Colorectal Surgery

Anal Fistula Specialist Los Angeles

An anal fistula is an abnormal tunnel that develops between the anal canal and the skin around the anus, often causing pain, drainage, or recurrent infections. At Surgery Group LA in Los Angeles and Beverly Hills, colorectal surgeons Dr. Yosef Nasseri and Dr. Moshe Barnajian specialize in advanced techniques for fistula treatment, including minimally invasive and sphincter-preserving approaches that reduce recurrence and protect continence. Patients benefit from expert diagnosis, customized surgical planning, and compassionate aftercare that helps restore comfort and quality of life.

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What are Anal Fistulas?

An anal fistula, also referred to as a fistula in ano, is a small tunnel-like passage that forms between the inside of the anus and the skin around the anus. It typically develops following an infection that originates in the glands near the anus. This infection leads to an accumulation of pus called an anorectal abscess, which, when left untreated or improperly managed, may result in a fistula formation.

What causes Anal Fistulas?

The primary cause of an anal fistula is a perianal abscess—an infected cavity filled with pus located near the anus. When this abscess bursts or is inadequately treated, the pathway left behind may form a fistula.

Other causes and risk factors associated with fistula formation include:

Crohn’s Disease: A chronic inflammatory bowel disease that significantly increases the risk of developing fistulas.
Trauma or Injury: Surgery or injury to the anal region can sometimes lead to fistula formation.
Sexually Transmitted Infections: Certain infections may predispose individuals to anal abscesses or fistulas.
Weakened Immune System: Conditions like HIV or certain medications may increase vulnerability to anal infections and subsequent fistulas.

What are the symptoms of Anal Fistulas?

Early recognition of fistula symptoms can lead to prompt treatment and better outcomes. Common symptoms include:

Persistent or recurring anal pain
Swelling or redness around the anus
Drainage of pus, blood, or foul-smelling discharge near the anus (fistula drainage)
Itching and irritation around the anal region
A painful lump or boil near the anus, especially during periods of infection or flare-ups

It’s important to distinguish anal fistula symptoms from hemorrhoids or other benign conditions. If you experience these symptoms persistently, consult a colorectal specialist to accurately diagnose and manage the condition.

Diagnosis & Screening

How is an Anal Fistula diagnosed?

To confirm a diagnosis, a colorectal surgeon or specialist will perform a physical examination, usually identifying the external opening of the fistula. Additional diagnostic methods may include:

Anoscopy or Sigmoidoscopy: These procedures help inspect the anus and rectum internally for evidence of inflammation or fistula openings.
Imaging Tests: MRI or ultrasound may be utilized to map the fistula tract clearly, especially for complex or recurrent fistulas.

Treatment

What are the Minimally Invasive and Surgical Procedures for Anal Fistula Treatment?

Fistulotomy

A fistulotomy is one of the most common surgical treatments for anal fistulas. During this procedure, the surgeon opens the fistula channel to clean out infection and allows the wound to heal gradually from the inside out

Seton Placement

For fistulas that pass through significant muscles controlling bowel movements, a surgeon may place a “seton,” a thread-like material that allows drainage and promotes gradual healing without affecting anal muscle function.

Advanced Surgical Techniques

For complex fistulas, minimally invasive procedures such as fibrin glue injection, fistula plug placement, or flap procedures may be recommended. These options have the advantage of reduced muscle damage, quicker recovery, and fewer complications.

What are the Non-Surgical Treatment Options for Anal Fistulas?

In some cases, antibiotics and conservative treatments may help manage perianal abscess symptoms initially. However, non-surgical treatments usually offer temporary relief and are less effective long-term. Attempting perianal abscess treatment without surgery often leads to recurrent infections or chronic issues.

PREVENTION

How Can I Prevent Anal Fistulas?

Though not all fistulas can be prevented, maintaining good hygiene, treating anal infections promptly, and managing chronic conditions like Crohn’s disease can significantly reduce your risk. Regular check-ups and promptly addressing anorectal abscess symptoms are critical to prevention.

Summary

An anal fistula can significantly impact your quality of life, causing discomfort, embarrassment, and health complications. Early recognition of symptoms, prompt consultation with a colorectal specialist, and timely intervention are crucial steps in effectively managing and resolving the condition. If you experience persistent anal discomfort, recurrent abscesses, or drainage near the anus, schedule an appointment with an experienced colorectal surgeon or proctologist. Effective diagnosis and treatment can restore comfort and allow you to regain control of your health and daily life.

Anal Fistulas

Frequently Asked Questions

Can an anal fistula heal without surgical intervention?

While minor anal fistulas might temporarily alleviate symptoms, they typically do not heal completely without surgical intervention. Persistent fistulas often require procedures such as fistulotomy or seton placement to ensure proper healing and prevent recurrent infections.

What are the potential complications if an anal fistula is left untreated?

Neglecting treatment for an anal fistula can lead to chronic pain, recurrent abscess formation, and potential systemic infections. In some cases, untreated fistulas can result in the development of more complex tracts, making future treatments more challenging.

How does Crohn’s disease influence the management of anal fistulas?

Patients with Crohn’s disease are more susceptible to developing anal fistulas. Managing fistulas in these patients requires a multidisciplinary approach, often combining medical therapies to control inflammation and surgical interventions tailored to the individual’s condition.

Are there lifestyle modifications that can aid in the recovery from anal fistula surgery?

Post-surgical recovery can be supported by maintaining a high-fiber diet to ensure smooth bowel movements, practicing good anal hygiene, and avoiding prolonged sitting. Additionally, adhering to follow-up appointments is crucial to monitor healing and address any complications promptly.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

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Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with a Anal Fistula Specialist Near Me

Seeking care from Anal Fistula specialists is essential for effective management. Our dedicated team of doctors are experienced in anal fistula treatment, ensuring that you receive expert care tailored to your condition. We're here to answer your questions and guide you on your journey to better health.

310-861-7493

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