Fistulotomy

Fistulotomy involves laying open the fistula tract so that it heals from the base upwards. It is one of the longest-established techniques in fistula surgery.

Selection criteria

Low or superficial tract with limited sphincter involvement
Adequate baseline continence
Clearly identified internal opening
No active untreated abscess

Recovery

The wound heals gradually by secondary intention. Wound care, stool regulation and follow-up appointments are part of the recovery plan; healing time varies between individuals.

This page is for general information only

The content here is not a diagnosis or treatment recommendation and does not replace an individual medical evaluation. If your symptoms persist, consult a physician. In emergencies call 112 or the nearest emergency department.

Symptoms Treatments FAQ

Frequently asked questions

Is fistulotomy suitable for every fistula?

No. Higher or complex tracts usually require sphincter-preserving alternatives.

How long does healing take?

It varies with tract length and wound size and is monitored at follow-up visits.

Can the fistula recur?

Recurrence is possible with any technique; risk depends on anatomy and underlying conditions.