Fistula-in-Ano / Bhagandara
Treatment in Ranchi

What is Fistula-in-Ano (Bhagandara)?

Fistula-in-Ano, known in Hindi as Bhagandara (भगंदर), is an abnormal infected tunnel (tract) that forms between the inside of the anal canal and the outer skin around the anus. This tunnel develops as a result of a previous perianal abscess — guda ke andar ek infected gland se shuru hokar skin tak aayi is surang se baar baar pus aur kabhi kabhi khoon niklta rehta hai. It is not only painful but also extremely distressing for daily life.

If you are experiencing recurring pus discharge near the anus, constant pain while sitting, or repeated anal infections — you likely have Fistula-in-Ano. Ranchi aur Jharkhand mein Fistula ke cases zyada hain kyunki log initial abscess stage mein doctor ke paas nahi jaate. Ek simple Perianal Abscess, agar sahi se treat na ho, toh zyaadatar cases mein Fistula mein convert ho jaata hai.

At Sai Piles Clinic Ranchi, our Chief Proctologist Dr. Santosh Rao is one of Jharkhand's most experienced Kshara Sutra specialists. 1960 se hum complex aur simple dono prakar ke Fistula cases successfully treat karte aa rahe hain.

Fistula ke Types (Prakar)

Sab fistulas ek jaise nahi hote. Unke position aur complexity ke hisaab se alag types hote hain:

• Intersphincteric Fistula — Sabse common type. Do sphincter muscles ke beech se guzarta hai. Kshara Sutra se best results milte hain.
• Transsphincteric Fistula — External sphincter muscle ke through guzarta hai. Sphincter-preserving techniques zaroori hain.
• Suprasphincteric Fistula — Dono sphincter muscles ke upar se guzarta hai. Rare aur zyada complex.
• Extrasphincteric Fistula — Sabse complex type — sphincter se bahut upar se guzarta hai. Highly specialized treatment chahiye.
• Horseshoe Fistula — Multiple tracts hote hain jo ghode ki naal ki tarah arranged hote hain — bahut complex case.

Fistula ke Lakshan — Symptoms

• Guda ke paas baar baar pus ya mattar aana — ye Fistula ka sabse pehla aur clear sign hai
• Guda ke aas paas ek ya zyada chhote chhid (openings) — jin se pus niklta rehta hai
• Constant ya intermittent dard — khaskar baith ne par, chalte waqt ya motiyon ke dauraan
• Sujan aur lali (redness) — guda ke aas paas skin par
• Kabhi kabhi khoon — pus ke saath ya motiyon mein
• Bukhaar (fever) — agar infection zyada ho gayi ho
• Kapde/underwear gande hona — discharge ki wajah se undergarments mein staining

Fistula Kyun Hota Hai? — Karan (Causes)

Fistula aksar ek purani ya bilkul treat na ki gayi Perianal Abscess se shuru hota hai. Jab guda ke andar ek gland mein infection hoti hai aur wahan pus jam jaata hai — agar ye spontaneously drain ho jaaye ya surgically drain kiya jaaye lekin root cause address na ho — toh ek permanent tract (surang) ban jaati hai jo Fistula ban jaati hai.

• Perianal Abscess — Fistula ka number one cause
• Crohn's Disease — inflammatory bowel disease se related fistulas
• Tuberculosis (TB) — India mein anorectal TB bhi fistula cause kar sakta hai
• Previous anal surgery — jo properly heal na hui ho
• Radiation therapy — pelvic area mein cancer ke ilaj ke baad
• Sexually transmitted infections — kuch STIs bhi anal fistula cause kar sakte hain

Sai Piles Clinic mein Fistula Ka Ilaj

Fistula ka ilaj ek specialized art hai. Yahan ek hi galat step se patient ka sphincter permanently damage ho sakta hai jisse lifelong incontinence (incontenence — malam-moot rok na paana) ho sakti hai. Isliye Sai Piles Clinic mein hum sphincter preservation ko sabse pehli priority dete hain.

