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Overview Of Fistula

A fistula is an unusual connection between two empty spaces (specifically, two epithelialized surfaces), Like: blood vessels, intestines, or other unfilled (empty) organs. Fistulas are generally, caused by injury or surgery, but they can also effect from an infection or inflammation.  Fistulas are usually a disease condition, but they may be surgically created for therapeutic reasons.

Ultimately, it breaks through to the skin, other body cavity, or an organ, develops a fistula. Fistulas are more usual in Crohn's disease than they are in ulcerative colitis.


Fistulas usually happen in the area around the genitals and anus (known as the perineum). 

The four types of fistulas are:

Enterocutaneous: It's a type of fistula is from the intestine to the skin. An enterocutaneous fistula may be a difficulty of surgery.  It can be defined as a passageway that processes from the intestine to the surgery site and then to the skin.

Enteroenteric or Enterocolic: This is a fistula that affects the large or small intestine.

Enterovaginal: This is a fistula that passes to the vagina.

Enterovesicular: This type of fistula passes to the bladder. These fistulas may result generally urinary tract infections or the passage of gas from the urethra throughout the urination.


  • Constipation
  • Fever
  • Impotence to pass gas
  • Sudden, extreme abdominal pain
  • Chills
  • Fatigue
  • Diarrhea
  • Racing heart rate
  • Abnormal breathing
  • Wheezing.
  • The abdomen may also feel like bloated.
  • Pain and swelling around the Anal.
  • Redness, Skin irritation, and Tenderness.

Risks Factors

  • A risk factor is anything that increases a person’s chance of developing or getting anal fistula.
  • However, risk factors frequently effect the development of anal fistula.
  • Infection to the surgical area.
  • Diabetes
  • Inflammatory bowel diseases
  • Tuberculosis
  • Anal abscess
  • Trauma.


  • Painless Procedure
  • 1 day staying at Hospital
  • No need for every day dressing.
  • Less bleeding during surgery
  • Reduced the risk of infections after surgery
  • High success rate. Back to normal life in 2-4 days.
  • Recovering fast as there are no cuts
  • Fast healing
  • No need to follow the diet.

Procedures Of Fistula

  • You can normally expect some pain after surgery, if your doctor gave you a prescription medicine or drug for pain, take it as prescribed.
  • Ask to your doctor what is over-the-counter medicines are safe for you.
  • Some bleeding is normal after surgery, especially with the first bowel movement after surgery.
  • Ice packs applied to the anal area it will reduce your swelling and pain.
  • Regularly soaks in warm water (sitz baths) it helps to relieve pain and muscle spasms
  • Few doctors may recommend that you take an antibiotic after surgery to reduce pain and prevent infections.
  • Doctors recommend that you take stool softeners that contain fiber to help to make your bowel movements smooth.
  • Follow up exams with the surgeon generally are done 2 to 3 weeks after surgery to check for problem

Post Procedures Of Fistula

Laser surgery of Anal Fistula:

  • A number of cauterization methods have been shown to be effective for fistula. This is the best method to cure the anal fistula.
  • Laser surgery is a type of surgery that is used for a laser to cut tissue.

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