Anal fistula surgery - diagnostics and qualification at OpenMed Warsaw

An anal fistula is a chronic proctological condition involving the formation of an abnormal channel connecting the interior of the anal canal to the skin around the anus. It most commonly develops as a complication of a perianal abscess. Symptoms tend to recur and can be troublesome, requiring thorough diagnostics and appropriate treatment. If you suspect an anal fistula and are looking for a specialist consultation in Warsaw, we invite you to OpenMed in Wola - we carry out diagnostics and qualification for surgery.

From a medical perspective, a fistula results from chronic inflammation within the anal glands. A channel forms through which discharge or pus can periodically escape. The condition tends to recur and usually does not resolve spontaneously, which is why surgical treatment is most often the definitive solution.

Symptoms and when to seek a consultation?

Symptoms of an anal fistula can vary in severity and often appear periodically. Many people postpone their visit for a long time because the symptoms are not constant; however, in practice this leads to the problem becoming established.

The most common symptoms include:

recurring discharge of pus or serous fluid from the area around the anus,
pain or discomfort worsening while sitting,
skin irritation around the anus, itching, burning,
periodic swelling or painful lumps near the anus.

If you experience such symptoms, it is worth seeking a proctological consultation to confirm the diagnosis and plan further treatment.

What does anal fistula diagnosis look like at OpenMed Warsaw?

At OpenMed, the process begins with a medical consultation. Our specialists conduct a thorough interview, asking about the nature of symptoms, their duration and any previous abscesses or procedures in this area.

A proctological examination is then performed to assess the fistula opening and the condition of the tissues around the anus. In many cases, this is sufficient to establish the diagnosis. If the course of the fistula is more complex, the doctor may recommend additional imaging studies such as MRI or endoanal ultrasound, which help to precisely determine the course of the fistula tract.

Accurate diagnostics are crucial as they influence the choice of treatment method and reduce the risk of disease recurrence.

Qualification for anal fistula surgery

Treatment of an anal fistula is most often surgical. During a visit at OpenMed, our doctors assess whether and when the procedure is indicated, taking into account the course of the fistula, symptom severity and the patient's overall health.

Qualification for surgery also includes a discussion of available treatment methods. Depending on the type of fistula, these may be classical techniques or sphincter-sparing methods that reduce the risk of complications such as faecal incontinence. The patient receives clear information about the course of the procedure, preparation and possible healing time.

Preparation and further management

Before the planned procedure, basic laboratory tests and, if necessary, an anaesthesiological consultation are required. Our specialists explain how to prepare for surgery and what to expect after the procedure.

After qualification, the patient also receives recommendations regarding hygiene of the anal area, diet and management during the waiting period for the procedure. At OpenMed, we ensure that the entire process - from the first consultation to further treatment - is understandable and as comfortable as possible for the patient.

Anal fistula surgery at OpenMed Warsaw

If you notice symptoms that may indicate an anal fistula or have previously been treated for an abscess and want to prevent recurrence, book a consultation at OpenMed Warsaw (Wola).

Telephone and online registration - the OpenMed team will help you choose the right appointment date and plan further diagnostics and qualification for treatment.

FAQ Anal fistula surgery

1. What does anal fistula surgery involve?

The procedure involves removing the fistula tract or appropriately managing it to enable proper healing and prevent recurrence. The choice of method depends on the course of the fistula and its relationship to the sphincter muscles.

2. Is anal fistula surgery painful?

The procedure is performed under anaesthesia, so the patient does not feel pain during the operation. After the procedure, discomfort or pain may occur, which is usually controlled with analgesics.

3. How long does healing take after fistula surgery?

Healing time depends on the type of fistula and the treatment method used. It most commonly takes from several weeks to several months and requires regular check-ups.

4. Can an anal fistula recur after surgery?

Yes, there is a risk of recurrence, especially in the case of more complex fistulas. Therefore, post-procedure check-ups and following the doctor's recommendations are important.

5. When can you return to daily activities after the operation?

Return to daily activities is usually possible after a few days; however, full activity depends on the healing process and type of work. The doctor determines recommendations individually.