Permanent, safe closure for anal fistula (भगंदर) without cutting sphincter muscles. Dr. Ranvijay Bharti performs advanced FiLaC laser ablation at Doctors Divine Multispeciality Hospital, Nawada.
A fistula will not go away with antibiotics alone. Proper surgical evaluation is vital.
Infection in an anal crypt gland creates a pus boil (abscess). When it drains or bursts, an abnormal tunnel (fistula tract) is left behind.
Continuous or intermittent discharge of pus, blood, and watery fluid through a small skin opening next to the anus, causing constant moisture and irritation.
The infected tract must be completely sterilized and sealed. Laser FiLaC destroys the epithelial lining from within, allowing the tract to collapse and heal permanently.
Why preserving your anal sphincter muscle is essential for quality of life.
| Parameter | FiLaC Laser at Doctors Divine | Traditional Open Surgery (Fistulectomy) |
|---|---|---|
| Sphincter Muscle Damage | Zero damage (100% muscle preservation) | High risk of muscle division & incontinence |
| Incontinence Risk | 0% risk of gas or stool leakage | Up to 15–30% in complex / high fistulas |
| Wound Size | No open wound; pinhole entry only | Large open surgical trench |
| Recovery Duration | Back to routine in 3–5 days | 4 to 8 weeks with daily wound dressings |
| Hospitalization | Day care (discharged same day) | 2 to 4 days hospital stay |
Compassionate and precise proctology care in Nawada.
General & Laparoscopic Surgeon, Proctologist
MD & CEO • 10+ years Experience
Clear medical answers regarding causes, diagnosis, and laser recovery.
An anal fistula is an abnormal, infected tunnel connecting an internal gland inside the anal canal to the external skin around the anus. It is most commonly the result of a perianal abscess (pus boil) that burst or was drained previously.
No. Unlike piles or acute fissures, an anal fistula has a continuous infected tract that cannot heal permanently with antibiotics or ointments. Surgical or laser closure of the tract is the only definitive curative option.
FiLaC is a cutting-edge sphincter-saving technique where a flexible 360° radial laser emitting fiber is introduced into the fistula tract. The laser energy photothermally ablates and seals the infected tissue tract from the inside out, preserving all surrounding sphincter muscles.
Traditional open fistulotomy or fistulectomy involves cutting through anal sphincter muscles to lay open the tract. In high or complex fistulas, this carries a significant risk of anal incontinence (loss of bowel/gas control) and creates large, slowly healing open wounds.
Because the laser fiber is passed through the tract itself without cutting the muscle fibers, the external and internal sphincters remain 100% intact. There is zero risk of post-surgical stool or gas incontinence.
With precise tract mapping (and MRI or endoanal ultrasound when needed), FiLaC performed by experienced surgeons like Dr. Ranvijay Bharti delivers success rates of 85–90% without risking sphincter damage.
Stop painful pus discharge and protect your muscle function with FiLaC laser surgery at Doctors Divine Hospital, Nawada.
