Introduction: Trusted Fistulotomy Treatment in Pune at Kaizen Fistula Care
If you or someone close to you is suffering from an anal fistula — that painful, persistent condition causing discomfort, discharge, and embarrassment — you are not alone. Thousands of people across Pune and nearby areas silently deal with this condition, not knowing that a safe, effective, and permanent solution is available right here in their city.
At Kaizen Fistula Care, Pune, we offer world-class fistulotomy treatment in Pune led by one of the most trusted names in colorectal and gastrointestinal surgery — Dr. Samrat Jankar. As a leading Surgical Gastroenterologist in Pune and an expert Fistula Surgeon in Pune, Dr. Jankar serves as the Director & Head of the Department of Surgical Gastroenterology at Kaizen Gastro Care Clinic, PCMC, Pune.
With over 17 years of experience in advanced laparoscopic and colorectal surgeries, Dr. Samrat Jankar has successfully treated more than 5,000 cases of piles, fissures, and fistulas, making him one of the most experienced and sought-after fistula specialists in Pune. His expert handling of each and every fistulotomy operation ensures the safest outcomes with minimal recurrence.
In this comprehensive guide, we will walk you through everything you need to know — what is fistulotomy, the fistulotomy procedure, fistulotomy cost in Pune, fistulotomy recovery, and much more — so you can make an informed decision about your health.
What Is an Anal Fistula? Understanding Fistula Formation
Before we dive into the treatment, let us first understand fistula formation. An anal fistula is an abnormal tunnel or tract that forms between the inside of the anal canal and the skin surrounding the anus. In most cases, it develops as a result of an untreated or poorly healed anal abscess.
How Does Fistula Formation Happen?
The anal canal has small glands that help in lubrication. When these glands get infected, they form an abscess — a pocket of pus. If this abscess does not heal properly, it can form a tunnel under the skin, creating what we call an anal fistula. This is how most cases of fistula formation occur.
Common Symptoms of Anal Fistula:
- Persistent pain, swelling, or throbbing near the anus
- Discharge of pus, blood, or foul-smelling fluid near the anal area
- Skin irritation or redness around the anus
- Recurring anal abscesses
- Discomfort while sitting, walking, or passing stools
- Sometimes, fever or a general feeling of being unwell
The fistula opening is the external hole you can see or feel near the anus. This is where the fistula tract exits to the skin surface. It is important to note that most fistulas do not heal on their own — they require proper surgical treatment. So if you have been wondering about fistula how to cure it, the answer for most patients is surgical management.
While some doctors may prescribe medicine of fistula to manage symptoms like infection and pain temporarily, medications alone cannot close a fistula permanently. Surgery remains the definitive treatment.
What Is Fistulotomy? – Understanding the Gold Standard Procedure
So, what is fistulotomy? A fistulotomy is a surgical procedure in which the entire fistula tract is laid open — that means the surgeon cuts open the tunnel from the inside out — allowing it to heal from the base. It is the most widely performed and most effective surgery for treating low-lying, simple anal fistulas.
Fistulotomy is considered the gold standard for anal fistula Surgery in Pune and across India, especially for simple and low intersphincteric fistulas, because of its high success rate and long-term cure.
How Is Fistulotomy Different from Other Treatments?
| Treatment | Type of Fistula | Recovery Time | Success Rate |
| Fistulotomy | Simple / Low Fistulas | 4–8 Weeks | 85–95% |
| LIFT Procedure | Complex Fistulas | 6–10 Weeks | 70–80% |
| Laser Treatment | Minimally Invasive Cases | 2–4 Weeks | 75–85% |
| Seton Technique | High / Complex Fistulas | Longer Duration | Moderate |
| Fistulectomy | Simple / Selected Cases | 6–10 Weeks | 80–90% |
Who Is a Good Candidate for Fistulotomy?
- Patients with a single, simple, low-lying anal fistula
- Those with no significant involvement of the sphincter muscles
- Patients who have not had previous fistula surgeries
- Overall healthy individuals without major comorbidities
When Fistulotomy May NOT Be Recommended:
- High complex or suprasphincteric fistulas
- Patients with Crohn’s disease or IBD
- Multiple fistula tracts with extensive sphincter involvement
- Patients at high risk of incontinence
In such cases, Dr. Samrat Jankar may recommend alternative procedures like the LIFT procedure, seton technique, or fibrin glue, all of which are available at Kaizen Fistula Care in Pune.
Fistulotomy Procedure: Step-by-Step Guide
Understanding the fistulotomy procedure helps patients feel more confident and less anxious before surgery. Here is a detailed breakdown of the fistulotomy surgery steps followed at Kaizen Fistula Care, Pune.
