Complex Anal Fistula

Complex Anal Fistula is a challenging anorectal condition involving an abnormal tunnel between the anal canal and the skin around the anus. Unlike simple fistulas, complex fistulas often have multiple tracts, cross the sphincter muscles, or are associated with infections, abscesses, or conditions like Crohn’s disease. Dr. Apoorv Goel, an expert in advanced colorectal and minimally invasive surgery, specializes in the treatment of complex anal fistulas using modern, sphincter-saving techniques that ensure effective healing while preserving continence.

Traditional fistula surgeries can lead to complications like recurrence and incontinence, especially in complex cases. Dr. Goel adopts a tailored approach for each patient, often using advanced procedures such as Laser Fistula Treatment (FiLaC), Video-Assisted Anal Fistula Treatment (VAAFT), LIFT procedure (Ligation of Intersphincteric Fistula Tract), or seton placement in staged treatments. Laser therapy is particularly effective as it closes the fistula tract with minimal tissue damage, bleeding, or postoperative pain.

Preoperative evaluation includes imaging like MRI or endoanal ultrasound to map the fistula’s complexity. These advanced techniques reduce recurrence risk and shorten recovery time. Most procedures are performed under local or short general anesthesia as day-care surgeries, allowing early discharge and return to daily life.

Dr. Apoorv Goel ensures comprehensive care—from accurate diagnosis to advanced surgical management and post-op support. With his expertise in handling complex anal fistulas, patients receive safe, effective, and minimally invasive treatment with a high success rate and preservation of quality of life.