Fistula surgery

An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus, often following an infection or abscess. While some fistulas are simple and superficial, others can be more complex and require advanced surgical intervention.

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At the Rapid Access Bowel Clinic, we offer fast access to leading colorectal consultants and a full spectrum of modern fistula treatments tailored to your individual case.

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Fistula Treatment Options

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Fistulotomy

This is the most common and straightforward procedure, particularly suitable for simple, low-lying fistulas. The fistula tract is surgically opened and allowed to heal from the inside out. Healing typically takes a few weeks.

• Ideal for: Simple fistulas

• Recovery: 4–6 weeks

• Success rate: High

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Seton Placement

A seton is a thin surgical thread inserted into the fistula tract to help drain infection and allow the area to heal gradually. It’s often used for complex or high-risk fistulas, or as a staging procedure before more definitive surgery.

• Ideal for: Complex or multiple tracts

• Purpose: Promotes drainage, reduces inflammation

• Can be combined with: Later procedures such as LIFT or advancement flap

 

Advancement Flap Surgery

In this technique, the internal opening of the fistula is covered with a flap of healthy tissue from the rectal wall. This is a more delicate operation, often used when the fistula passes through important sphincter muscles.

• Ideal for: Complex or recurrent fistulas

• Preserves: Anal sphincter function

• Success rate: Variable, but effective in skilled hands

 

LIFT Procedure (“Ligation of the Intersphincteric Fistula Tract”)
An advanced, minimally invasive technique that carefully closes the fistula tract while preserving surrounding muscles. It offers an excellent balance between effectiveness and continence preservation.

• Ideal for: Deep or complex fistulas

• Minimally invasive: Yes

• Recovery: Typically quicker than traditional methods

• Success rate: High in experienced centres

 

Private and Prompt Care You Can Trust

If you're struggling with symptoms of an anal fistula – including recurrent abscesses, pain, discharge or skin irritation – don’t suffer in silence. At Rapid Access Bowel Clinic, we combine speed with surgical excellence to deliver better outcomes, faster.

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Consultant-led care and a whole-team approach

At the Rapid Access Bowel Clinic, we work together as a multidisciplinary team to create a personalised treatment plan for you as an individual, and this includes recommending the most effective surgical option, as well as other treatment and care.

 

Colorectal diseases can cause a great amount of discomfort, and although medications can help, sometimes surgery is necessary to improve these painful conditions. Types of colorectal surgery and the amount of time you will spend in hospital vary greatly from person to person. Mr Saeed will be on hand to discuss your tailored treatment plan with you.

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Why choose the Rapid Access Bowel Clinic?

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• Expert consultant-led colorectal surgical care with a focus on patient-centred treatment

• Specialists in innovative, minimally invasive keyhole procedures for faster recovery and reduced discomfort

• Fast access to leading bowel cancer experts - personalised bowel cancer treatment without delay

• Dedicated consultant-led service - comprehensive, personalable care

• JAG accreditaed Endoscopy

• Trusted multi-disciplinary team (MDT) bringing together NHS trained, Manchester-based surgeons, with a wealth of knowledge and experience

• The most advanced treatment techniques and technology

• Easy access to book an appointment - no waiting lists