Step 1 – Diagnosis and Pre-Surgery Evaluation
Before any fistulotomy operation, a thorough diagnosis is done. This may include a physical examination of the anal region, fistulogram treatment (a special X-ray where dye is injected to map the fistula tract), MRI fistulogram, or endoanal ultrasound. A fistulogram treatment clinic like Kaizen helps accurately map the fistula before surgery, ensuring nothing is missed. Fistulogram treatment doctors at our centre are experienced in interpreting these investigations to plan the safest surgical approach.
Step 2 – Pre-Operative Preparation
- Blood tests, ECG, and other routine pre-op investigations
- Fasting for 6–8 hours before surgery
- Bowel preparation if advised
- Discussion of anaesthesia – general, spinal, or local anaesthesia depending on case
- Informed consent and patient counselling by Dr. Samrat Jankar’s team
Step 3 – The Fistulotomy Surgery
The fistulotomy surgery usually takes around 30 to 60 minutes and is performed in a well-equipped operation theatre. The surgeon identifies the fistula opening and the complete tract. A probe is gently passed through the fistula tract. The tissue overlying the tract is then cut open using a surgical knife or electrocautery, laying the entire fistula open. The edges are trimmed and the wound is left open to heal from the inside out. This process is key to preventing recurrence.
Step 4 – Post-Operative Care in Hospital
After surgery, the wound is packed with a sterile dressing. Most patients are discharged the same day or the next morning. The patient is monitored for pain control, urinary retention, and bleeding before discharge.
At Kaizen Fistula Care, post surgery care in Pune is taken very seriously. Our nursing and medical team ensures each patient leaves with clear written instructions for wound care at home.
V. Fistulotomy Cost in Pune – What to Expect
One of the most common questions patients ask is about the cost of fistulotomy surgery or fistula surgery cost in Pune. While exact costs vary based on several factors, here is a realistic overview.
Average Fistulotomy Cost Range in Pune:
| Cost Component | Approximate Range (INR) |
| Surgeon Fees | ₹15,000 – ₹40,000 |
| Hospital / OT Charges | ₹10,000 – ₹20,000 |
| Anaesthesia Charges | ₹5,000 – ₹10,000 |
| Pre-op Investigations | ₹3,000 – ₹8,000 |
| Medicines & Dressings | ₹2,000 – ₹5,000 |
| Total Estimated Cost | ₹30,000 – ₹80,000 |
Factors That Affect Fistula Surgery Cost in Pune:
- Complexity of the fistula (simple vs. complex)
- Type of anaesthesia used
- Hospital type – government, trust, or private
- Number of follow-up visits needed
- Additional procedures if required (e.g., seton placement)
- Surgeon’s experience and reputation
Insurance Coverage:
Most health insurance policies cover fistula surgery, including fistulotomy. Schemes like Ayushman Bharat, CGHS, Mediclaim, and corporate health insurance typically cover this surgery. At Kaizen Fistula Care, our billing team assists patients with cashless or reimbursement claims.
To know the exact cost of fistulotomy surgery for your specific case, we recommend booking a consultation with our team at Kaizen Fistula Care, Pune.
Fistulotomy Recovery – What Happens After Surgery?
Patients often have many questions about fistulotomy recovery and recovery from fistulotomy. Here is a week-by-week guide to help you understand what to expect.
Day 1–3 After Surgery:
- Mild to moderate pain around the wound – managed with prescribed pain medications
- Slight bleeding or discharge from the wound – this is normal
- Most patients return home the same day or within 24 hours
- Avoid sitting for long periods; use a soft cushion or donut pillow
Week 1–2 (Early Recovery):
- Sitz baths (sitting in warm water for 10–15 minutes) 2–3 times a day, especially after bowel movements
- Keep the wound clean and dry
- High-fibre diet and adequate hydration to avoid straining
- Stool softeners may be prescribed
- Light walking is encouraged; heavy lifting and strenuous activities to be avoided
- First follow-up visit with Dr. Samrat Jankar’s team at Kaizen Fistula Care
Week 3–6 (Healing Phase):
- The wound heals from inside out — this is expected and normal
- Wound check and dressing may be required at follow-up visits
- Gradually return to light work and normal activities
- Bowel habits normalise by this time for most patients
Fistulotomy Recovery Time – Full Timeline:
The complete fistulotomy recovery time is generally 4 to 8 weeks for simple fistulas, though some complex cases may take up to 12 weeks. The fistula drain (the wound left open to drain and heal) gradually closes as healing progresses from the base of the wound upwards.
Tips for Faster Recovery from Fistulotomy:
- Eat a diet rich in fibre — fruits, vegetables, whole grains
- Drink at least 8–10 glasses of water daily
- Follow your doctor’s dressing and medication instructions strictly
- Avoid spicy food, alcohol, and carbonated drinks
- Do not miss follow-up appointments
- Maintain excellent anal hygiene
Risks and Complications – What You Should Know
Like any surgical procedure, fistulotomy carries some risks. However, when performed by an experienced surgeon like Dr. Samrat Jankar at a well-equipped centre like Kaizen Fistula Care, the risk of complications is significantly low.
