Seton Placement
A soft, flexible thread (seton) placed through the fistula tract — used for complex or high fistulas to gradually heal the tract while preserving the sphincter muscle.
What is Seton Placement?
Seton Placement is a sphincter-preserving surgical technique for complex anal fistulas, particularly high transsphincteric, suprasphincteric, or recurrent fistulas. A soft, flexible thread (seton) is passed through the fistula tract and tied loosely. The seton can act as a drain (loose seton — to keep the tract draining and prevent abscesses) or as a cutting seton (slowly tightened to gradually divide the muscle while allowing healing behind it). It is also commonly used as a staged approach before definitive sphincter-sparing surgery. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs seton placement at Lux Hospitals, Hyderabad.
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
The internal and external openings of the fistula are clearly identified, and the entire tract is mapped.
Tract Probing
A fine probe is gently passed through the tract from external to internal opening to confirm the course.
Seton Threading
A soft seton (silicone vessel loop or similar) is threaded along the probe through the tract and tied loosely outside.
Discharge & Follow-Up Plan
Patients return home the same day with structured wound care advice and a clear follow-up plan for definitive surgery.
Outcomes
Who Needs This Treatment?
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Preserves the anal sphincter muscle and continence
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Controls infection and prevents recurrent abscesses
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Effective for complex and high fistulas
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Useful in Crohn's disease-associated fistulas
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Allows safe staged definitive surgery later
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Discreet, sensitive care by a female proctologist
A loose seton is one of the kindest things we can offer in complex fistula disease — it controls infection, calms inflammation, and protects the sphincter while we plan the definitive operation thoughtfully. Sometimes the most important step is the one that comes before the cure.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Seton Placement Cost in Hyderabad
The cost of seton placement in Hyderabad depends on the type and complexity of the anal fistula, the location of the fistula tract, involvement of the anal sphincter, investigations required, and the care needed before and after the procedure.
For patients requiring seton placement for suitable anal fistulas, the approximate cost of seton placement ranges between ₹30,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Seton Placement | ₹30,000 – ₹70,000 |
The final cost may vary depending on your individual condition, findings during evaluation, type of seton used, and whether any additional procedures are required.
Factors That Influence Seton Placement Cost
The overall cost may depend on:
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Type and complexity of fistula: The location, number of fistula tracts, sphincter involvement, and complexity of the fistula may influence treatment planning and the need for seton placement.
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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 abscess drainage, fistulotomy, fistula tract treatment, or other proctology interventions are required along with seton placement, the cost may vary.
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Hospital stay and post-procedure care: The duration of admission, medicines, wound care, dietary guidance, seton care, and follow-up requirements may influence the final estimate.
Is Seton Placement Covered by Insurance?
Seton placement 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 seton placement 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.