Laser Anal Fistula Treatment in Nashik

By Dr. Jaideep Somvanshi  |  Panacea Clinic, Nashik  |  +91 9112220247

What Is Anal Fistula?

An anal fistula is an abnormal tunnel-like tract that forms between the inside of the anal canal and the skin around the anus. It typically develops following an anal abscess. The tract allows discharge of pus, blood, or stool — causing persistent discomfort, itching, and recurrent infections. Without surgical treatment, anal fistulas rarely heal on their own.

Common symptoms of anal fistula include persistent discharge (bloody or pus-like) near the anus, pain and swelling around the anal area, skin irritation, and recurrent abscesses. If you experience these symptoms, an early consultation with a specialist proctologist in Nashik is important to prevent complications.

FILAC Laser Surgery for Anal Fistula

At Panacea Clinic Nashik, Dr. Jaideep Somvanshi performs Fistula-tract Laser Closure (FILAC) — one of the most advanced sphincter-preserving techniques for anal fistula treatment. In this procedure, a specially designed radial emitting laser fibre is inserted into the fistula tract, and laser energy is applied to seal the tract by destroying the epithelial lining and obliterating the channel.

FILAC laser surgery is highly effective for intersphincteric and trans-sphincteric fistulas. Its key advantage is that it preserves the anal sphincter muscle, eliminating the risk of fecal incontinence — a major concern with traditional fistulotomy. The procedure is minimally invasive and results in minimal tissue damage, faster healing, and a significantly lower recurrence rate compared to conventional surgery.

Benefits of Laser Fistula Treatment

• Sphincter-preserving — no risk of incontinence
• Minimally invasive — no large wounds
• Day-care or short-stay procedure
• Faster return to work — typically 3–7 days
• Lower recurrence rates with proper technique
• Suitable for complex fistulas — high, low, and horseshoe types

Diagnosis and Evaluation Before Surgery

Accurate classification of the fistula tract is essential before treatment. At Panacea Clinic, Dr. Somvanshi uses video proctoscopy and clinical examination to map the fistula. In complex cases, an MRI fistulogram or endoanal ultrasound may be recommended to visualise the tract and its relationship to the sphincter muscles — ensuring the safest and most effective treatment plan.

Post-Operative Care and Recovery

After laser fistula surgery, patients typically experience minimal discomfort. The surgeon will prescribe oral antibiotics, analgesics, and sitz baths. Most patients can resume light activities within 3–5 days and return to full activity within 1–2 weeks. Dietary modifications (high-fibre diet, adequate hydration) are recommended to prevent constipation and reduce strain. Follow-up appointments are scheduled to monitor healing.