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Anal fistula surgery risks can be scary, but if you dont receive surgical treatment, your condition will never improve. To reduce your chance of experiencing serious complications, consider a laser procedure, which spares the anal sphincter and offers promising results. Here again, we take great advantage of our extensive experience in endo-laser tools to cure high fistula with a simple procedure without surgery or cutting the skin near the anus while respecting the sphincter muscle and keeping it intact at all times, we simply pass a tiny laser fiber through the external opening of the anal fistula and cauterize it closed from within, its called file-c. Laser closure of the perianal fistula is the minimally invasive and low complication rate procedure which is a life-saving way for complex fistulas, preserving anal sphincter injury. Unfortunately, wide range success rate reported before (30-80), the investigators are searching to reach better rates. Laser surgery laser surgery for haemorrhoids (piles), anal fistulas and pilonidal sinus. Laser surgery for haemorrhoids (piles), anal fistulas and pilonidal sinus are now available at the woodland hospital. These operations are performed by consultant colorectal and general surgeon, mr s chaudhri and available for insured and self-pay patients. Laser closure is a safe and effective treatment for transphinteric anal fistula. Fistula-tract laser treatment for anal fistulas also known as filac (fistula tract laser closure) the aim is to gently remove the fistula tract without damaging the sphincter. Thus, any parts of the muscle are preserved to a maximum and incontinence is avoided. Radially emitting laser fibre treatment involves using a small laser beam to seal the fistula. There are uncertainties around how well it works, but there are no major safety concerns. Treatment with fibrin glue is currently the only non-surgical option for anal fistulas. Aim fistula laser closure (filac) is a novel sphincter-saving procedure for the treatment of anal fistula. Primary closure of the track is achieved using laser energy emitted by a radial fibre connected to a diode laser. Anal fistulas may occur as a result of bowel conditions, such as inflammatory bowel disease (ibd) or crohns disease. Q when should i see a doctor about an anal fistula? A since anal fistulas could indicate a variety of more serious medical conditions, its important to be evaluated by a medical professional if you experience symptoms of an anal fistula. Anal fistulas require surgery, but there are multiple approaches to choose, including surgical removal of the tissue track using standard general surgery techniques or using a laser.