1. Kshara Sutra (क्षारसूत्र) — Our Specialty

Kshara Sutra Fistula ke liye sabse proven aur safe treatment hai — khaskar India mein. Isme ek medicated alkaline thread ko fistula tract ke through daala jaata hai. Ye thread dheere dheere (usually 1-2 weeks mein ek thread change ke cycle par) tract ko chemically cauterize karta hai — bina kisi operation theatre ki zaroorat ke, bina general anesthesia ke, aur sphincter muscles ko bilkul safe rakhte hue.

Sai Piles Clinic mein Dr. Santosh Rao ki expertise se Kshara Sutra ke results exceptionally high hain. Complex High-grade fistulas bhi is technique se successfully treat hue hain jahan surgery fail ho chuki thi.

2. Fistulotomy (Lay-Open Technique)

Simple, low-lying fistulas ke liye jahan sphincter involve nahi hota, Fistulotomy ek effective surgical option hai. Isme fistula tract ko open karke heal hone diya jaata hai. Simple aur low risk — lekein sirf selective cases mein suitable hai.

3. LIFT Procedure (Ligation of Intersphincteric Fistula Tract)

Is modern sphincter-saving technique mein fistula tract ko intersphincteric plane mein identify karke ligate (bandh) kiya jaata hai. Sphincter muscles safe rehte hain aur healing rate acchi hoti hai transsphincteric fistulas mein.

4. Seton Placement

Complex fistulas mein pehle ek loose seton (thread) daali jaati hai jo tract ko drainage deti hai aur inflammation kam karti hai — aur is dauraan patient ki overall condition improve hoti hai taaki final treatment aur safer ho sake.

5. Advancement Flap Procedure

Recurrent ya complex fistulas mein jahan doosri techniques kaam na aayi hon, Advancement Flap ek reconstructive option hai jisme internal opening ko healthy tissue se cover kiya jaata hai.

Kshara Sutra se Fistula Kaise Theek Hota Hai?

Kshara Sutra ki puri process samajhna important hai:

1. Initial Consultation — Dr. Santosh Rao aapka detailed examination karte hain, fistula ka type aur tract ka path identify karte hain. MRI bhi recommend ho sakta hai complex cases mein.
2. Thread Placement — Local anesthesia de kar medicated thread ko fistula tract ke through carefully insert kiya jaata hai. Ye ek brief OPD procedure hai.
3. Weekly Thread Change — Har 7-10 din mein aap clinic aate hain, purani thread nikali jaati hai aur nayi thread daali jaati hai. Thread dheere dheere tract ko cauterize karta hai.
4. Complete Healing — 4-8 weeks ke cycle mein (fistula ki complexity ke hisaab se) tract completely heal ho jaata hai. Koi open wound nahi, koi badi surgery nahi.
5. Follow-up — Complete healing ke baad follow-up visits hote hain recurrence ensure nahi hone ke liye.

Sai Piles Clinic Ko Kyun Choose Karein?

• 🏥 Since 1960 — Ranchi ki most trusted proctology clinic with 65+ years of legacy
• 🌿 Kshara Sutra Specialists — Dr. Santosh Rao Jharkhand ke sabse experienced Kshara Sutra practitioners mein se ek hain
• 🤐 Sphincter Safe — hamare paas sphincter ko preserve karna pehli priority hai — hum kabhi bhi ek aisi technique nahi chhoosenge jo sphincter ko risk mein daale
• 🔬 Complex Case Expertise — High-grade, recurrent, aur complex fistulas mein bhi hum successful results dete hain
• 🏠 No Hospitalization — Kshara Sutra mein hospital admission nahi chahiye — weekly OPD visits hi kaafi hain
• 🔒 Complete Privacy — aapki condition aur treatment bilkul confidential rakhi jaati hai

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