Non – Surgical Fistula Treatment

• WALK IN,WALK OUT  TREATMENT
• Processing time is 5-8 minutes.
• No anaesthesia  and no side effects related to anaesthesia (Only Simple Local Anesthesia)
• Since there is no surgery, there is no need for pre-treatment tests or analysis, and hunger or satiety does not interfere with treatment.
• No incisions and stitches.
• Since tissues are not damaged, healing is rapid.
• They are able to return to their daily activities on same day as treatment.
• It does not require a hospital stay as it is as comfortable and quick as tooth fillings.
• Less pain after non-surgical laser treatment.
• Complications after the treatment are not normally observed. (stool or gas incontinence, severe pain…)
• It can also be applied to patients with chronic diseases.

Disease of the anal fistula in the rectal area is accompanied by complaints characteristic of it. It usually presents as a swelling in the pelvic region, a feeling of fullness and, in some cases, an unpleasant odor from an abscess. When fistulas are running, yellow spots are observed on the underwear.

The symptoms of anal fistula, which are observed one after another, can be listed as follows:

• External opening of the fistulous canal near the anus, swelling,
• Inflammation from the colon area,
• Pain during bowel movements,
• Inflammatory yellow discharge and unpleasant odor due to the presence of an abscess,
• Bleeding during bowel movements or blood stains on underwear after using the toilet.

If any of the above symptoms are found, you should immediately consult your doctor for a definitive diagnosis.

There are many hypotheses about the causes of the formation of anal fistulas. We can say that most patients encounter this disease by accident. The destruction of the tissue structure of the pelvic area for a number of reasons is one of the main causes of the disease. Tension during constipation or bouts of diarrhea causes irritation and cracks on the surface of the mucous membrane of the anal canal, which become inflamed over time. If the injured areas in the anus are left untreated, the inflamed part opens the way for fistula formation.

An abscess that results from an anal fissure or irritation of the rectum creates a drain towards the skin and exits to the surface of the skin. This discharge also passes through the fistulous canal. It can be said that being in a state in which there are bouts of constipation or diarrhea that damage the anal canal area is one of the causes of anal fistula.

It should be noted that not every trip to the toilet, accompanied by constipation or diarrhea, can be the result of an anal fistula. In some cases, anal fistula can occur due to various intestinal diseases. It can also be caused by certain types of colon cancer, chronic colitis, or ulcerative colitis.

By location relative to the sphincter, fistulas are classified into the following types: transphincteric, suprasphincteric fistulas, extrasphincteric and intrasphincteric.

In this type of fistula, the fistulous tract runs between the sphincter muscle and the surface of the skin.

Suprasphincteric fistulas, starting in the intersphincteric space, rise upward and cross the muscular structures of the anal canal at its highest point, thus involving the entire obturator apparatus.

In this case, the fistula is formed from the site of the surrounding epithelial tissue and paves the way inward along the colon.

Formed due to an abscess, the course of the canal is located between the internal and external muscles of the perianal region. The external opening of the fistula is located close to the anus, and the internal opening of the fistula is usually located at the entrance to the anal canal.

Simple types of fistula occur in 90 percent of people with this condition. However, if treatment is postponed, this disease develops in the subsequent period and turns into complex fistulous structures, the treatment process of which is longer and more complicated.

Fistula disease is a disease that occurs when the immune system does not try to eliminate inflammation resulting from a traumatic situation in the rectal region. For this reason, the observed symptoms are similar to some types of colon and rectal cancer.

For example, complaints such as bleeding during bowel movements or a feeling of fullness in the anus are also observed in cancer. However, if untreated anal fistula disease over many years causes continuous inflammatory discharge in this area, after a while it will cause the progression of cancer cells.

Research shows that inflammation that lasts for 10 years can cause cell cancer in that part. Therefore, if symptoms appear, you should consult a specialist doctor and pinpoint the underlying cause of the complaint. If necessary, specialists can also refer to various tests, such as colonoscopy or rectoscopy, in order to make a differential diagnosis.

Fistula disease is usually diagnosed by a proctologist after listening to the patient’s complaints and performing a physical examination. If necessary, some additional diagnostic methods can also be applied. For example, colonoscopy, sigmoidoscopy, fistulogram, or endoscopy. In most cases, the possibility of fistula formation is determined by a detailed examination of the rectal area of patients with complaints of inflammation.

A painless examination can be done with a fistula diagnostic technique called a blue dye (methylene blue) test. In addition, one of the most commonly used methods is a detailed anoscopic examination. A procedure called rectoscopy is performed using an endoscopic device and allows other anal diseases, such as hemorrhoids and fissures, to be diagnosed along with the fistula, if any. A more detailed examination can also be carried out using a sigmoidoscopy apparatus. Thanks to the colonoscopy device, in addition to fistula disease, rectal diseases such as Crohn’s disease can be diagnosed, which may be the main cause of symptoms. Using a technique called fistulography, a blue fluid is injected through the external fistulous opening, which allows you to identify the fistulous canals that have made their way inward.

Postponement of treatment, unfortunately, can lead to branching, enlargement and complication of fistulous canals, accumulation of purulent secretions, which contribute to the appearance of an even more complex form of fistula disease such as cancer. The most common complication, if the perianal fistula is not treated, is the occurrence of a fungal disease due to the constant presence and flow of purulent discharge in the rectal region. Due to the fungus, the patient has chronic complaints of itching in the anus and rectal area.

Laser-assisted, non-surgical treatments for anal fistulas offer a more comfortable and effective alternative to traditional surgical methods. This minimally invasive approach targets the fistula directly, promoting healing without damaging surrounding tissues. With reduced pain, faster recovery, and no need for lengthy hospital stays, patients can return to their daily lives with ease and confidence.