I am having anal fistula since 10 years and not much troubling but sometimes sitting causes itching and irritation. What treatment and where it is available.

Question

Usually surgery is recommended in Anal fistula. But surgery is not a good choice for the reason of recurrence of problem and complications like stool incontinence etc. Whereas Ayurveda recommends Ksharsutra treatment for Anal fistula. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS New Delhi and PGI Chandigarh have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients of Anal Fistula. In this treatment; Ksharsutra - a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the Fistula tract and induces healing. This medicine works for 5- 7 days. So old Ksharsutra needs to be changed with a new one at a week or 10 days interval. No. Of Ksharsutra changes required for complete healing of Anal Fistula depends on depth, direction and branching pattern of Fistula tract. It is observed that Fistula heals @ 0.5 to 1 cm per sitting so for a fistula tract of 3 cm length usually requires 4-5 Ksharsutra changes. For further support and appointment you can speak to reception at Sushruta Ano Rectal Institute.

S K Singh · Accepted Answer

Usually surgery is recommended in Anal fistula. But surgery is not a good choice for the reason of recurrence of problem and complications like stool incontinence etc. Whereas Ayurveda recommends Ksharsutra treatment for Anal fistula. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS New Delhi and PGI Chandigarh have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients of Anal Fistula. In this treatment; Ksharsutra - a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the Fistula tract and induces healing. This medicine works for 5- 7 days. So old Ksharsutra needs to be changed with a new one at a week or 10 days interval. No. Of Ksharsutra changes required for complete healing of Anal Fistula depends on depth, direction and branching pattern of Fistula tract. It is observed that Fistula heals @ 0.5 to 1 cm per sitting so for a fistula tract of 3 cm length usually requires 4-5 Ksharsutra changes. For further support and appointment you can speak to reception at Sushruta Ano Rectal Institute.