Fistula

An anal fistula is usually the result of an abscess caused by an infection near the anus. The pus from the abscess can create a small hole between the end of the bowel and the anus which causes discomfort and irritation. It almost always needs to be treated and won’t heal by itself.

Neil Kukreja is highly experienced in treating this uncomfortable and embarrassing condition so rest assured that he will do his best to make you feel at ease and provide you with the treatment you need as quickly as possible.

Symptoms of anal fistulas may include discomfort around your anus. In particular:

  • Skin irritation
  • Throbbing pain that may worsen when sitting, moving, going to the toilet or coughing
  • Smelly discharge
  • Swelling and redness
  • You may have problems controlling your bowel movements
  • You may notice pus or blood when you poo
  • A high temperature

You can book an appointment to see Neil without a referral.

Appointments are often available within 24-48 hours.

Symptoms of anal fistulas may include discomfort around your anus. In particular:

  • Skin irritation
  • Throbbing pain that may worsen when sitting, moving, going to the toilet or coughing
  • Smelly discharge
  • Swelling and redness
  • You may have problems controlling your bowel movements
  • You may notice pus or blood when you poo
  • A high temperature

You can book an appointment to see Neil without a referral.

Appointments are often available within 24-48 hours.

Frequently asked questions

about fistula

How do I book an appointment?

If you’re enquiring about seeing Neil privately for an anal fistula, you can enquire directly with his medical secretary, who will arrange an appointment as soon as is convenient for you. Neil runs clinics across London and central and west Kent.

What happens at my initial consultation?

When you arrive at the hospital, one of the friendly reception team will greet you and confirm your details. Neil will then meet you in the waiting area and take you into the consulting room for your appointment. Neil will need to examine you once you have explained your symptoms. Please do not be embarrassed, Neil is very experienced in dealing with many problems of this nature. During your examination, you’re always welcome to have a chaperone present, usually one of the nursing staff at the hospital.

What scans and tests might I need?

Neil will recommend different scans and tests depending on your symptoms. These could include:

  • Ultrasound
  • Proctoscopy (a special telescope with a light on the end to look inside your anus)
What treatments are available for fistula?

Anal fistulas rarely get better on their own so usually, surgery is recommended. There are several treatments that Neil may recommend depending on your general health and the specific nature of your fistula.

Neil performs the following procedures:

Fistulotomy
This involves cutting through the fistula to open it up and drain it. It can then heal as a flat scar.

Seton Procedure
A seton procedure may be carried out depending on where your fistula passes through. The seton procedure helps to avoid damage to your sphincter (the muscle that you control when you go to the toilet). Damage to this muscle can cause bowel incontinence. This type of treatment uses a piece of thread to open and drain the fistula rather than cutting through your sphincter muscles.

This type of procedure may need to be done several times and Neil will discuss this with you at the initial consultation.

Advancement Flap
An advancement flap procedure is another type of treatment to avoid cutting through your sphincter muscle. The fistula is cut or scraped and covered with a piece of tissue from your rectum.

Anal Fistula Plug
An anal fistula plug is a cone-shaped plug that is inserted into your fistula to block the hole.

What are the complications of fistula surgery?

All surgery comes with the rare risk of complications and anal fistula complications include infection, the fistula returning or bowel incontinence. Every effort is made to avoid bowel incontinence and Neil may recommend certain procedures to avoid this risk depending on where your fistula is.

How long does it take to recover from fistula surgery?

You should be able to go home the same day as your procedure and should expect full recovery within 6 weeks.

You may suffer from light discharge so may need to wear a pad during your recovery period.
Baths and showers twice a day will help to ease pain and keep the wound area clean.