I've been dealing with an anal fistula and finally decided to go for surgery but I'm confused between laser treatment and open surgery. Which one would be better in terms of recovery and long-term results? I've heard mixed opinions and want to make the right choice.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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my father has been dealing with a fissure and tried anovate cream along with antibiotics but still isn't feeling better is surgery the only option left for him

If a fissure persists beyond 6-8 weeks of conservative treatment (like Anovate cream and antibiotics), surgery may be considered. However, it's not always the only option, and a colorectal surgeon can assess the best course of action. Surgery, when necessary, often involves a lateral internal sphincterotomy (LIS), which involves cutting a small part of the anal sphincter muscle to release tension and promote healing

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Had piles laser surgery 2 months back but now having trouble with bowel movements feels like anal stenosis since I strain a lot and need multiple bathroom trips to fully empty. Sometimes there's slight bleeding too. What could be going on?

Fistulectomy is the procedure,surgery opinion is advised for 3rd degree piles.

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I'm a bit worried about these extra tissues I've noticed around the anal area, kind of like external piles or warts. Is there any chance they could turn into cancer down the line? And if needed, is it possible to get them surgically removed?

That could be hemarrhoids,Consume plenty of water and fibre rich food to avoid constipation and plan for surgery as that is the treatment of choice

Answered by 1 Apollo Doctors

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I've been dealing with an anal fistula and finally decided to go for surgery but I'm confused between laser treatment and open surgery. Which one would be better in terms of recovery and long-term results? I've heard mixed opinions and want to make the right choice.

kindly share report

More Colorectal Surgery Health Queries

my father has been dealing with a fissure and tried anovate cream along with antibiotics but still isn't feeling better is surgery the only option left for him

Had piles laser surgery 2 months back but now having trouble with bowel movements feels like anal stenosis since I strain a lot and need multiple bathroom trips to fully empty. Sometimes there's slight bleeding too. What could be going on?

I'm a bit worried about these extra tissues I've noticed around the anal area, kind of like external piles or warts. Is there any chance they could turn into cancer down the line? And if needed, is it possible to get them surgically removed?

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