Jump to navigation. Regular in person and virtual visits for patients are also available. Read about our pandemic experiences. The Division of Colorectal Surgery has extensive experience in treating simple and complex anorectal fistulas.
Anal fistula - Treatment - NHS
There are certain surgical conditions that are very common, well researched and a piece of cake for most surgeons. On the other hand, there are certain conditions like fistula, that are not life-threatening, but rather challenging to treat by even the most experienced medical practitioners. An important reason for this is that for a long time anal fistulas remained sidelined by the medical community. Obviously, operating on the gall-bladder or appendix was more important as ignorance here could lead to serious complications. To top this, a lot of shame is attached to anorectal conditions. People are hesitant to speak up about conditions like fistula, piles, prolapse etc. As with any disease, the body tries to fight it, repair it.
Typically, this condition does not heal on its own, so surgery is generally recommended. Without surgery, you can experience unpleasant symptoms and you may have repeated abscesses. There are several different procedures. The most common type of surgery is a fistulotomy. This surgery is performed under general anaesthetic.
To determine a superior surgical treatment for anal fistula through a network meta-analysis and to provide the best direction for development in this field. We conducted a systematic literature search of the PubMed, Embase and Cochrane Library databases and extracted data from randomized controlled trials, which compared healing time, incontinence and recurrence associated with surgical strategies for anal fistula. Cumulative probability values were utilized to rank the strategies under examination. Inconsistencies were also tested using node-splitting models.