Anal Fistula · भगंदर
An anal fistula (bhagandar) is a small tunnel that forms between the inside of the anal canal and the skin near the anus. It usually develops after an anal abscess (a collection of pus) that has drained but left a track behind.
A fistula rarely heals with medicines alone and tends to flare up again and again until it is treated surgically. Because the track runs close to the muscles that control motion, it needs an experienced proctologist — Dr. Ashish Agarwal treats fistula with techniques designed to clear the track while protecting these important muscles.
Signs of an anal fistula
- A recurring boil or abscess near the anus that keeps coming back
- Discharge of pus or blood near the anus (sometimes with a smell)
- Pain and swelling that builds up and then eases when it drains
- Skin irritation or a persistent moist opening beside the anus
- Occasional fever when the track becomes infected
The sphincter-preserving approach
The key to fistula surgery is clearing the entire track so it heals fully, while carefully protecting the anal sphincter muscles that control continence. Dr. Ashish selects the technique to match the type and depth of the fistula for the best chance of a one-time cure.
Modern methods aim for faster, cleaner healing with less discomfort. Most patients have a short stay or day-care procedure, followed by simple dressing care and follow-up until the area has healed completely.
Free surgery under your Ayushman card.
Eligible patients can have this operation done completely free of cost under the Ayushman Bharat (PM-JAY) scheme. Call or WhatsApp with your card details to check your eligibility.
Anal Fistula — your questions answered
Can a fistula heal without surgery?
Usually not. Medicines may calm an infection for a while, but a true fistula track keeps recurring until it is properly treated with surgery.
Will fistula surgery affect my motion control?
The technique is chosen specifically to protect the sphincter muscles that control continence. Treating a fistula with an experienced proctologist is the safest way to protect this function.
Does a fistula come back after surgery?
A correctly and completely treated fistula has a low recurrence rate. Following the post-operative dressing and hygiene advice is important for full healing.
Is fistula surgery free under Ayushman Bharat?
Eligible patients can have fistula surgery done free of cost under Ayushman Bharat (PM-JAY). Call or WhatsApp with your card details to check your eligibility.
Talk to Dr. Ashish about anal fistula.
No long forms — just call or WhatsApp to describe your problem and book a convenient time at the clinic in Daudpur, Gorakhpur.