Fistulectomy
Complete surgical excision of the entire fistula tract along with its lining — definitive treatment for select fistulas where complete tissue removal is required.
What is Fistulectomy?
Fistulectomy is the complete surgical excision of the entire fistula tract, including its lining, rather than simply laying it open. It is preferred in selected fistulas where complete tissue removal is needed for biopsy, where the tract is fibrotic or recurrent, or where a clean wound base is desired for healing. The wound is then either left open or partially closed, depending on the situation. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs fistulectomy at Lux Hospitals, Hyderabad, with attention to sphincter preservation and excellent healing outcomes.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy or prone position.
Examination & Tract Probing
The external and internal openings are identified, and a probe defines the entire course of the tract.
Complete Tract Excision
The entire fistula tract along with its lining is carefully excised, with attention to preserving the sphincter muscle whenever possible.
Tissue Submission
The excised tract is sent for biopsy, particularly in recurrent or atypical fistulas, to rule out underlying conditions.
Wound Management & Recovery
The wound is left open to heal by secondary intention or partially closed. Patients are usually discharged within 24 hours.
Outcomes
Who Needs This Treatment?
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Complete removal of the entire fistula tract
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Allows tissue biopsy to rule out underlying conditions
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Effective for recurrent or fibrotic tracts
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Clean wound base supports good healing
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Useful when laying open alone is not sufficient
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Discreet, sensitive care by a female proctologist
Fistulectomy is sometimes the right answer when a fistulotomy alone is not enough — recurrent tracts, fibrotic walls, or any concern that needs a biopsy. Removing the whole tract gives both a clean wound and a clear answer for the patient.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Fistulectomy Cost in Hyderabad
The cost of fistulectomy in Hyderabad depends on the type and complexity of the anal fistula, the extent of the fistula tract, involvement of the anal sphincter, investigations required, and the care needed before and after surgery.
For patients requiring surgical removal of the fistula tract, the approximate cost of fistulectomy ranges between ₹45,000 and ₹90,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fistulectomy | ₹45,000 – ₹90,000 |
The final cost may vary depending on your individual condition, findings during evaluation, fistula complexity, and whether any additional procedures are required.
Factors That Influence Fistulectomy Cost
The overall cost may depend on:
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Type and complexity of fistula: The location, length, number of tracts, sphincter involvement, and whether the fistula is simple or complex may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, MRI or other imaging when needed, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as abscess drainage, seton placement, fistulotomy, or other proctology interventions are required along with fistulectomy, 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 Fistulectomy Covered by Insurance?
Fistulectomy 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 fistulectomy is suitable for you. She will explain the procedure and expected outcomes and guide you on the estimated cost based on your condition and treatment needs.
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