The anorectal fistula (fistula in ano) is an abnormal communication between the anus and peri anal skin. Fistula can occur spontaneously or secondary to peri anal or perirectal abscess.

Cause:

• Infection-Anorectal Abscess (pus)

• Unhygienic condition of anal region

• Trauma near anal region

• constipation

Symptoms:

• Discharge from the boil

• Pain

• Boils near anal region

• Non healing wound at anal region

• Fever & chills

• Fistula has a track having 2 openings: Internal in the rectum or anus & external in the butocks

Diagnosis: MRI Fistulogram

Treatment

• Fistulocomy: the fistula track is totally taken out by use of advanced radiofrequency device under strong light source. Very effective for high fistula.

• VAAFT: video assisted anal fistula cases only

• Ksharsutra: a traditional ayurvedic therapy & cutting method.