How do doctors diagnose an anal fistula?

Diagnosis is based on clinical examination and sometimes imaging tests to map the fistula tract. This helps plan the safest procedure for your anatomy.

Is fistula surgery necessary?

Most persistent fistulas require a procedure to close the tract. Conservative measures may provide temporary relief but typically do not eliminate the underlying pathway.

What is the recovery time after fistula treatment?

Recovery varies with fistula complexity and the procedure used. Your surgeon will give activity and wound care guidance to support smooth healing.

Can fistula come back after surgery?

Recurrence risk depends on fistula type. Choosing the right technique and following follow-up care reduces the chance of repeat problems.

Is laser treatment available for fistula?

Some patients may benefit from laser or minimally invasive options depending on the fistula type. Your consultation will confirm the safest approach for your anatomy.

What fistula types matter for planning?

Fistulas are often classified by how much anal sphincter muscle the tract crosses — such as intersphincteric, transsphincteric, suprasphincteric, or extrasphincteric patterns. Complex tracts need careful mapping because the risk-to-benefit balance of fistulotomy, drainage, or sphincter-sparing options changes with anatomy.

What is MRI fistulography?

Magnetic resonance imaging can outline deep or branching tracts, secondary abscess pockets, or unexpected extensions before surgery. It is not needed for every simple fistula but helps when recurrence is common or examination is limited.

Does insurance cover fistula surgery?

Many insurance plans cover fistula procedures. Our team assists with cashless claims and documentation. Contact us for a cost estimate.

How do doctors diagnose an anal fistula?

Diagnosis is based on clinical examination and sometimes imaging tests to map the fistula tract. This helps plan the safest procedure for your anatomy.

Is fistula surgery necessary?

Most persistent fistulas require a procedure to close the tract. Conservative measures may provide temporary relief but typically do not eliminate the underlying pathway.

What is the recovery time after fistula treatment?

Recovery varies with fistula complexity and the procedure used. Your surgeon will give activity and wound care guidance to support smooth healing.

Can fistula come back after surgery?

Recurrence risk depends on fistula type. Choosing the right technique and following follow-up care reduces the chance of repeat problems.

Is laser treatment available for fistula?

Some patients may benefit from laser or minimally invasive options depending on the fistula type. Your consultation will confirm the safest approach for your anatomy.

What fistula types matter for planning?

Fistulas are often classified by how much anal sphincter muscle the tract crosses — such as intersphincteric, transsphincteric, suprasphincteric, or extrasphincteric patterns. Complex tracts need careful mapping because the risk-to-benefit balance of fistulotomy, drainage, or sphincter-sparing options changes with anatomy.

What is MRI fistulography?

Magnetic resonance imaging can outline deep or branching tracts, secondary abscess pockets, or unexpected extensions before surgery. It is not needed for every simple fistula but helps when recurrence is common or examination is limited.

Does insurance cover fistula surgery?

Many insurance plans cover fistula procedures. Our team assists with cashless claims and documentation. Contact us for a cost estimate.

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Sharvari Hospital

Advanced Laser & Laparoscopic Surgery

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Fistula Treatment in Pune — Laser & VAAFT Surgery

Repeated pus swelling and discharge usually do not heal on their own. At Sharvari Hospital, we first map the fistula path and then choose the safest treatment. We use laser or muscle-saving surgery (sphincter-sparing surgery) when suitable. Our nursing team also teaches daily wound care, so you can track normal healing.

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Medically reviewed by: Dr. Kundan Kharde, MS (General Surgery), FMAS

Last updated: April 3, 2026

What is Anal Fistula?

An anal fistula is an abnormal tunnel-like tract connecting the inside of the anal canal to the skin near the anus. It usually develops after an anal abscess that has drained or burst. Symptoms include persistent discharge, swelling, pain, and recurring infections. Advanced laser and minimally invasive techniques seal the fistula tract with precision, reducing tissue damage and recurrence risk.

Recognise The Signs

Symptoms

If these signs feel familiar, you may have an anal fistula. Early treatment can prevent deeper infection and repeat pain.

⚠️ Recurrent discharge from the anal area

⚠️ Pus or foul-smelling drainage through an opening

⚠️ Pain, swelling, and redness around the anus

⚠️ Intermittent episodes of abscess formation

⚠️ Bleeding or irritation during bowel movements

⚠️ Skin irritation due to ongoing drainage

Fistulas rarely heal on their own — book fistula treatment in Pune at Sharvari Hospital →

Why Patients Choose Us

Treatment at Sharvari Hospital

Laser & Tissue-Sparing Methods

Same-Day Discharge

Reduced Recurrence Risk

Experienced fistula specialist on staff

Insurance & EMI Support

Structured Wound Care & Follow-Up

Your Treatment Journey

Recovery

From your first consultation to complete recovery, here is what your journey looks like.

