The Recurring Boil That Won't Go Away: Understanding Fistula-in-Ano (Bhagandar)

Subtitle: Why antibiotics alone fail and how Laser treatment offers a permanent cure without the risk of incontinence.

By Dr. Karan R. Rawat Proctologist | Laser Surgeon | Gastroenterologist | Agra

Introduction: Is it Just a Boil?

Have you noticed a small, painful boil near your anal region that bursts, drains pus, heals for a few weeks, and then comes back?

This is not a simple skin infection. This is likely a Fistula-in-Ano (commonly known as Bhagandar). In my OPD at Safe Gastro and Surgery Center, I often see patients who have suffered for years, undergoing multiple failed surgeries or relying on temporary antibiotics.

A fistula is essentially a tunnel. It connects an infected gland inside your anal canal (internal opening) to the skin outside (external opening). Unless this entire tunnel is treated, the problem will keep returning.

How Does It Present? (Symptoms)

Fistulas can be tricky. Unlike fissures, which cause sharp cutting pain, fistulas often present with:

  1. Recurrent Abscesses: A painful lump near the anus that swells, bursts (releasing pus or blood), and then subsides.

  2. Constant Discharge: Wetness, itching, or foul-smelling discharge in your undergarments.

  3. Skin Irritation: The constant moisture irritates the surrounding skin.

  4. Pain: Usually a throbbing pain that worsens when sitting or before the boil bursts.

The Danger of Delay

Ignoring a simple fistula can turn it into a Complex Fistula.

  • The tunnel can branch out like a tree root.

  • It can wrap around the anal sphincter muscles (the muscles that control bowel movements).

  • In rare, long-standing cases, chronic inflammation can lead to cancer.

Diagnosis: Mapping the Tunnel

Treatment cannot be blind. At our center, we don't just "cut." We diagnose with precision.

  • Digital Rectal Exam: To feel the tract.

  • MRI Fistulogram: For complex cases, we use MRI to create a 3D map of the tunnel. This is crucial to ensure we don't damage your continence muscles during surgery.

Treatment: Why "Laser" is the Game Changer

Traditional surgery (Fistulectomy) involves cutting open the entire tunnel. While effective, it leaves a large open wound that takes months to heal and carries a risk of damaging the sphincter muscle (causing leakage of stool).

As a Laser Surgeon, I offer advanced, sphincter-saving techniques:

1. FiLaC (Fistula-Tract Laser Closure)

  • The Procedure: We insert a thin, flexible laser fiber into the fistula tunnel. As we pull it back, the laser energy destroys the tract lining and seals it shut from the inside.

  • The Benefit: No large cuts. No daily dressing. The sphincter muscle is preserved, so there is zero risk of incontinence.

2. VAAFT (Video-Assisted Anal Fistula Treatment)

  • For complex cases, we use a tiny camera (endoscope) to see inside the tunnel, clean it thoroughly, and seal it.

Why Choose Safe Gastro and Surgery Center?

Treating a fistula requires a specialist who understands both the infection and the delicate muscles of the anal region.

  • High Success Rate: We use MRI mapping to ensure no branch of the fistula is missed.

  • Minimally Invasive: Our focus is on Laser procedures that get you back to work in 2-3 days.

  • Financial Peace of Mind: We accept all major insurances.

Conclusion

Don't let the fear of surgery make you live with pain and hygiene issues. A fistula is a mechanical problem—it needs a mechanical solution. With modern Laser technology, the cure is faster and safer than ever.

GET PERMANENT RELIEF TODAY

Safe Gastro and Surgery Center Led by Dr. Karan R. Rawat (Agra’s Leading Proctologist & Laser Surgeon)

📍 Address: Church Road, Agra 📞 Helpline: 7398888889 ⏰ Timings: OPEN 24 HOURS ✅ Insurance: All TPA & Insurance Accepted (Cashless Facility)

SEO Keywords (Backend)

  • Primary: Fistula treatment Agra, Laser surgery for Bhagandar, Fistula Surgeon in Agra, Dr Karan R Rawat.

  • Secondary: FiLaC surgery cost Agra, Recurrent fistula treatment, Pus discharge from anus, Proctologist Church Road.

  • Hindi Terms: Bhagandar ka laser ilaj, Guda rog doctor Agra.

Hashtags for Social Media

#Fistula #Bhagandar #LaserSurgery #FiLaC #Proctologist #DrKaranRawat #Agra #SafeGastro #PainlessRecovery #AgraHealth #FistulaFree #ChurchRoadAgra