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Fistula Treatment & Surgery

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FISTULA Treatment & Diagnosis in Kondapur, Hyderabad

Inflammations can create fistulas in the human body. These inflammations cause sores in the inner linings of the internal organs of the body. Fistulas act like a hole or tunnel between blood vessels, arteries, veins, or even organs. Women are the most prone to fistulas. They get fistulas in the vaginas or urinary tract and bladder because of obstructed childbirth, infection, or injury during pelvic surgery.

What is the meaning of fistula?

A fistula is an unusual and abnormal connection that connects two parts of the body. For example, a fistula can connect a blood vessel with an organ, which was not linked previously. The cause of fistulas can be surgeries, inflammation, infections, or an injury.

What are the types of fistula?

  1. Blind fistula that has one open end and connects two structures.
  2. A complete fistula which has two openings both outside and inside the body
  3. Horseshoe fistula that links the anus to the skin surface after going around the rectum.
  4. An incomplete fistula forms a tube-like structure from the skin and is closed from the inside. It does not link to any internal organs.

What are the causes of fistula?

  1. Fistulas can be congenital. Some people are born with fistulas.
  2. A complication in surgery can cause fistulas
  3. Injuries also result in fistulas
  4. Infections
  5. Inflammation in the area
  6. Diseases like Ulcerative colitis and Crohn's disease can cause fistulas as well.

What are the symptoms of fistula?

Depending upon the location of the fistula, the symptoms are:

  1. Arteriovenous fistula:
    • Swelling in the legs or arms
    • Fatigue
    • Decrease in blood pressure
    • Purplish veins that bulge through your skin
    • If the fistula is present in your lungs, you will develop a bluish tinge on your skin
    • You will cough out blood
  2. Anal Fistula:
    • Pain and Redness in the area
    • Swelling around the anus
    • Fever
    • Bleeding
    • The bowel movements are painful
    • A foul-smelling liquid will keep coming out from a hole near the anus
  3. Obstetric fistula:
    • Recurring Urinary Tract Infection (UTIs)
    • A consistent vaginal discharge that has a foul smell
    • Leaking of stool

When to see a doctor?

Visit your doctor at Apollo Kondapur if you face any of the symptoms of any of the fistulas. If you cannot identify reasons why the swelling or bleeding is occurring along with pain, the best way to go about it is to book an appointment with your doctor. Early diagnosis of the fistulas will help the doctor treat you faster. This treatment will remove the risk of additional complications.

Request an appointment at Apollo Spectra Hospitals, Kondapur

Call 1860-500-2244 to book an appointment

What is the treatment of fistula?

  1. Arteriovenous fistula:
    • If the fistula can develop in the leg or arms, ultrasound-guided compression can help to obstruct blood flow to the damaged blood vessel.
    • You can undergo catheter embolization, where the doctor inserts and guides the catheter to the fistula. Then he adds a stent to reroute the flow of blood.
    • If catheter embolization doesn't work, surgery is a good option.
  2. Anal fistula:
    • If the fistula is not near the skin but not complex, the doctor cuts the surrounding skin and muscle in the tunnel. This cut allows the opening to heal.
    • Doctors can use a plug to close a fistula
    • For a complex fistula, doctors will insert a seton tube in the opening to drain the fluid before surgery.
  3. Obstetric Fistula
    • Doctors go for catheter embolization in these cases to drain the urine properly.
    • The surgeon can use a plug or glue to seal the fistula
    • Doctor can treat the fistula by surgery

Most of the fistulas will get better with surgery. Although the recovery can take a bit of time and you can face discomfort at the surgery point, you will get completely fit. After doctors treat them properly and you heal, the fistulas will not reappear.

Are fistulas serious issues?

A fistula can cause a lot of pain and discomfort in your body. If you leave it untreated, it can cause complications. Some fistulas also cause bacterial infections. These infections can, in turn, cause sepsis leading to organ damage, low blood pressure, or death.

Do fistulas smell?

If you develop a vaginal fistula or anal fistula, you will see a foul-smelling liquid oozing out. In cases of vaginal fistulas, you may also notice some foul-smelling gas coming out. This discharge happens because the area is sore and infected.

Do fistulas heal on their own?

Some fistulas do heal by themselves. Yet, in most cases, they will require medical intervention. If the fistula tract is left untreated, the person will remain at risk of developing cancer. Most fistulas are easy to treat, and the surgeries do not last long.

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