Advanced VAAFT (Video-Assisted Anal Fistula Treatment) by Dr. Jadhav at Sunrise Piles Hospital, Wakad — sphincter-preserving, minimally invasive surgery with 95%+ success rates.
Fistula in ano is an abnormal tunnel-like passage that forms between the inner lining of the anus (or rectum) and the skin around the anus. It typically develops as a result of an anal abscess that has partially healed. The fistula may discharge pus or stool-stained fluid, causing persistent discomfort, pain, and hygiene problems.
Fistulas do not heal on their own — surgical treatment is required. At Sunrise Piles Hospital, we use the latest VAAFT technique which allows us to treat the fistula while preserving sphincter function, dramatically reducing the risk of incontinence.
Unlike traditional fistulotomy which cuts the sphincter muscle, VAAFT uses a video-guided scope to identify and destroy the fistula tract from within — with no damage to the sphincter. Result: normal bowel control maintained.
Low-level fistula not crossing the sphincter significantly. Good candidates for lay-open or VAAFT with excellent outcomes.
Involves significant sphincter muscle, has multiple tracts, or is associated with IBD or recurrence. Best treated with VAAFT or seton procedure.
Extends around both sides of the anal canal. Requires advanced surgical planning — VAAFT significantly improves outcomes.
Returns after previous surgery. VAAFT is particularly valuable for recurrent fistulas where conventional surgery has higher risks.
Video-Assisted Anal Fistula Treatment (VAAFT) is the gold standard for complex fistulas. Using a specially designed video fistuloscope, Dr. Jadhav visualises the entire fistula tract on a monitor and treats it from inside out using electrocautery — all while fully preserving the sphincter.
MRI fistulogram and thorough clinical examination to map all fistula tracts and plan the surgical approach.
A rigid fistuloscope is introduced through the external opening. Dr. Jadhav visualises the entire tract, identifying all branches and the internal opening.
Using a bipolar electrode through the fistuloscope, the fistula tract lining is destroyed from inside out, eliminating the source of recurrence.
The internal opening is securely closed with sutures or a mucosal advancement flap to prevent re-infection.
Same-day or overnight discharge. Most patients return to work within 5–7 days. Follow-up at 2 and 6 weeks.
No — VAAFT specifically preserves the sphincter muscle. This is the key advantage over traditional fistulotomy. The risk of incontinence with VAAFT is negligible in experienced hands.
Most fistulas are treated in a single sitting. Complex or horseshoe fistulas may occasionally require a staged approach over 2 sittings, 6–8 weeks apart.
In experienced hands like Dr. Jadhav's, VAAFT achieves a 92–96% success rate for simple and moderately complex fistulas. Even for recurrent fistulas, success rates are significantly higher than conventional surgery.
Most patients go home the same day or after one overnight stay. Return to desk work in 5–7 days. Complete healing of the external wound takes 4–8 weeks depending on fistula complexity.
Don't let fistula affect your quality of life. Book a consultation with Dr. Jadhav at Sunrise Piles Hospital, Wakad Pune, today.