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Understanding Fistulotomy Surgery

A fistulotomy is a type of surgery to treat a fistula, which happens when two body parts form an abnormal connection. During a fistulotomy, the doctor cuts open the entire length of the fistula to help it heal flat like a scar.

This type of surgery works well for many anal fistulas but is best for those that don’t pass through a lot of sphincter muscles. It’s often used to treat simple fistulas near the anus that develop from an abscess. The surgery helps to drain the infected area and allows the surrounding tissues to heal, closing the abnormal passage.

Fistulotomy Surgery Treats:

Check Icon Anal Fistulas
Check Icon Persistent Anal Abscesses
Check Icon Recurrent Anal Fistulas
Check Icon Pain and Discomfort from Fistulas
Check Icon Chronic Infection-Related Fistulas

How Does the Fistulotomy Procedure Work?

An anal fistula is a small tunnel that forms between the skin around the anus and the inside of the anus. If someone has a fistula, it may need surgery to heal. This kind of surgery is called a fistulotomy.

During a fistulotomy, a surgeon removes the whole fistula so it can heal properly. This process helps get rid of any pus or fluid in the affected area, which helps the healing process and reduces the risk of complications. It’s important to treat a fistula properly as it leads to serious problems like anal cancer or sepsis when left untreated.

If the fistula is not too deep, doctors usually recommend a fistulotomy as the first treatment option. The surgery can usually be done as an outpatient procedure in the doctor’s office, but if the fistula is large, it might require a hospital stay and general anaesthesia. During the surgery, the doctor will remove the infected area, clean the area thoroughly, and then close the wound with stitches or leave it open and cover it with gauze.

Benefits of Fistulotomy Operation

Pain Relief

The surgery can help reduce the pain, bleeding, discharge, discomfort, and itching the fistula causes.

Faster Healing

The surgery clears out pus and fluids from the area to speed up healing and close the abnormal gap.

Minimally Invasive

It involves a small incision and is generally performed on an outpatient basis, reducing recovery time.

Improved Quality of Life

This surgery reduces pain and discomfort, leading to a more comfortable daily experience.

Resolution of Chronic Fistulas

This surgery is ideal for patients with fistulas that have not healed with conservative treatments.

Reduced Risk of Recurrence

Fistulotomy surgery helps prevent the recurrence of fistulas by allowing the tract to heal properly.

Treatment at a glance

Purpose

Purpose

Anal Fistulas
Procedure Duration

Procedure Duration

15-30 Minutes
Anaesthesia

Anaesthesia

General

Purpose

Anal Fistulas

Pain Level

Moderate to mild

Procedure Duration

15-30 Minutes

Recovery Time

6 Weeks

Drive

3 days

Anaesthesia

General

Recovery Time

Recovery Time

6 Weeks
Pain Level

Pain Level

Moderate to mild
Drive

Drive

3 days

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Cost of Fistulotomy Surgery

Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!

Why Choose Leicester Bowel Clinic?

01. Expertise You Can Trust: Our surgeons are leaders in their fields, bringing years of experience and cutting-edge techniques to ensure the best outcomes for our patients.

02. Personalised Care: We take the time to understand your needs and offer a treatment plan that prioritises your health and well-being.

03. Confidential Environment: Your privacy is our priority. From consultation to recovery, we maintain strict confidentiality and provide a secure, comforting environment.

04. We offer medical and surgical therapies both in clinics under local anaesthesia and in theatres under general anaesthesia.

Our Locations

Leicester Bowel Clinic at Spire Hospital

  • Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
  • To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685

*Free on-site parking is available.

Meet The Team

Sanjay Chaudhri

Mr Sanjay Chaudhri

Francois Runau

Mr Francois Runau

Pippa Powley

Pippa Powley

Rebecca West

Rebecca West

Frequently Asked Questions

01. Is fistulotomy a major surgery?

A fistulotomy is a minor outpatient surgery, and you can go home the same day. It is not a major surgery.

02. What is the fistulotomy recovery time?

Most wounds should heal within 6 weeks. To take care of yourself at home after the surgery, you can take over-the-counter pain relievers and continue taking antibiotics if needed.

03. Can I sit after the fistulotomy surgery?

After the surgery, it’s important to rest for a few days. During this time, avoid sitting or walking for too long to allow your body to recover.

04. What are the risks of fistulotomy?

There are some complications associated with the procedure, such as difficulty in locating and draining an abscess or the fistula tract, as well as the risk of creating a false fistula tract.

05. Are there stitches in a fistulotomy?

During the procedure, a conical plug is inserted into the tract and sutured into place. The outer opening is not fully closed, so the fistula can keep draining.

06. Is fistulotomy painful?

A fistulotomy surgery is done under general anaesthesia, so you will be asleep during the procedure and not feel any pain.

07. What foods should I avoid after a fistulotomy?

After fistulotomy, it’s best to avoid high-fat dairy products, fast food, spicy foods, fried foods, salty foods, red meat, alcohol, and caffeinated beverages.

08. Can fistulas come back after getting fistulotomy surgery?

There is a possibility that an anal fistula may come back after surgery if it doesn’t heal completely, possibly due to underlying chronic conditions or the surgical technique used.

09. Can a fistulotomy fail?

The anal fistula surgery works best when the healing process is complete, with no remaining tracts, inside or outside openings, or any discharge around the anus. Failure of the surgery can include persistence, recurrence, or the development of a new fistula.

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Schedule a consultation to discuss your symptoms and the best treatment options for you. For more information about the treatments, book a consultation and contact our Leicester clinic.