FiLaC (Fistula-tract Laser Closure)
A radially emitting laser fibre destroys and seals the fistula tract from within - the gold-standard minimally invasive treatment for complex anal fistulas in Hyderabad. Complete sphincter preservation with same-day discharge.
What is FiLaC (Fistula-tract Laser Closure)?
FiLaC (Fistula-tract Laser Closure) is a minimally invasive laser procedure for anal fistulas. A specially designed radially emitting laser fibre is introduced into the fistula tract through the external opening. As it is slowly withdrawn, it emits 360° laser energy that destroys the fistula epithelium and coagulates the tract walls from within - sealing the tract without any sphincter division or large external wound.
Dr. Samhitha Reddy offers FiLaC laser fistula treatment in Hyderabad at Lux Hospitals as a leading option for complex and high fistulas where conventional surgery would risk sphincter damage. It is performed under brief anaesthesia as a day-care procedure with a tiny external wound and rapid recovery - making it one of the most sought-after fistula laser surgery options in Hyderabad.
FiLaC is particularly beneficial for high trans-sphincteric, complex, or recurrent fistulas where sphincter preservation is critical. Endoanal ultrasound maps the tract before surgery. Dr. Samhitha will confirm suitability at consultation.
How the Procedure Works
Pre-operative Endoanal Ultrasound
Endoanal ultrasound maps the fistula tract, classification, sphincter involvement, and any secondary branches - ensuring complete laser ablation of the entire tract.
Anaesthesia
Short spinal or general anaesthesia. Procedure in lithotomy position. Entire procedure typically under 20 minutes.
Laser Fibre Introduction
The radially emitting FiLaC laser fibre (360° emission) is introduced through the external opening and advanced to the internal opening under guidance.
Laser Activation & Withdrawal
The laser is activated at 8–12 watts as the fibre is slowly withdrawn at 1 mm/second - coagulating and sealing the tract epithelium from internal to external opening.
Wound Closure
The external opening is lightly sutured or dressed. A very small external wound remains. Patients are discharged the same day with minimal post-operative discomfort.
Outcomes
Who Needs This Treatment?
- →Complete sphincter preservation - no sphincter muscle cut or divided at any point
- →Minimally invasive - small external wound only, no large excisional wounds
- →Day-care procedure - same-day discharge from Lux Hospitals, Hyderabad
- →Very low post-operative pain compared to open sphincter-preserving surgery
- →Can be repeated if needed - does not preclude other techniques
- →Available as part of the leading fistula laser surgery programme in Hyderabad
FiLaC represents the future of complex fistula surgery. The ability to use laser energy to close a fistula tract from within - preserving every fibre of the sphincter - is a game-changer for patients with high fistulas who were previously told their only option was a seton for life.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
FiLaC (Laser Fistula Closure) Cost in Hyderabad
The cost of FiLaC (Laser Fistula Closure) in Hyderabad depends on the type of fistula, complexity of the tract, laser treatment requirements, investigations needed, and the care required before and after the procedure.
For conditions where a sphincter-sparing approach is considered, such as suitable anal fistula cases, the approximate cost of FiLaC ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| FiLaC (Laser Fistula Closure) Sphincter-Sparing | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, fistula tract characteristics, findings during evaluation, and whether any additional procedures or post-operative care are required.
Factors That Influence FiLaC Cost
The overall cost may depend on:
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Type and complexity of fistula: The location, length, and complexity of the fistula tract, along with the involvement of surrounding tissues, can influence the treatment approach and cost.
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Pre-operative evaluation: Required investigations, clinical examination, imaging tests, and medical assessments before the procedure may affect the overall cost.
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Additional procedures: If procedures such as abscess drainage, seton placement, fistula mapping, or other anorectal treatments 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, follow-up consultations, and recovery support may influence the final estimate.
Is FiLaC Covered by Insurance?
FiLaC (Laser Fistula Closure) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, waiting periods, 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. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Surgeon in Hyderabad, will evaluate your symptoms, fistula type, medical history, and examination findings to determine whether FiLaC is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.