Overview
An anal fistula is an abnormal tunnel connecting the anal canal to the skin near the anus, most often developing after a perianal abscess. When the abscess does not heal properly, it can leave a persistent tract that causes ongoing pain, irritation, and discharge.
Because anal fistulas rarely heal on their own and frequently recur, specialist fistula surgery is usually required for effective, long-term treatment. Learn more about fistula surgery on the NHS website.
Mr Arshad Malik, Consultant Colorectal Surgeon, provides expert care for both simple and complex fistulas across Suffolk and Essex. His approach focuses on completely treating the fistula while preserving the anal sphincter to maintain normal bowel control.
Benefits
- End to persistent pain and discharge
- Advanced sphincter-preserving techniques
- Protection of normal bowel continence
- Significantly reduced risk of recurrence
- Expert management of complex or recurrent cases
- Tailored surgical approach for optimal healing
Conditions We Treat
- Simple anal fistulas
- Complex and high trans-sphincteric fistulas
- Acute perianal abscesses
- Recurrent fistulas after previous surgery
- Fistulas associated with Crohn’s disease
- Horseshoe fistulas
What is Fistula Surgery?
Fistula surgery involves the closure or removal of the abnormal tract through various surgical techniques. The goal is to eradicate the fistula while maintaining sphincter integrity. According to the NHS, fistula surgery is necessary in approximately 90% of cases to achieve complete healing.
Treatment Process
1
Detailed Assessment & Imaging
A thorough, gentle examination to map the fistula tract. An MRI scan or endoanal ultrasound is often required to fully understand the fistula’s relationship with your sphincter muscles.
2
Personalised Surgical Strategy
Mr Arshad Malik will explain your diagnosis clearly and recommend the safest, most effective surgical option, carefully balancing the need to cure the fistula with the absolute necessity of preserving your continence.
3
Expert Surgical Care
The procedure is performed under general anaesthetic. Depending on the complexity, Mr Arshad Malik may use advanced techniques like LIFT, laser closure, or the careful placement of a draining seton.
4
Supported Recovery
Fistula healing takes time and patience. You will receive detailed wound care instructions, pain management advice, and ongoing follow-up support to ensure the tract heals completely from the inside out.
Frequently Asked Questions
What are the risks of fistula surgery?
Fistula surgery is generally safe, but risks include infection, bleeding, and in rare cases, damage to the sphincter muscles. It’s important to discuss these with your surgeon.
How successful is fistula surgery?
The success rate of fistula surgery in achieving complete healing is high, with studies indicating success in up to 85% of cases. However, success can depend on the fistula’s complexity.
What should I expect during recovery?
During recovery, expect some discomfort and swelling. Following your surgeon’s advice on wound care and attending follow-up appointments is essential for optimal healing.
Quick Information
Duration
30-60 minutes depending on surgical complexity
Recovery
Day-case or single overnight stay. Full tissue healing can take several weeks to months.
Ready to Get Started?
Important Information
Insurance Coverage: Mr Arshad Malik is recognised by all major private healthcare insurers including Bupa, AXA, Aviva, Vitality, and WPA. Please contact your provider to verify your specific coverage details.
Preparation: You will need to fast (nil by mouth) for a specified period before the general anaesthetic. Specific instructions will be provided during your pre-operative assessment.
Follow-up Care: Meticulous post-operative hygiene and wound care are critical for successful fistula healing. Mr Arshad Malik will closely monitor your progress through regular follow-up appointments until the area is fully healed. Updated 2023.