Anal Fistula Treatment in Dubai

An anal fistula (fistula-in-ano) is an abnormal connection between the anal canal and the surrounding skin. It usually develops after a perianal abscess, when infection from a blocked gland in the anal canal spreads to the skin. Common symptoms include pain, chronic purulent discharge, itching, and discomfort around the anus.

Symptoms of Anal Fistulas

• Anal and perianal pain, often worse after bowel movements
• Persistent purulent discharge
• Itching and irritation around the anal area
• Discomfort while sitting or walking

Causes

The most frequent cause is a perianal abscess. If the abscess does not heal completely, it can form a fistula. Risk factors include chronic infections, inflammatory bowel disease (such as Crohn’s disease), or previous anal surgeries.

Evaluation and Diagnosis

Accurate diagnosis is essential to plan effective treatment. At DRHC Dubai, we perform:

• Proctological examination with anoscopy
• Endorectal 3D ultrasound
• MRI for complex cases to map fistula tracts and their relation to the anal sphincters

Anal Fistula Classification

Fistulas are classified as:

• Simple: Located in the lower part of the anal canal, involving minimal sphincter muscles
• Complex: High fistulas or those involving a large portion of the sphincter muscles, recurrent or multiple tracts

Treatment Options

Surgical treatment is the only effective solution for anal fistulas. At DRHC, we offer tailored options based on complexity:

• FILAC – Fistula Laser Closure: The most advanced, minimally invasive Laser Treatment for Anal Fistula. The laser precisely destroys the fistula tract without cutting sphincters. Healing is fast, pain is minimal, and continence is preserved. Most patients return to daily activities within 2-3 days, and the success rate is over 90%.
  
• VAAFT – Video Assisted Anal Fistula Treatment: Advanced minimally invasive method with direct visualization of fistula tracts using a fistuloscope. It offers no pain, low recurrence, and zero incontinence risk. The internal opening is closed using a flap or stapler, with no need for setons or painful post-op medications. Patients typically resume daily activities in 2-3 days, and healing occurs within 7–21 days, depending on complexity
• Fistulotomy/Fistulectomy: Used for simple fistulas, the tract is opened and allowed to heal naturally over 15-20 days
• Advancement Flap Procedure: For complex or recurrent fistulas. A piece of rectal mucosa and submucosa is used to close the internal opening, preserving continence

Advantages of Minimally Invasive Techniques

• Reduced post-operative pain
• Minimal risk of sphincter damage
• Quick recovery and return to daily activities
• Short hospital stay (Day Surgery)

Why Choose DRHC Dubai?

DRHC Dubai offers expertise in advanced anal fistula treatment including VAAFT and FILAC, performed by highly experienced proctologists. We provide:

• Comprehensive evaluation and accurate diagnosis
• Personalized surgical plan respecting continence
• Minimally invasive options for faster healing
• Follow-up care and guidance for optimal recovery

Click here for Proctology Surgery Packages

Call DRHC Dubai at +97142798200 to book your consultation with our proctologist and get the most effective treatment for anal fistula in Dubai.