A complex fistula can be more than just an uncomfortable condition—it can significantly impact your quality of life. These abnormal connections between organs or tissues, especially in the anal or rectal region, often require expert evaluation and advanced surgical care. Dr. Shashank Adgudwar, a highly experienced surgeon, simplifies the treatment journey for patients dealing with complex fistulas.
🔍 What Is a Complex Fistula?
Unlike simple fistulas, complex fistulas involve multiple tracts, deeper tissue layers, or nearby organs. They can be associated with conditions like Crohn’s disease, previous surgeries, infections, or even trauma.
✅ Things to Do if You Have a Complex Fistula
1. Seek Expert Evaluation Early
Ignoring the symptoms—like persistent discharge, pain, swelling, or recurring abscesses—can worsen the fistula. Early diagnosis helps prevent complications. Dr. Shashank Adgudwar provides a detailed assessment to classify the fistula and plan appropriate management.
2. Consider Advanced Imaging
MRI fistulograms or endoanal ultrasounds may be recommended to map out complex tracts. This helps your surgeon choose the safest and most effective treatment path.
3. Follow a Tailored Treatment Plan
Every fistula is different. Dr. Adgudwar uses personalized treatment plans, including:
-
Fistulotomy (for some low-risk tracts)
-
Seton Placement (to keep tracts open and allow drainage)
-
LIFT Procedure (Ligation of Intersphincteric Fistula Tract)
-
Laser Ablation (FiLaC™) or Video-Assisted Anal Fistula Treatment (VAAFT) for minimally invasive care
4. Don’t Delay Surgery When Indicated
While medications and temporary drainage can control infection, surgery is often necessary for complete healing. Complex fistulas usually don’t close on their own.
5. Prioritize Hygiene and Follow-Up
Post-operative care is crucial. Maintaining hygiene, using sitz baths, and attending follow-ups with Dr. Shashank Adgudwar help ensure proper healing and reduce recurrence.
👨⚕️ Why Choose Dr. Shashank Adgudwar?
With expertise in advanced laparoscopic and laser procedures, Dr. Adgudwar provides precise, effective, and minimally invasive treatment for complex fistulas. His patient-centered approach ensures safety, comfort, and long-term results.

