Anal Fistula

An anal fistula is an abnormal link between the anal canal and the surrounding skin. It usually develops after an infection in an anal gland that leads to an abscess (a collection of pus). When the abscess drains, either naturally or through surgery, a small tunnel may remain, forming a fistula.

This tunnel can cause persistent drainage, irritation, or infection if not treated properly. Anal fistulas hardly heal on their own and often require medical or surgical intervention.

The most common cause of an anal fistula is an untreated or recurrent anal abscess.

Other causes and risk factors include:

• Chronic infection of anal glands
• Crohn’s disease (an inflammatory bowel condition)
• Tuberculosis or sexually transmitted infections
• Prolonged diarrhea or constipation
• Trauma to the anal area
• Previous anal surgery or radiation
• Rarely, certain cancers or infections affecting the anal canal

People who have a history of abscesses or chronic inflammation are more likely to develop this condition.

Symptoms of anal fistula Dubai vary depending on the size and location of the fistula, but common signs include:

• Persistent pain or discomfort around the anus
• Swelling, redness, or tenderness near the anal opening
• Discharge of pus or blood from a small opening near the anus
• Irritation or itching around the anal area
• Difficulty sitting for long periods
• Fever or fatigue (in case of infection)
• Recurrent anal abscesses

If these symptoms persist, it’s essential to consult a proctologist in Dubai and Abu Dhabi for proper diagnosis and timely treatment.

Anal fistulas are categorized based on their location and relationship to the anal sphincter muscles.

The main types include:

Intersphincteric Fistula
The most common type, located between the internal and external sphincter muscles.

Transsphincteric Fistula
Passes through both the internal and external sphincter muscles, extending to the skin outside the anus.

Suprasphincteric Fistula
Starts above the internal sphincter and curves downward to the outer skin near the anus.

Extrasphincteric Fistula
A rare type that originates in the rectum and extends to the skin outside the anus, bypassing the sphincter muscles.

Understanding the fistula type is essential for determining the most suitable anal fistula surgery in Dubai for long-term healing and minimal recurrence.

At CosmeSurge, diagnosis begins with a detailed consultation and examination by a qualified proctologist doctor Dubai and Abu Dhabi specialist.

Diagnostic methods include:

• Physical Examination: The doctor visually inspects the anal area for external openings or signs of infection.
• Proctoscopy or Anoscopy: Allows the specialist to view the inside of the anal canal.
• MRI Scan or Endoanal Ultrasound: Provides detailed imaging of the fistula’s path and involvement of muscles.
• Fistulography: A contrast dye test that outlines the fistula tract on X-ray (used in complex cases).

Once the type and extent of the fistula are confirmed, a personalized treatment plan is developed.

Treatments can vary according to the complexity and severity of the fistula. At CosmeSurge, our expert proctologists in Dubai focus on eliminating infection, closing the fistula, and preserving anal sphincter function to avoid incontinence.

Non-Surgical Treatments

While minor or early-stage fistulas are rare, some cases may initially be managed with:

• Antibiotics to control infection
• Pain-relief medications and anti-inflammatory drugs
• Sitz baths to relieve discomfort and keep the area clean

However, these approaches usually provide temporary relief, and most fistulas require surgical correction for complete healing.

Anal fistula surgery in Dubai is performed using advanced, minimally invasive techniques to ensure faster recovery and minimal risk of recurrence.

The main surgical options include:

Fistulotomy
The most common and effective treatment, in which the fistula tract is opened, cleaned, and allowed to heal naturally from the inside out. It is ideal for simple fistulas and has a high success rate.

Seton Placement
For complex or deep fistulas, a seton (a medical thread) is placed inside the tract to keep it open and allow gradual healing while maintaining sphincter control.

LIFT Procedure (Ligation of Intersphincteric Fistula Tract)
A modern technique that closes the internal opening of the fistula without cutting the sphincter muscle. It provides excellent healing results and preserves continence.

Advancement Flap Repair
In this method, the internal opening of the fistula is covered using a tissue flap from the rectum to promote healing. It is commonly used for complex or high-level fistulas.

Laser Fistula Treatment
A minimally invasive method using laser energy to close and seal the fistula tract with minimal damage to surrounding tissues.

Fibrin Glue or Collagen Plug
In selected cases, biological glue or plug materials are used to seal the tract, though success rates vary.

At CosmeSurge, our best proctologists in Dubai and Abu Dhabi use a patient-specific approach to select the best procedure based on the fistula’s type, location, and complexity.

Recovery after anal fistula surgery in Dubai depends on the surgical method and individual healing capacity. Most patients recover within 2-4 weeks and can return to normal activities shortly after.

Post-surgery care includes:

• Regular warm sitz baths to soothe the area
• Keeping the wound clean and dry
• Using prescribed antibiotics and pain medications
• Maintaining a high-fiber diet to prevent constipation
• Avoiding strenuous activities until complete healing
• Attending follow-up visits for wound assessment

Our proctologists in Dubai provide detailed aftercare instructions and close follow-up to ensure a smooth, complication-free recovery.

Undergoing anal fistula treatment in Dubai and Abu Dhabi at CosmeSurge provides numerous benefits:

• Minimally invasive techniques for faster recovery
• Low recurrence rates
• Pain-free, comfortable procedures under anesthesia
• Preservation of sphincter control and continence
• Permanent relief from infection and discharge
• Highly skilled surgeons with extensive experience in proctology

While not all anal fistulas can be prevented, you can reduce your risk by following these preventive measures:

• Treat anal abscesses or infections promptly
• Maintain good anal hygiene
• Eat a high-fiber diet to avoid constipation
• Stay hydrated and exercise regularly
• Avoid prolonged sitting
• Manage chronic bowel conditions such as Crohn’s disease with medical care

Early diagnosis and treatment by an experienced proctologist Dubai specialist can prevent complications and recurrence.

The cost of anal fistula surgery in Dubai varies depending on several factors:

• The type and complexity of the fistula
• The chosen surgical method (fistulotomy, LIFT, or laser treatment)
• Surgeon’s expertise and hospital facilities
• Preoperative diagnostics and postoperative care

At CosmeSurge, we provide transparent, personalized cost estimates during consultation. Investing in professional treatment ensures lasting relief and prevents chronic infections or complications.