Living with an anal fistula can be a challenging experience—not only because of the physical discomfort but also due to the emotional strain it brings. The persistent pain, frequent discharge, and irritation can disrupt your daily routine, making simple tasks like sitting, walking, or even going to work feel daunting. On top of that, the embarrassment and stigma around discussing such intimate issues often leave patients feeling isolated or hesitant to seek help. You're not facing this alone—support and care are always available.
Hi, I’m Dr. V. Preethi, a General and Laparoscopic Surgeon based at Hayagriva Hospital in Chennai. Over the years, I have helped many patients just like you find relief and regain their quality of life through modern, minimally invasive surgical techniques specifically designed for anal fistulas. My approach is not just about fixing the medical problem—it’s about understanding your concerns, addressing your fears, and walking alongside you through every step of your treatment. I believe that true healing happens when you feel both physically better and emotionally supported.
Dealing with a fistula can feel overwhelming, especially when it’s something many don’t openly talk about. My mission is to break that barrier of silence and provide a safe, compassionate space where you can openly discuss your symptoms without judgment. Together, we will explore all treatment options tailored to your unique situation, ensuring the approach is both safe and effective. With advanced surgical methods and personalized care plans, I am committed to helping you achieve complete healing while minimizing discomfort and downtime—so you can get back to living your life fully and confidently.
An anal fistula is an unusual channel that connects the inner lining of the anal canal to the outer skin around the anus. It typically results from a lingering infection in an anal gland, where an abscess forms and eventually creates a draining pathway to the surface. While it may seem like a minor issue, it can cause ongoing drainage, pain, swelling, and can return if not treated the right way.
Many patients confuse fistulas with piles, but these are two entirely different conditions. Fistulas often have a visible opening on the skin near the anus and may leak pus or fluid. In most cases, surgical intervention is the only definitive treatment to ensure the tract is closed and healing occurs from the inside out. I use advanced laser and sphincter-sparing techniques to help reduce recurrence and protect continence.
The symptoms of an anal fistula can range from mild to severe, and they often come and go, making early diagnosis tricky. Patients frequently report painful swelling near the anus, especially during sitting or bowel movements. If an abscess is still active, it may ooze pus or fluid, leaving behind stains on underclothing and an unpleasant odor.
Sometimes the tract closes temporarily, only to reappear later—leading to repeated infections or flare-ups. Other signs include skin irritation, redness, and even low-grade fever if the infection spreads. Early recognition of symptoms and prompt treatment can help prevent serious complications. I always encourage patients not to wait until the pain becomes unbearable to consult a specialist.
If you’ve been experiencing repeated abscesses or continuous drainage, it’s a strong indication that a fistula has formed—and unfortunately, it won’t go away with just antibiotics or creams. Surgery becomes necessary when the tract is persistent, causing discomfort, or interfering with hygiene and quality of life. I often see patients who delayed treatment, only to develop complex fistulas that are harder to treat later.
The decision for surgery also depends on the type of fistula. Some are straightforward (low fistulas), while others may cross important muscles (high fistulas), needing delicate handling to avoid affecting bowel control. My approach is always careful and conservative—choosing the least invasive yet most effective method for each patient.
Every fistula case is different—and so is the treatment plan. I begin with a detailed evaluation, which may include a clinical examination, imaging (like an MRI), and understanding your overall health status. Based on this, I offer treatment options ranging from traditional fistulotomy to laser fistula closure (FiLaC), a safe and minimally invasive alternative that preserves muscle and reduces healing time.
Patient comfort is my top priority. I explain each option thoroughly, answer every question, and tailor the treatment to suit your condition and expectations. Whether it’s a simple day-care laser procedure or a slightly more involved surgery, my team ensures that your care is smooth, pain-managed, and closely monitored.
With years of surgical experience and a special interest in laser proctology, I offer my patients advanced, precise care backed by compassion and clinical confidence. I’ve performed hundreds of successful surgeries and understand the anxiety that comes with anal conditions. That’s why I prioritize your comfort, privacy, and emotional wellbeing throughout your treatment journey.
Patients often tell me they delayed care out of embarrassment or fear of pain. I want you to know—you are not alone, and modern treatment doesn’t have to be scary. From your first consultation to your last follow-up, I’ll be with you at every step, ensuring you feel supported and empowered to heal completely.
If you suspect you have a fistula or have been struggling with pain or discharge, it’s time to get the answers you need—in a safe, private, and professional environment. I offer honest, informative consultations where we’ll discuss your symptoms, run necessary diagnostics, and walk through the most suitable treatment options.
Let’s replace fear with clarity, and discomfort with lasting relief. Whether you need reassurance or a surgical solution, I’m here to guide you with experience and empathy.
Book your consultation today and take the first confident step toward freedom from fistula.
Have questions or need to schedule a consultation? I’m here to help. Whether you're exploring treatment options or ready to take the next step in your surgical journey, reach out today. Your health is personal — so is our care.
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