Perianal Fistula, Perianal Fistula Surgery, Turkey

Pelvic Floor Diseases

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Perianal fistula is an abnormal tunnel that develops around the anus and travels through the intestine towards the anus. This tunnel allows intestinal contents to pass out of the body and leads to persistent infections. Perianal fistulas often occur as a result of infections, such as chronic perianal abscess, and if left untreated, can cause serious discomfort.

What is Perianal Fistula?

A perianal fistula is a channel that extends from an opening around the anus to the subcutaneous tissue and allows an infection in the anus to reach the skin surface. These fistulas are caused by an infection or abscess in the intestine and usually develop after the abscess is drained. Fistulas can be of different lengths and complexity, which affects the treatment process and methods.

Perianal Fistula Types:

Simple Fistula: Contains a short and direct channel.

Complex Fistula: Fistulas that contain more than one channel and have a more complex structure.

Perianal Fistula Symptoms

The symptoms of perianal fistula may vary depending on the severity of the disease and the structure of the fistula. However, common symptoms include:

Constant Discharge: Continuous pus or bloody discharge around the anus.

Pain and Swelling: Pain, swelling, and tenderness around the anus.

Bad Odor: Bad odor caused by the discharge.

Skin Irritation: Skin irritation and itching around the anus due to constant discharge.

A Second Hole: The emergence of a second opening around the anus.

These symptoms can seriously affect a person's quality of life and are important to treat.

Perianal Fistula Surgery

Surgery is usually unavoidable in the treatment of perianal fistula. Various surgical techniques are used to completely eliminate the fistula and prevent its recurrence:

Fistulotomy: Opening and cleaning the fistula and leaving it to its natural healing process.

Seton Method: A rope is placed in the fistula canal, gradually tightening it and ensuring the canal closes.

LIFT Method (Ligation of the Intersphincteric Fistula Tract): Closing the part of the fistula between the muscles by tying it.

Fibrin Glue and Fistula Plug: Closing the fistula canal with a biological adhesive or plug.

Pre- and Post-Operative Recommendations:

Pre-Operative: In the pre-operative period, the diet and hygiene rules recommended by the doctor should be followed. Careful preparation is necessary to reduce the risk of infection.

Post-Operative: In post-operative care, regular wound cleaning, pain management and infection prevention are important. The care and control program recommended by the doctor should be followed.

Perianal Fistula Surgery Turkey

Why Choose Turkey for Perianal Fistula Surgery? Turkey is becoming a popular destination for medical tourism due to its advanced healthcare facilities, experienced surgeons, and cost-effective treatments.

Advantages of Perianal Fistula Surgery in Turkey

Experienced Surgeons: Turkish surgeons are highly skilled, often trained in Europe or the USA, ensuring top-quality care.

State-of-the-Art Facilities: Hospitals in Turkey are equipped with modern technology and follow international standards.

Affordable Costs: Surgery in Turkey is significantly cheaper compared to the US or Europe, without compromising on quality.

Comprehensive Care Packages: Many hospitals offer all-inclusive packages covering consultation, surgery, accommodation, and aftercare.

What to Expect During Your Stay

Pre-Surgery Consultation: Detailed discussion with the surgeon to plan the procedure.

Surgery Day: The operation is usually performed under general anesthesia.

Recovery: Patients may need to stay in the hospital for a few days post-surgery, followed by a recovery period in a hotel.

Aftercare: Follow-up appointments can be arranged in Turkey or with your local doctor.

Patient Testimonials Patients who have undergone perianal fistula surgery in Turkey often report a positive experience, highlighting the professionalism of the medical staff and the quality of care.

How to Prepare for Surgery in Turkey

Research and Choose a Reputable Hospital: Look for accredited facilities with good reviews.

Understand the Costs: Be clear about what is included in the package.

Travel Arrangements: Plan your travel, including visas if necessary.

Post-Surgery Care: Arrange for someone to accompany you during your recovery period.

Final Thoughts Perianal fistula surgery in Turkey offers a balance of high-quality care and affordability, making it an attractive option for international patients.

Comments of Those Who Underwent Perianal Fistula Surgery

The experiences of patients who underwent perianal fistula surgery generally focus on the healing process and relief they experience in the post-operative period. Patients report that post-operative pain decreases and their quality of life increases. However, some patients may warn about the long recovery period and the need for careful care.

Patient Comments:

Adnan B: "The first few weeks after the surgery were difficult, but I got rid of the fistula completely. I am much more comfortable now."

Hüseyin Ü: "I had treatment. Although it seemed difficult at first, I am very pleased with the result. It is possible to protect against the risk of infection with regular check-ups and cleanings."

Kenan Y: "I felt some pain after the fistulotomy, but I recovered completely within a few weeks. I no longer experience any discomfort."

Expert Recommendation:

It is recommended that patients who have surgery strictly follow their doctors' instructions in the post-operative period and not skip wound care and check-ups. They can also speed up the healing process by paying attention to diet and hygiene rules.

This content provides comprehensive information about perianal fistula and treatment processes and can help patients make more informed decisions about their post-operative process.

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We provide diagnosis and treatment services with our experienced team led by General Surgery Specialist Assoc. Prof. Dr. Orçun Yalav.

Perianal Fistula Frequently Asked Questions

How long does it take to recover after perianal fistula surgery?

The recovery process after perianal fistula surgery may vary depending on the patient's general health, the size of the fistula, and the method of surgery. In general:

Pain and mild discomfort may be felt in the first few days, and painkillers recommended by the doctor can be used during this period.
It usually takes 4-6 weeks for the surgical area to heal completely.
The time for full recovery and return to normal activities may vary between 6-8 weeks.

Following the care recommendations given by the doctor, keeping the area clean, and dressing it if necessary can speed up the recovery process.

What causes perianal fistula?

Perianal fistulas are usually caused by abscesses that form as a result of inflammation of the glands around the anus and rectum. These abscesses open to the skin surface, forming a channel (fistula). The main causes of perianal fistulas are as follows:

Anal abscess: The most common cause of perianal fistulas is anal abscesses. These abscesses form as a result of infection in the glands around the anus and can become a channel opening to the skin.
Crohn's disease: Inflammatory bowel diseases, especially Crohn's disease, can cause inflammation in the intestinal wall and fistulas can form.
Traumas: Injuries to the anus, post-operative complications, or traumas such as childbirth can also lead to fistula formation.
Radiation therapy: Radiation therapy to the pelvic area can damage the tissues in the anal area and cause fistulas to develop.
Infections such as tuberculosis or cancer: In rare cases, some infections or serious diseases such as cancer can lead to perianal fistulas.

Risk factors for fistula formation include chronic inflammatory bowel diseases, weak immune system and obesity.

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