Anal Fistula Treatment

Treatment nearly always involves surgery, but some less invasive alternatives exist. These include:

• Fistulotomy – Most common procedure in which the full length of the fistula is cut to drain the contents.
• Advancement Flap Procedures – For more complex fistulas, the advancement flap is removed from the rectum, then reattached after the fistula tract is removed.
• Seton – For patients with high risk of developing incontinence, our surgeons might consider a seton which is a piece of thread that is left in the fistula tract.
• Fibrin Glue – A nonsurgical option that is not best for long-term results in which fibrin glue is injected into the fistula to seal the tract.