Anal Fistula Treatment in Pune
An anal fistula is an abnormal tunnel between the anal canal and skin, sometimes developing after an abscess.
Dr. Azhar Attar · Advanced Laparoscopic, Colorectal & Robotic Surgeon · Fellowship training at St Mark’s Hospital, London

What to know
Symptoms
Recurring discharge or swelling near the anus. Pain, irritation or repeated abscesses.
When to see a doctor
An abscess with fever or severe pain needs prompt medical attention. Recurrent discharge should also be assessed.
Diagnosis
Examination is important; MRI or other imaging may help map complex fistula tracks before treatment.
Treatment options
Treatment choices depend on the fistula’s path and relationship to the sphincter muscles.
When surgery may be considered
A procedure is commonly needed to treat a persistent fistula, with a plan that aims to protect continence.
Laparoscopic and robotic options
Fistulotomy, seton placement and sphincter-sparing approaches, including selected laser techniques, may be discussed.
Recovery and follow-up
Healing may take time and follow-up is important. Recurrence and continence risks vary by anatomy and treatment.
Common questions
Will antibiotics cure a fistula?
Antibiotics alone usually do not close a persistent fistula.
Is laser always suitable?
No. The anatomy and continence risk determine whether it is appropriate.
Dr. Azhar Attar
MBBS, DNB (General Surgery), FNB (Minimal Access Surgery), FACRSI, Colorectal Surgery Fellowship (St Mark's Hospital, London). Read more about his training and approach on the doctor profile.
Read Dr. Attar’s profileIkigai – The Surgicare Clinic
A303, 3rd Floor, Gera Imperium Oasis
Pimpri-Chinchwad, Pune 411018
+91 8080069872
Related care
Reviewed for general patient information by Dr. Azhar Attar. This page does not replace an individual medical consultation. For emergencies, attend the nearest emergency department.