ANAL FISTULA SURGERY NYC
AWARD-WINNING, NATIONALLY TRUSTED ANAL FISTULA SURGEON
At Bespoke Surgical, we specialize in treating anal fistulas with precision, care, and expertise. Our team combines advanced surgical techniques with a patient-centered approach to ensure effective treatment, fast recovery, and long-term comfort. Visit our NYC office or give us a call to learn more about how we can help treat anal fistulas.
WHAT ARE ANAL FISTULAS?
An anal fistula is an abnormal tunnel-like connection between the inner lining of the anal canal and the skin around the anus. It typically forms as a result of an infection or an abscess in the anal glands that doesn’t heal properly. These fistulas can cause discomfort, irritation, and recurring infections, often leading to symptoms like pain, swelling, bleeding, or discharge around the anus. For those who engage in anal sex, douching and sex itself can cause anal fistulas and/or gland irritations. You can learn more about how here.
SURGICAL ANAL FISTULA TREATMENT
Surgical Evaluation & Procedure Basics
- Most anal abscesses require in-office drainage; some may need monitored anesthesia in an ambulatory setting.
- Drainage has a 50% chance of resolving the abscess and a 50% chance of resulting in a fistula.
- Strategic drainage helps specialists better locate a fistula if one develops post-procedure.
- Anal fistulas generally require surgical intervention and are categorized as either simple or complex.
- Simple fistulas are often treated with a fistulotomy, where the tract is opened to heal from the inside out.
Advanced Surgical Options & Follow-Up
- Complex fistulas may be treated with the LIFT procedure, which ligates the internal tract and removes the remainder.
- If an abscess and tract are present at surgery, a seton drain may be placed to mature the tract before further intervention.
- Setons may be followed by a LIFT procedure or a cutting seton, which gradually pulls through the muscle, preserving muscle function.
- Additional options include fibrin glue or an anal fistula plug, though these methods have lower success rates.
- We provide anal fistula surgery at our New York City location—contact us today to schedule your consultation.
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ANAL FISTULA RECOVERY EXPECTATIONS
While healing times vary based on the type of procedure and your body’s response, most patients follow a general recovery timeline:
- Days 1–3: Expect consistent pain and irritation around the surgical site.
- Weeks 1–2: Discomfort often peaks during bowel movements. Mild bleeding or pus-like drainage is normal and can be managed with gauze if needed.
- Weeks 6–8: Most patients experience substantial healing by this point.
- After 2 Months: Anal play or bottoming may gradually resume with your provider’s guidance.
After 3 Months: Anal sex is typically safe to resume once fully healed.
Recovery by Fistula Type
Simple Fistulas
After a fistulotomy, the open wound requires attentive care to promote healing:
- Keep the area clean using warm water or a bidet.
- Use any prescribed suppositories or topical medications as directed.
- Some discharge (mucus or pus) may continue for up to four weeks.
Follow-Up Milestones:
- Week 4: Healing will be evaluated; topical agents may be applied during the visit.
- Week 8: Full internal assessment; if recovery is on track, guided anal play (e.g., with dilators) may be introduced.
Complex Fistulas
If a seton drain was placed, recovery may occur in stages:
- The drain helps stabilize the area and reduce inflammation before final surgical closure.
- Healing timelines and care routines are similar to those for simple fistulas, with additional follow-up tailored to the complexity of the case.
Supporting LGBTQ+ Patients
We provide sex-positive, anatomy-aware care that respects your identity and lifestyle. For patients who engage in receptive anal sex, preserving function is a priority throughout your recovery. Our team is here to support your healing journey—without shame or compromise.
Client Testimonials
NEW YORK
44 East 12th Street, Suite MD1
New York, NY 10003
Phone: (212) 206-1501
Email: info@bespokesurgical.com
Bespoke Surgical is located in Manhattan, in the Greenwich Village neighborhood, and easily accessible by car or public transportation.
For patients with questions outside of normal business hours regarding post-surgical care, trying anal play, or irregular bowel movements, please reference our after-hours support guide for more information. Those patients who feel as though they’re having a more serious medical emergency should immediately call 911.
What are anal fistula symptoms?
Anal fistula symptoms often include pain, swelling, or irritation around the anus. You might notice pus or blood discharge from a small opening near the anus, as well as discomfort during bowel movements. In some cases, recurrent infections or abscesses may develop.
How long is anal fistula surgery?
Anal fistula surgery typically lasts between 30 minutes to an hour, depending on the complexity of the fistula. The procedure is often done under general or local anesthesia and may involve techniques like fistulotomy or seton placement. Your surgeon will choose the approach that minimizes risks and promotes effective healing. Most patients can go home the same day after outpatient surgery.
What is the anal fistula surgery recovery process?
Full recovery from anal fistula surgery generally takes three months. Expect some mild pain, swelling, or discharge initially, which can be managed with prescribed medications and sitz baths. Keeping the area clean and following post-surgical care instructions are crucial for healing.
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