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A fistula is an abnormal connection or passageway that forms between two organs or vessels that do not normally connect. It can develop in different parts of the body, but it most commonly occurs around the anus (anal fistula) or between the birth canal and bladder or rectum (obstetric fistula).
Fistulas can cause significant discomfort, pain, and social distress if left untreated, but they are treatable with proper medical care.
Types of Fistula
1. Anal Fistula
This occurs near the anal area and is often caused by an infection that leads to an abscess. When the abscess drains, it can leave behind a tunnel under the skin.
Common symptoms include:
- Pain and swelling around the anus
- Persistent discharge of pus or blood
- Irritation of the skin
- Fever (in some cases
2. Obstetric Fistula
This type mainly affects women and is usually caused by prolonged or obstructed labor without timely medical intervention.
It creates a hole between:
- The vagina and bladder (vesicovaginal fistula), or
- The vagina and rectum (rectovaginal fistula)
Symptoms include:
- Continuous leakage of urine or stool
- Unpleasant odor
- Skin infections
- Emotional and social challenges
3. Other Types
- Urinary tract fistula
- Intestinal fistula
- Arteriovenous fistula (abnormal connection between arteries and veins)
Causes of Fistula
Fistulas can develop due to several reasons, including:
- Infections and abscesses
- Complications during childbirth
- Surgical complications
- Inflammatory diseases such as Crohn’s disease
- Trauma or injury
- Radiation therapy
Diagnosis
Fistulas are diagnosed through:
- Physical examination
- Imaging tests (Ultrasound, MRI, CT scan)
- Endoscopic procedures
Early diagnosis is important to prevent complications and improve treatment outcomes.
Treatment Options
Treatment depends on the type and severity of the fistula. Options include:
Non-Surgical Treatment
- Antibiotics to treat infection
- Drainage of abscess
Surgical Treatment
- Fistulotomy (opening and healing the fistula)
- Seton placement (to help drainage and healing)
- Advanced surgical repair for complex cases
Our specialists ensure safe, effective, and confidential treatment tailored to each patient.
Fistula Care at Selian Lutheran Hospital
At Selian Lutheran Hospital, we are committed to combating fistula through early diagnosis, advanced technology, and expert medical care. We understand the physical discomfort and emotional challenges associated with fistula, and we provide comprehensive treatment in a safe, respectful, and confidential environment.
Advanced Diagnosis
Accurate diagnosis is the first step toward effective treatment. At our facility, we utilize modern imaging technology, including CT Scan, to identify the type, location, and severity of the fistula. This allows our specialists to plan the most appropriate and effective treatment for each patient.
Specialized Examination
Our patients undergo thorough clinical evaluation and specialized examinations conducted by experienced healthcare professionals. This ensures that every case is carefully assessed and managed with precision.
Surgical Treatment (Theatre Services)
Selian Lutheran Hospital is fully equipped with a modern operating theatre, where we perform fistula repair procedures using safe and effective surgical techniques. Our surgical team is dedicated to achieving the best possible outcomes while ensuring patient comfort and safety.
Comprehensive Care
We offer a complete approach to fistula management, including:
- Accurate and timely diagnosis
- Pre-surgical assessment and preparation
- Safe surgical intervention
- Post-operative care and follow-up
- Patient counseling and support
Our Commitment
At Selian Lutheran Hospital, we strive to restore health, dignity, and confidence to every patient affected by fistula. Our team is dedicated to delivering high-quality care with compassion and professionalism.