Possible Complications Include:
- Temporary mild incontinence (rare, usually self-resolving)
- Wound infection – managed with antibiotics
- Bleeding during or after surgery
- Delayed wound healing
- Fistula recurrence in complex or improperly treated cases
The fistulotomy success rate at experienced centres is between 85% to 95% for simple fistulas, making it one of the most reliable treatments available.
Why Choose Kaizen Fistula Care & Dr. Samrat Jankar for Fistula Surgery in Pune?
When it comes to fistula surgery in Pune, patients need a surgeon they can trust completely. Here is why Kaizen Fistula Care and Dr. Samrat Jankar stand apart:
| Why Kaizen Fistula Care? | Details |
| Expert Surgeon | Dr. Samrat Jankar – 17+ years in Surgical Gastroenterology |
| Dedicated Fistula Care | Specialised centre for all types of fistula treatment |
| Advanced Techniques | Fistulotomy, LIFT, Laser, Seton, Fibrin Glue |
| Comprehensive Diagnostics | In-house fistulogram, MRI, endoanal ultrasound |
| Post-operative Support | Structured follow-up and wound care programme |
| Patient-Friendly | Transparent pricing, insurance assistance, counselling |
| Location | Kaizen Gastro Care Clinic, PCMC, Pune |
As a fistula doctor in Pune who has dedicated his career to complex colorectal conditions, Dr. Samrat Jankar ensures that each patient receives personalised, compassionate, and evidence-based care.
Conclusion: Your Path to a Pain-Free Life Starts Here
Living with an anal fistula does not have to be your reality. With the right diagnosis, expert surgical care, and proper post surgery care in Pune, you can be completely free from pain, discharge, and the repeated infections that have been affecting your quality of life.
At Kaizen Fistula Care, under the trusted guidance of Dr. Samrat Jankar — Pune’s leading Surgical Gastroenterologist and Fistula Surgeon — you will receive the most advanced, safest, and most personalised fistulotomy treatment in Pune. Whether it is your first diagnosis or a recurrent fistula that has failed treatment elsewhere, Dr. Jankar and his team are here to help.
Do not delay. Fistulas do not heal on their own. Every day you wait can make the condition more complex and harder to treat. The sooner you seek help, the simpler the treatment and the faster the recovery.
Book Your Consultation at Kaizen Fistula Care, Pune Today!
XI. Frequently Asked Questions (FAQs)
1. Is fistulotomy a permanent cure for anal fistula?
Yes, for most simple fistulas, fistulotomy offers a permanent cure with a success rate of 85–95%. Recurrence is low when performed by an experienced fistula specialist in Pune like Dr. Samrat Jankar.
2. Is the fistulotomy procedure painful?
The procedure is done under anaesthesia, so there is no pain during surgery. Post-operative discomfort is manageable with prescribed pain medications and usually reduces significantly within the first week.
3. What is the fistulotomy recovery time?
The fistulotomy recovery time typically ranges from 4 to 8 weeks for simple fistulas. Regular follow-up with your surgeon ensures optimal and smooth recovery from fistulotomy.
4. Can I go home the same day after fistulotomy?
Yes, in most cases fistulotomy is a day-care procedure. Patients are discharged the same day or within 24 hours, provided there are no complications.
5. What is the fistulotomy success rate?
The fistulotomy success rate for simple and low anal fistulas is 85 to 95% at expert centres. Higher success rates are achieved when the correct surgical technique is applied after accurate diagnosis including fistulogram treatment.
6. What is the cost of fistulotomy surgery in Pune?
The fistula surgery cost in Pune typically ranges from ₹30,000 to ₹80,000 depending on the complexity of the fistula, hospital charges, and surgeon’s fees. Kaizen Fistula Care offers transparent pricing and insurance support.
7. What should I eat after fistulotomy?
A high-fibre diet with plenty of fluids is recommended. Include fruits, vegetables, whole grains, and at least 8–10 glasses of water daily. Avoid spicy food, alcohol, and processed food during the recovery period.
8. What is a fistula drain and how does it work?
A fistula drain refers to the drainage from the open wound after fistulotomy. Since the wound is intentionally left open to heal from the inside out, mild drainage is expected and normal. It reduces gradually as healing progresses.
9. What is a fistulogram treatment and who needs it?
A fistulogram treatment is a diagnostic imaging procedure where contrast dye is injected into the fistula tract to map its exact path before surgery. It is especially recommended for complex or recurrent fistulas. At Kaizen Fistula Care, our fistulogram treatment doctors use this alongside MRI for precise pre-surgical planning.
Kaizen Fistula Care