Consultation & Diagnosis

Detailed examination by the specialist, with necessary investigations to confirm the diagnosis and stage.

Treatment Plan

Clear explanation of options (medical or surgical), expected outcomes, cost estimate, and insurance processing.

Procedure Day

Laser fistula treatment (FiLaC) or LIFT procedure. Preserves sphincter function with high success rate.

Recovery & Follow-Up

Structured follow-up protocol with diet guidance, wound care instructions, and scheduled check-ups until full recovery.

What is Anal Fistula

An anal fistula is a small tunnel between the inside of the anal canal and the nearby skin. It usually forms after an anal abscess (a pus-filled infection) drains or bursts. Treatment should clear infection, close the tunnel, and protect bowel control.

Causes

The most common cause is a past anal abscess. In some patients, long-term bowel inflammation like Crohn's disease can also cause fistula tracks. The tunnel may pass close to control muscles, so treatment must match your exact anatomy.

Diagnosis

We diagnose fistula with a focused exam and symptom history. If the tunnel is deep or has side branches, we use MRI fistulography (a detailed MRI scan that maps the tunnel path). This helps us plan safer surgery and reduce repeat disease.

Treatment options explained simply

Fistulotomy opens a shallow tunnel so it can heal from inside out. Seton is a soft thread that drains infection safely in deeper tracts. VAAFT (video-assisted anal fistula treatment) uses a tiny camera to find and close the internal opening. LIFT (ligation of intersphincteric fistula tract) closes the tunnel between muscle layers. Laser/FiLaC seals selected tunnels from inside. We choose the method that best fits your fistula type.

Risks

All fistula procedures carry some risk, including infection, delayed healing, or recurrence. Complex tunnels near bowel-control muscles can also increase treatment difficulty. Tell us early if you get fever, rising pain, heavy bleeding, or new swelling.

Why Choose Us

Fistula surgery needs sterile operation theatres, trained teams, and clear safety checks. We also arrange quick imaging when MRI fistulography is needed. Our ISO 9001:2015 process keeps each treatment step documented.

We provide 24/7 nursing support when you need admission, antibiotics, or pain control. Our insurance desk supports 50+ TPAs and helps with cashless or reimbursement documents. The hospital is in Pimple Nilakh, with easy access from Wakad, Hinjawadi, Baner, Balewadi, and Aundh.

✓ ISO 9001:2015 certified quality management covering OPD, IPD, ICU, operating theatres, and surgical pathways.
✓ Modern operation theatres with advanced laser, laparoscopic, and monitoring equipment for planned and emergency procedures.
✓ In-patient bed facility with structured nursing care and 24/7 hospital access when your surgeon advises admission or observation.
✓ Insurance & TPA desk — cashless treatment with 50+ partners where your policy allows; documentation support for reimbursement claims.
✓ EMI options for eligible non-insured patients, discussed transparently after your treatment plan is clear.
✓ Location in Pimple Nilakh with straightforward access for people travelling from Wakad, Hinjawadi, Baner, Balewadi, and nearby Pune localities.

Meet Dr. Kundan Kharde

Dr. Kundan Kharde, Specialist in Fistula Treatment at Sharvari Hospital

Dr. Kundan Kharde

MBBS, MS (General Surgery), FMAS

Registered Medical Practitioner FMAS Certified 5,000+ Surgeries

17+ Years Exp

11+ As Specialist

4.9 Google Rating

Dr. Kundan Kharde has extensive expertise in laser and minimally invasive proctology procedures. He focuses on clear diagnosis, personalized treatment planning, and structured follow-up care for safe recovery.

View Full Profile → Visit Dr. Kharde's website →

Learn more about Dr. Kundan Kharde, Fistula Surgeon .

Cost

Fistula treatment starts at ₹25,000*. Final cost depends on fistula type, procedure choice, admission needs, and insurance coverage.

Traditional Surgery vs. Laser Treatment

Feature	Traditional	Laser at Sharvari
Pain Level	Can be significant	Reduced with minimally invasive approach
Recovery	Longer wound healing	Faster healing with structured protocol
Hospital Stay	May need longer stay	Usually same-day discharge
Scarring	More tissue disruption	Tissue-sparing laser precision
Follow-Up	Standard wound checks	Structured recovery + infection control

What Patients Say

★★★★★

"The treatment plan was clear, and recovery was much smoother than I expected."

Ameya

Google Review

★★★★★

"Excellent guidance, transparent pricing, and very supportive staff."

Sumeeran Kesarkar

Google Review

★★★★★

"Dr. Kharde explained everything patiently. I felt safe throughout treatment."

Suryanarayana Kotnak

Google Review

4.9 rating on Google — See all reviews

Patient Education

Watch: Laser Fistula Treatment Explained

Dr. Kundan Kharde explains the advanced laser fistula treatment procedure, recovery process, and why patients choose Sharvari Hospital for fistula surgery in Pune.