What's the most effective treatment for a transsphincteric anal fistula with a secondary tract should I go for kshar sutra therapy or opt for fistulotomy surgery? I'm really confused about which one would work better for my condition.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

Whether surgery is needed depends on the exact diagnosis, size, and severity of the condition. Some cases can be managed without surgery, while others may require it for effective treatment. A detailed evaluation will help decide the best course of action.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

Find a Colorectal Surgeon

Answered 14/08/2025

More Colorectal Surgery Health Queries

View all

My brother has had ongoing irritation around his anus since childhood due to a tear from rape. The anus wall never fully closed can surgery help restore it to its original shape? What are his options for relief?

He needs examination of anal canal Even investigation on line of incontinence

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.

Answered by 1 Apollo Doctors

I've noticed a soft, painless lump near my anus that's grown bigger over the last few months. Also, I've had a couple of small boils on my scrotum for years now, though they don't bother me. Should I be worried about these? If so, which doctor should I see, and is surgery usually needed for something like this?

A detailed evaluation will help decide the best course of action.

Answered by 1 Apollo Doctors

Health Articles for you

View all

Piles

Laser Surgery for Piles: A Modern Treatment Guide

Know about the piles, what it is, grades, laser surgery for piles, procedure, complete procedure of laser surgery, do’s and don'ts, benefits and advantages of treatment.

Piles

Advanced Laser Treatment for Piles: A Modern Guide

Discover the benefits of advanced laser treatment for piles, a minimally invasive procedure that offers faster recovery, reduced pain, and high success rates. Learn how it works, who it's for, and what to expect from this modern treatment.

hemorrhoids

Guide to Common Perianal Problems: From Haemorrhoids to Fissures

Explore common perianal problems like haemorrhoids and fissures, their symptoms, causes, and treatment options for better relief.

Piles

Guide to Advanced Laser Treatment Piles

Get the essential guide to advanced laser treatment for piles (hemorrhoids). Learn about benefits, procedure, recovery, and effective relief.

Piles

Laser Surgery for Piles: Complete Guide for Faster Relief

Bleeding, itching or the sensation of something “coming down”? Laser surgery for piles is a modern, minimally invasive option that may offer quicker relief and recovery. This guide explains how the procedure works, who it suits, what to expect, and how to optimise your result.

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.