Pawar Multispeciality Hospital & Diagnostic Center Pvt. Ltd Dhankawadi Pune - 411043. 

Fissura Fistula Pilonidal Sinus Treatment

What is Fissura, Fistula, and Pilonidal Sinus?


Fissura: It is an intense or long-lasting hole, or cracks develop in the anal region. These cracks can cause sharp pain and strain during bowel movement. The disease is common in men and women.

Fistula: An anal fistula is an abnormal tract connecting internally from rectum or anal canal to externally with skin near anus. As mentioned above it is an abnormal tract; some part of fecal matter pass through this abnormal path. A fistula maybe the result of an anal abscess or trauma or Fissura which does not healed completely and appears just below the anal skin

Pilonidal Sinus: In this condition, a tiny tunnel emerges in the buttocks, i.e., in the clefts of the anal area. Pilonidal sinus holds hairs, dirt, and debris. The condition is common for men, young adults and those who sit for a long time, e.g., drivers

What are the common causes of Fissura, Fistula, Pilonidal Sinus ?

Available MTP and Tubectomy Treatments

  • Damages to anal area cause the Fissura.
  • Continued diarrhea and hard stool discharge
  • Continued diarrhea and hard stool discharge
  • Vaginal and anal damage develop an anal Fissura
  • Anal cancers are also responsible for cracks in the anus
  • Crohn's disease, leukemia and some other conditions like TB (tuberculosis), viral epidemics equally accountable for developing anal Fissuras
  • Unexpected growth of hairs in the Anus or buttocks area leads to the development of pilonidal sinus

What are the common symptoms of Fissura, Fistula, Pilonidal Sinus?

  • Skin maceration
  • Pus or fecal discharge through the anus or fistula boils on & off.
  • Anal itching and throbbing
  • Inflammation nearby the anus
  • Elevated body temperature (Fever)
  • Constipation

Available treatments of Fissura, Fistula, Pilonidal Sinus

Colorectal Fissura Surgery:

The primary treatment for anal Fissura consists of the use of creams to relax your muscle, lifestyle modifications, and some other methods. If these treatments don’t work, then you may require surgery to relax your sphincter muscle or to remove the damaged skin.


A fistulotomy is an abnormal tract excision(removal)procedure, requires an hour. In this procedure, the doctor surgically opens the fistula tract by making excision.

Advancement rectal flap:

In this procedure, the doctor identifies the inner opening of the fistula and cut the flap of mucosal tissue surrounding the opening. The flap is lifted to open the fistula; then we clean the tract and close the inner hole. After cutting the end of the flap on which the inner opening was, the flap is pulled down over the stitched internal opening and sutured in place. The visible crack is cleaned and sutured.

Ligation of the intersphincteric fistula tract:

It is a secure closure method of the internal opening. The technique removes infected cryptoglandular tissue through the intersphincteric approach. The procedure includes the cut at the intersphincteric groove.

Post Treatment Precautions

  • If you are considering abortion, book an appointment with us.
  • You can talk to our counsellor if you have any doubts or you are changing your decision.
  • Plan someone to come with you when you have your abortion.
  • Arrange your return travel before you come to your procedure because you won’t be able to drive yourself home.
  • Bring your previous medical reports.
  • Bring an extra pair of comfortable clothes.
  • Keep sanitary pads suitable for heavy bleeding.


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