» Evaluation: Before the surgery, your doctor will conduct a thorough examination to assess the nature and complexity of the anal fistula. This may involve a physical examination, review of medical history, and potentially imaging tests such as an MRI or endoanal ultrasound. Based on the evaluation, your doctor will determine if laser fistula surgery is an appropriate treatment option for your specific case.
»Anesthesia: Laser fistula surgery can be performed under local anesthesia, regional anesthesia (such as spinal or epidural anesthesia), or general anesthesia. The choice of anesthesia depends on factors such as patient preference, the extent of the procedure, and the surgeon’s recommendation.
»Procedure: During the surgery, the surgeon inserts a laser fiber into the fistula tract. The laser energy is then delivered through the fiber, precisely targeting and destroying the fistula tract tissue. The laser energy effectively seals off the tract, reducing the risk of infection and promoting healing. In some cases, additional procedures such as placement of setons or closure of internal openings may be performed in combination with laser treatment.
» Gynecological Surgery: Laser surgery is used in gynecology for various procedures, including the removal of abnormal tissue in conditions like cervical dysplasia. It can also be employed for vaginal rejuvenation procedures, treating vaginal atrophy, and other gynecological concerns.
»Recovery: Laser fistula surgery is typically performed on an outpatient basis, allowing you to go home on the same day. The recovery period is generally shorter compared to traditional fistula surgery methods. You may experience some discomfort, pain, or swelling in the treated area, but these symptoms are usually manageable and tend to resolve within a few days to a week. Your doctor may prescribe pain medications, stool softeners, and provide instructions on wound care and hygiene.
» Follow-up care: It is important to follow your doctor’s post-operative instructions for optimal healing and to reduce the risk of complications or recurrence. This may include keeping the area clean, taking prescribed medications, using sitz baths, avoiding straining during bowel movements, and following a high-fiber diet. Your doctor will schedule follow-up appointments to monitor your healing progress, remove any setons if necessary, and address any concerns or complications that may arise.