Anal Fistula Treatment in Glendale & Los Angeles
An anal fistula is a small tunnel that forms between the inside of the anal canal and the skin near the anus. It most often develops after an anal abscess drains, whether on its own or surgically. Unlike many anorectal conditions, fistulas rarely heal without a procedure, because the tunnel tends to stay open and can continue to drain or become reinfected.
Common Symptoms
- Persistent drainage of pus or blood near the anus
- Recurrent swelling or abscesses in the same area
- Pain, especially with sitting or bowel movements
- Skin irritation from ongoing drainage
Treatment Approach
- Fistulotomy (opening the tunnel to allow it to heal) for fistulas that don’t involve much of the sphincter muscle
- Sphincter-sparing techniques for fistulas that cross significant muscle, to reduce the risk of affecting continence
- Sometimes staged treatment with a temporary drain (seton) before definitive repair
A Note Worth Reading
The right technique depends heavily on the fistula’s path relative to the anal sphincter muscles, which is why imaging or an exam under anesthesia is often part of planning treatment.
Related Questions
When should I see a colorectal surgeon instead of my primary care doctor?
Your primary care doctor is a good first stop for most symptoms and can refer you if needed. It’s reasonable to seek a colorectal surgeon directly for persistent anorectal symptoms (bleeding, pain, a lump, or drainage that doesn’t resolve), a colonoscopy finding that needs follow-up, a family history that puts you in a higher-risk screening category, or a known condition like inflammatory bowel disease that may eventually need surgical input. When in doubt, a referral from your primary care doctor or gastroenterologist is a reasonable way to confirm whether a surgical consult makes sense.
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This page is general health information, not medical advice, and does not create a doctor-patient relationship. It is not a substitute for an in-person evaluation. If you are experiencing a medical emergency, call 911.
Discuss Anal Fistula With Dr. Gregorian
Call the office or send a message to request an appointment with Dr. Armen Gregorian, MD, FACS, FASCRS.