FiLaC — Laser Fistula Closure
A radial laser fibre seals the tract from within — sphincter is fully preserved.
Advanced fistula-in-ano care with sphincter preservation
Anal Fistula Surgery in Mandya
Modern laser and seton-based techniques (LAFT, VAAFT, FiLaC) for simple and complex anal fistulas — high cure rates, low recurrence.
Day-care procedure
Insurance cashless
Senior surgeon consult
15+ Years
Specialist experience
10,000+
Patients cared for
Laser & Laparoscopic
Modern tech
NABH-aligned
Safe protocols
Symptoms
When to suspect
- Recurrent pus or bloody discharge near the anus
- A small external opening that keeps draining
- Throbbing pain that worsens before discharge
- Skin irritation, swelling or low-grade fever
- History of a previous perianal abscess
Causes & Risk Factors
Why it happens
- Untreated perianal or ischiorectal abscess
- Infection of the anal glands (cryptoglandular)
- Crohn's disease or tuberculosis (in select cases)
- Trauma or previous anal surgery
When to see a specialist
Don't put it off — early care is easier care
- Any recurring discharge near the anus
- Persistent perianal pain after an abscess
- Multiple external openings or branching tracts
- Recurrence after previous fistula surgery
Diagnosis
Accurate diagnosis comes first
All evaluations are done in a private, dignified clinical setup by senior specialists.
Clinical examination and probing
MRI Fistulogram for complex or recurrent fistulas
Endoanal ultrasound when indicated
Treatment options
Procedures we offer
The right option depends on your grade, anatomy and lifestyle — your surgeon will walk you through the trade-offs.
VAAFT (Video-Assisted)
Tiny endoscope visualises and ablates the tract — ideal for complex fistulas.
LIFT Procedure
Sphincter-sparing ligation of the inter-sphincteric tract for trans-sphincteric fistulas.
Seton Placement / Fistulotomy
Time-tested options for low or simple fistulas with excellent cure rates.
Your care journey
How treatment works at S.D. Jayaram
- 01
Detailed Assessment
Examination plus MRI fistulogram when needed to map the tract precisely.
- 02
Personalised Plan
Procedure choice based on tract complexity, sphincter involvement and your goals.
- 03
Sphincter-Preserving Surgery
Performed in a modular OT under short anaesthesia.
- 04
Structured Follow-Up
Weekly reviews until complete healing, with 24/7 access to the surgical team.
Recovery
- Discharge same day or after one night of observation
- Return to desk work in 3–5 days
- Dressings simplified — most do not need daily clinic visits
- Complete healing in 4–8 weeks depending on complexity
Benefits
- Sphincter preservation — bowel control is protected
- Lower recurrence with MRI-guided planning
- Minimal post-op pain with laser techniques
- Suited even for recurrent and complex fistulas
Possible Risks
- Recurrence in complex or long-standing fistulas
- Delayed healing in patients with diabetes or Crohn's
- Small risk of incontinence with traditional fistulotomy in high tracts (avoided with FiLaC/LIFT)
Cost & Insurance
Transparent pricing — no surprises
Package pricing varies with complexity. Cashless insurance supported with end-to-end paperwork assistance.
Frequently Asked Questions
Answers to what patients ask most
Can a fistula heal on its own without surgery?
No. Anal fistulas have an internal opening that keeps the tract alive. Antibiotics may temporarily reduce discharge but surgical closure is the only definitive cure.
Will fistula surgery affect bowel control?
With modern sphincter-preserving techniques like FiLaC, LIFT and VAAFT, the risk of incontinence is very low. We choose the procedure specifically to protect your sphincter.
How long does fistula surgery take to heal?
Simple fistulas heal in 3–4 weeks. Complex or recurrent fistulas may take 6–8 weeks. We see you weekly until complete closure.
Why has my fistula come back after previous surgery?
Recurrence is usually due to a missed secondary tract or an unaddressed internal opening. An MRI fistulogram lets us plan a definitive second procedure.
Is laser fistula surgery covered by insurance?
Yes. FiLaC and VAAFT are covered by most Indian health insurance providers. We handle cashless approvals on your behalf.
Visit S.D. Jayaram Hospital
Serving Mandya & nearby towns
Patients travel to us from Mandya, Maddur, Srirangapatna, Pandavapura, Malavalli, K.R. Pet, Nagamangala and across the Mandya district for specialist surgical care.
- 4th Cross Rd, Ashok Nagar, Mandya, Karnataka 571401
- +91 99000 00000
- Mon–Sat: 9:00 AM – 8:00 PM · Emergency 24/7
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Speak to a senior specialist today. Confidential, no-obligation consultation.