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Anal fistula (bhagandar) & fissure treatment

भगंदर (फिस्टुला) और फिशर का इलाज — प्रयागराज

An anal fistula (bhagandar) is a small tunnel from inside the anus to the skin nearby, usually after an abscess, causing pus or blood discharge. A fissure is a painful tear in the anal lining. Fistulas need surgery to heal; many fissures heal with medicines, and long-standing ones may need a small operation.

Surgery, Kidney & Burns

When is it needed?

  • Repeated pus or blood discharge near the anus
  • A painful swelling (abscess) that keeps coming back
  • Sharp pain while passing stool lasting hours (fissure)
  • Fissure not healing after 6–8 weeks of medicines

How we treat it at Aarogyavaram

  1. Examination and, for complex fistulas, an MRI to map the track
  2. Fistula surgery to open or remove the track (fistulotomy / fistulectomy) or seton placement
  3. Fissure: medicines first; if needed, a small muscle-relaxing procedure (sphincterotomy)
  4. Abscess drained urgently when present

Recovery & what to expect

Most patients go home the same or next day. Daily wound care and sitz baths help healing over a few weeks.

Cashless & insurance

Many of these treatments are covered under Ayushman Bharat (PM-JAY) packages, the UP State Employees cashless scheme and health insurance policies. Aarogyavaram is cashless with 16 insurers and 10 TPAs — our TPA desk confirms your cover at admission. See all cashless partners →

Frequently asked questions

Can a fistula heal with medicines alone?

Usually not — an anal fistula generally needs surgery to heal completely.

Is fistula surgery covered under Ayushman card?

Fistula surgery is included in PM-JAY packages for eligible patients; our TPA desk confirms.

This page is general information, not medical advice. Treatment is decided by the treating doctor after examination. Aarogyavaram does not run OPD consultations; specialists attend to admitted patients and emergencies.

Emergency? Don't wait.

Call us before you leave — the team will be ready when you arrive.

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