Anal Fistula Treatment in Antalya
An anal fistula is an abnormal tunnel between the anal canal and the skin. Op.Dr.Gökhan ATEŞ selects the appropriate surgical approach based on fistula type and anatomy in Antalya.
What is an anal fistula?
An abnormal tract connecting the anal canal to the skin, usually developing after a perianal abscess.
Symptoms include discharge, itching, recurrent abscess episodes and perianal discomfort.
Diagnosis
Diagnosis is based on physical examination, anoscopy and, when needed, imaging such as MRI fistulography. Accurate classification is critical for surgical planning.
Treatment options
Treatment depends on the anatomical type; preservation of the sphincter is a priority.
- Fistulotomy for suitable superficial fistulas
- Seton placement
- LIFT — sphincter-preserving approach
- Mucosal advancement flap
- Laser-assisted techniques (e.g. FiLaC) in selected cases
How is surgery planned?
Planning considers fistula type, relation to the sphincter, prior surgery and overall health.
The goal is durable healing while preserving anal continence.
Recovery
Recovery depends on the technique and complexity: weeks for simple fistulas, months for complex ones.
Wound care, sitz baths and regular follow-up are essential.
Process in Antalya
Op.Dr.Gökhan ATEŞ practices in Muratpaşa, Antalya, and welcomes patients from Konyaaltı, Lara, Kepez and from other regions of Türkiye and abroad.
Frequently Asked Questions
Can a fistula heal with medication alone?+
Anal fistulas usually require surgery; durable healing with medication alone is not expected. Accompanying infection may be managed with antibiotics.
Is there a risk of incontinence?+
Sphincter preservation is a priority. The risk depends on fistula type and technique and is discussed in detail at consultation.
How long is the hospital stay?+
Usually 1–2 days; longer for complex cases.
When can I return to work?+
Office-based work usually within 1–2 weeks. Longer for physically demanding jobs.
Can fistulas recur?+
Especially in complex fistulas, recurrence is possible. Follow-up and appropriate technique selection are important.
Is MRI fistulography needed for every patient?+
No. It is particularly valuable in complex or recurrent fistulas; the decision is made at consultation.
How is the process planned for international patients?+
Initial consultation via WhatsApp; MRI reports reviewed in advance if available, examination and surgery scheduled. Available in English, German and Russian.
For evaluation in Antalya, contact Op.Dr.Gökhan ATEŞ.