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.