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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I've been dealing with a recurring fistula or abscess for the past two years it goes away for a few months but keeps coming back. I really don't want surgery, and while a recent round of antibiotics during dental treatment cleared it up temporarily, the issue returned. What could be causing this cycle, and are there other treatment options besides surgery?

fistulectomy is advised,sx opinion.

Answered by 1 Apollo Doctors

I was diagnosed with fistula in ano back in 2015 and had open surgery for it in June that year, but I'm still dealing with issues like itching, bleeding, and irritation around my anus. I also struggle with constant constipation. What could be causing these problems to persist even after surgery, and what can I do to finally get relief?

follow-up with the surgeon is advised to the patient.

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I had surgery for external piles 5 years ago but lately I've been feeling mucus around my anal area - could this be internal piles? How can I check if it's internal piles or something else?

MRI is the investigation of choice.

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.