I'm dealing with multiple fistulas and they're really painful. I'm trying to figure out whether laser surgery or fistulotomy would be better in the long run. I've heard fistulotomy can be more of a permanent fix, but I'm really not sure about the laser option. Could you give me some advice on this? And also, how long after surgery until I can sit comfortably and get back to working at the office?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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laser surgery is better for fistula

Dr. Anshul Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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My husband keeps getting a perianal abscess that drains every few weeks but keeps coming back. He also has a chronic fissure and some doctors think a fistula might have formed. Is surgery the only option for this and is laser treatment a good choice for fixing a fistula?

Yes, surgery is the only option.Fistulectomy is the gold standard procedure advised to the patient.

Answered by 1 Apollo Doctors

i think i might have piles because theres a lot of pain near my anus and a small red bulge what treatments are available without surgery and if surgery is needed how long will the recovery take

If you suspect you have piles (hemorrhoids), several non-surgical treatments can be used to manage pain and swelling. These include home remedies, over-the-counter medications, and office-based procedures like rubber band ligation or sclerotherapy. If non-surgical treatments are not effective or if you have severe symptoms, surgery may be necessary, with a typical recovery time of two to four weeks

Answered by 1 Apollo Doctors

I've been struggling with a fissure for over 20 years now and it's been really tough. I'm considering surgery, but I'm also open to other permanent solutions if there are any. What would you recommend? I'm based in Pune and would love some guidance.

Considering your 20-year history with fissures, surgical intervention might be a viable option; in Pune, you can consult appolo hospitals

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.