Anal Fistül

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An anal fistula is an abnormal tunnel near the anus, treated with fistulotomy, seton placement, laser therapy, or reconstructive surgery.

Overview



An anal fistula is an abnormal tunnel that forms between the anal canal and the skin near the anus. It often develops due to an untreated anal abscess, leading to pain, swelling, and recurrent infections. In some cases, fistulas can also connect to other organs, such as the vagina or urinary tract.

Since anal fistulas do not heal on their own, surgical intervention is necessary. Treatment options vary depending on the complexity of the fistula and may include fistulotomy, seton placement, laser therapy, or reconstructive surgery. Individuals with conditions like Crohn’s disease, colitis, chronic diarrhea, or a history of rectal cancer treatment may have a higher risk of developing an anal fistula.


When is Surgery Recommended?


Anal fistula surgery is recommended for individuals experiencing persistent pain, drainage, or recurrent infections that do not heal with medications or other treatments. If the fistula becomes complex or affects bowel control, surgical intervention may be necessary to prevent further complications.

Surgery is also required when the fistula leads to abscess formation, swelling, or difficulty sitting and moving. Since anal fistulas rarely heal on their own, surgical treatment is the most effective long-term solution to restore normal function and prevent recurrence.



Procedure Details


Anal fistula surgery is performed using different techniques based on the severity and complexity of the condition.

Fistulotomy: The fistula is opened and flattened to heal from the inside out. This is typically an outpatient procedure, meaning patients can go home the same day.

Seton Placement: A suture or rubber band (seton) is placed inside the fistula to allow drainage and gradual healing, lowering the risk of incontinence.

Filling with Medical Glue or Plug: The inner opening of the fistula is closed, and the tunnel is filled with a biodegradable material that the body absorbs over time.

Laser Therapy: A laser probe is used to close the fistula tunnel, providing a minimally invasive option with a faster recovery.

Reconstructive Surgery: In some cases, advanced surgical techniques, such as staged surgery or advancement flap procedures, are required to repair the fistula while preserving sphincter function.



Recovery


Healing after anal fistula surgery varies based on the treatment method used. Most patients experience mild discomfort and drainage initially, which improves over time. Pain can be managed with medications, sitz baths, and proper wound care.

We provide personalized aftercare instructions, including hygiene recommendations, dietary adjustments, and activity modifications. Regular follow-up appointments help monitor healing progress and prevent recurrence. Patients are encouraged to avoid constipation, maintain proper hygiene, and follow medical guidance for long-term success.

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Frequently Asked Questions

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What types of surgeries does Dr. Gül specialize in?

Dr. Gül specializes in bariatric surgery, cancer surgery, hernia repair, reflux surgery, endocrine surgery, and advanced endoscopy procedures

Why choose Türkiye for surgical procedures?

Türkiye offers affordable, high-quality care with skilled surgeons, advanced facilities, seamless medical tourism packages, and the opportunity to explore its rich culture.

What is the recovery time for most surgeries?

Recovery times vary by procedure but typically range from 1-4 weeks for minimally invasive surgeries like bariatric or hernia repair.

What bariatric procedures are offered at the clinic?

We offer sleeve Gastrectomy, Gastric Bypass, and Mini Gastric Bypass surgeries tailored to your specific health needs and goals.

How much weight can I expect to lose after bariatric surgery?

Most patients lose 60-80% of their excess weight within 12-18 months, depending on the procedure and lifestyle changes.

What languages does Dr. Gül and his team speak?

Dr. Gül and his team are fluent in English, Spanish, and Turkish to ensure clear communication with all patients.

Will I need to take supplements after bariatric surgery?

Yes, supplements are usually required to maintain proper nutrition after surgery. A personalized plan will be provided for you.

Does insurance cover these procedures?

Coverage depends on your insurance provider and the type of procedure. Contact us for assistance with insurance-related questions.

Can I combine treatment with travel in Turkey?

Yes! Many patients combine their treatment with a relaxing stay in Istanbul or nearby destinations. We can assist with planning.

What support is available after surgery?

We provide ongoing support through follow-up appointments, nutritional guidance, and access to our team for any questions or concerns.
If you have any further questions, please reach out to our friendly support team.
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Our Expertise

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Sleeve Gastrectomy

Minimally invasive surgery for long-term weight loss with a simple procedure and no rerouting.

Weight Loss Surgery

Gastric Bypass (GB)

Gastric Bypass is a weight-loss surgery that reduces stomach size and reroutes digestion to limit absorption.

Weight Loss Surgery

Mini Gastric Bypass

Simpler, less invasive gastric bypass for significant weight loss and diabetes control.

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