-visit cure.
Where your care takes place
Consultation and follow-up are provided at Sparsh Clinic. If an operation is recommended, confirm the operating facility, anaesthesia arrangements and admission plan with the doctor before booking. Images do not show the clinic’s operating facilities.
What affects the cost?
Ask for an itemised estimate after assessment. Relevant factors can include tests, the chosen procedure, anaesthesia, the operating facility, admission, dressings and follow-up. No fixed price is quoted before the treatment plan is known.
Common questions
Can discharge stop even when a fistula remains?
Discharge may be intermittent. Repeated swelling or drainage needs reassessment rather than assuming the problem has healed.
Is an enquiry a confirmed appointment?
No. Call or send an enquiry; the clinic confirms the date and time separately.
What should I bring?
Bring previous prescriptions, reports and a medicine list. Mention allergies and ask for a private consultation if needed.
Further patient information: ASCRS
Editorial update: 28 October 2026. New medical wording requires clinician review before public publication; no medical reviewer is claimed.
Discuss your concern
Dr. B. S. Chauhan · Surgical and colorectal care. Bring previous reports and your medicine list.
Call 79779 61003Shop No. 23, Jai Sheetal Complex, Indralok Phase 3, near Om Shanti Chowk, Bhayandar East.
Educational information; not an individual diagnosis. Treatment and recovery vary.
Explore other conditions