How is an anal fistula treated?

Jul 15, 2024 Source: Cainiu Health
Disease description:

I have been experiencing rectal bleeding recently, and after an examination, my doctor diagnosed me with an anal fistula. How is an anal fistula treated?

Doctor's answer (1)
Dr. Li Jingxiang
The treatment of anal fistula mainly includes non-surgical and surgical approaches. Non-surgical treatment primarily aims to control infection and alleviate symptoms through medications, such as sitting baths with potassium permanganate solution, topical application of Jinhuang ointment, or erythromycin ointment. However, this approach generally cannot provide a complete cure and recurrence is common. Surgical treatment is the primary method for managing anal fistula, including procedures such as fistulotomy, seton placement, and fistulectomy. The specific technique used depends on the type of anal fistula and the severity of the condition. The goal of surgical treatment is to remove infected anal glands and foreign material within the fistula tract to achieve a definitive cure. Patients are advised to seek timely treatment at a qualified hospital after diagnosis and to select an appropriate treatment plan under the guidance of a physician. Additionally, maintaining healthy lifestyle and dietary habits can aid in recovery.