Fistulotomy
Definitive surgical opening of a low anal fistula tract — the most reliable cure for simple, low-lying fistulas, with high success rate and lasting relief.
What is Fistulotomy?
Fistulotomy is the classic, time-tested surgical treatment for simple low anal fistulas. The fistula tract is carefully identified and laid open from the external opening to the internal opening, allowing it to heal from inside out as healthy granulation tissue. It offers the highest cure rate for low-lying fistulas, with minimal risk of recurrence when correctly selected. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs fistulotomy at Lux Hospitals, Hyderabad, with attention to careful sphincter preservation and discreet, sensitive care.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy or prone position.
Examination Under Anaesthesia
A thorough examination identifies the external opening, internal opening, and full course of the fistula tract.
Tract Probing
A fine probe is gently passed through the tract to confirm its course and ensure no branches are missed.
Laying Open the Tract
The fistula is carefully laid open along its entire length, exposing the tract to allow healing from the base upwards.
Wound Curettage & Recovery
Granulation tissue is gently curetted, the wound is dressed, and patients are discharged with structured wound care advice.
Outcomes
Who Needs This Treatment?
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Highest cure rate for simple low fistulas
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Definitive treatment with very low recurrence
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Performed as day-care or short-stay surgery
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Effective for both primary and recurrent low fistulas
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Allows clear visualisation of the entire tract
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Discreet, sensitive care by a female proctologist
Fistulotomy is one of the most reliable operations in proctology — but only when chosen for the right kind of fistula. Careful pre-operative assessment, MRI when needed, and a clear plan to protect the sphincter make all the difference between cure and a problem.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Fistulotomy Cost in Hyderabad
The cost of fistulotomy in Hyderabad depends on the type and complexity of anal fistula, location and extent of the fistula tract, investigations required, and the care needed before and after surgery.
For patients with suitable anal fistulas requiring fistulotomy, the approximate cost of fistulotomy ranges between ₹40,000 and ₹80,000
| Procedure | Approximate Cost Range |
|---|---|
| Fistulotomy | ₹40,000 – ₹80,000 |
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 Fistulotomy Cost
The overall cost may depend on:
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Type and complexity of fistula: The location, length, number of tracts, involvement of the anal sphincter, and whether the fistula is simple or complex may influence treatment planning.
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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 seton placement, abscess drainage, fistula tract treatment, or other proctology interventions are required, 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 Fistulotomy Covered by Insurance?
Fistulotomy 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 fistulotomy 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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Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.