FiLaC
Fistula Laser Closure — a thin laser fibre is inserted into the fistula tract and gently closes it from within, with no external cuts and full sphincter preservation.
What is FiLaC?
FiLaC (Fistula-tract Laser Closure) is a modern, minimally invasive laser technique for anal fistulas. A thin radial-emitting laser fibre is inserted along the fistula tract through the external opening. As the fibre is slowly withdrawn, controlled laser energy is delivered all around, gently destroying the lining of the tract and sealing it from within. There are no cuts on the sphincter, complete continence is preserved, and recovery is remarkably comfortable. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs FiLaC at Lux Hospitals, Hyderabad, often combined with VAAFT or advancement flap for complex fistulas.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or short general anaesthesia. The patient is positioned in lithotomy or prone position.
Tract Identification
The external and internal openings are clearly identified, often with the help of a fistuloscope or probe.
Laser Fibre Insertion
A thin radial-emitting laser fibre is inserted through the external opening along the entire length of the tract.
Controlled Laser Delivery
As the fibre is slowly withdrawn, controlled laser energy is delivered all around, destroying the tract lining and sealing it from within.
Internal Opening Closure
The internal opening is closed with sutures or covered with an advancement flap when needed. Patients are discharged the same day.
Outcomes
Who Needs This Treatment?
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No cuts on the sphincter — full continence preserved
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Significantly less pain than conventional fistula surgery
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Day-care procedure with same-day discharge
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Quick return to office work in 3–5 days
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Can be repeated or combined with other techniques
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Discreet, sensitive care by a female proctologist
FiLaC is a wonderfully gentle approach to a difficult problem — a thin fibre, controlled energy, the tract sealed from within. Every fibre of the sphincter is preserved, and patients walk out the same day with the chance of cure they previously thought required a long, painful surgery.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
FiLaC Cost in Hyderabad
The cost of FiLaC (Fistula Laser Closure) in Hyderabad depends on the complexity and location of the anal fistula, number of fistula tracts, sphincter involvement, previous treatments, investigations required, and the care needed before and after the procedure.
For patients requiring FiLaC for suitable anal fistulas, the approximate cost ranges between ₹90,000 and ₹1,60,000.
| Procedure | Approximate Cost Range |
|---|---|
| FiLaC (Fistula Laser Closure) | ₹90,000 – ₹1,60,000 |
The final cost may vary depending on your individual condition, findings during evaluation, fistula complexity, laser treatment requirements, and whether any additional procedures are required.
Factors That Influence FiLaC Cost
The overall cost may depend on:
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Type and complexity of fistula: The location, number and length of fistula tracts, sphincter involvement, recurrence, and complexity of the fistula may influence treatment planning.
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Pre-operative evaluation: Required clinical examination, MRI or other imaging when needed, and medical assessments before the procedure may affect the overall cost.
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Additional procedures: If procedures such as seton placement, abscess drainage, fistulotomy, or other proctology interventions are required along with FiLaC, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, dietary guidance, and follow-up requirements may influence the final estimate.
Is FiLaC Covered by Insurance?
FiLaC may be covered by health insurance when it is performed for a medically necessary anal fistula. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether FiLaC is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.