Fistulotomy
The gold-standard surgical treatment for low simple anal fistulas - the fistula tract is laid open to allow complete healing from inside out. Offered by Dr. Samhitha Reddy, one of the best anal fistula surgeons in Hyderabad, at Lux Hospitals.
What is Fistulotomy?
Fistulotomy is the most effective surgical treatment for low simple anal fistulas. The procedure involves surgically laying open the entire fistula tract - allowing it to heal from inside out by secondary intention. Because the tract is opened along its full length, it granulates and heals completely without the ability to reform.
Dr. Samhitha Reddy, one of the best fistula surgeons in Hyderabad, performs fistulotomy at Lux Hospitals, Hyderabad using pre-operative endoanal ultrasound to ensure only the minimum sphincter muscle is divided - protecting continence while achieving complete fistula eradication. Fistulotomy is the cornerstone of anal fistula surgery in Hyderabad for intersphincteric and low trans-sphincteric tracts.
Fistulotomy is appropriate for intersphincteric and low trans-sphincteric fistulas involving minimal sphincter muscle. For high or complex fistulas, sphincter-preserving techniques (LIFT, FiLaC, advancement flap) are preferred.
How the Procedure Works
Pre-operative Endoanal Ultrasound
Endoanal ultrasound precisely maps the fistula tract, its Park's classification, and quantifies sphincter involvement before surgery is planned.
Anaesthesia & Positioning
Spinal or general anaesthesia. Patient in lithotomy. A fistula probe identifies the tract.
Tract Laying Open
The fistula tract is opened along its entire length using electrocautery or scalpel - creating a flat, open wound to heal by secondary intention.
Curettage
The floor of the opened tract is curetted to remove granulation tissue and epithelium that could allow tract reformation.
Wound Care & Follow-up
Daily dressings and sitz baths. Healing by secondary intention over 4–6 weeks. Regular follow-up confirms complete closure.
Outcomes
Who Needs This Treatment?
- →Highest cure rate for appropriately selected low fistulas (>90%)
- →Simple, well-established procedure - completed in under 30 minutes
- →Day-care procedure - no extended hospital stay
- →Eliminates recurrence when the entire tract is adequately laid open
- →Most economical definitive surgical option for anal fistula treatment in Hyderabad
- →Covered by most major health insurance plans at Lux Hospitals, Hyderabad
Fistulotomy, when performed for the right type of fistula with careful pre-operative sphincter mapping, remains one of surgery's most satisfying procedures - a simple lay-open that provides complete, permanent cure.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Fistulotomy Cost in Hyderabad
The cost of fistulotomy in Hyderabad depends on the type of fistula, complexity of the tract, investigations required, surgical technique, and the care needed before and after surgery.
For conditions such as a low and simple anal fistula, where fistulotomy may be recommended, the approximate cost ranges between ₹30,000 and ₹60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fistulotomy Low, Simple Tract | ₹30,000 – ₹60,000 |
The final cost may vary depending on your individual condition, fistula tract location, findings during evaluation, and whether any additional procedures or post-operative care are required.
Factors That Influence Fistulotomy Cost
The overall cost may depend on:
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Type and complexity of fistula: The location of the fistula tract, whether it is low or complex, and the involvement of surrounding tissues can influence the complexity of surgery.
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Pre-operative evaluation: Required investigations such as clinical examination, imaging tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If treatment for associated conditions such as abscess drainage, multiple fistula tracts, or other anorectal conditions is required during surgery, 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 Fistulotomy Covered by Insurance?
Fistulotomy 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 fistulotomy 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.