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इंदौर में भगंदर (फिस्टुला) का आधुनिक इलाज

Fistula Doctor in Indore — Modern Treatment for Anal Fistula (Bhagandar)

A boil near the anus that keeps bursting and leaking pus is usually an anal fistula. Dr. Bhupendraa Prrasad at Bombay Hospital, Vijay Nagar, Indore maps each fistula carefully — with MRI when needed — and chooses from laser, VAAFT, seton or fistulotomy to cure it while protecting bowel control.

गुदा के पास बार-बार फूटने और मवाद निकलने वाला दाना अक्सर भगंदर होता है। डॉ. भूपेन्द्रा प्रसाद ज़रूरत पर MRI से सुरंग का नक़्शा बनाकर लेज़र, VAAFT, सेटन या फिस्टुलोटॉमी से इलाज करते हैं।

25+ yrs

experience

15,000+

surgeries

4.5★

Google Rating (37)

MRI-guided

planning for complex cases

Call +91 92430 14133 WhatsApp Reports

In short: An anal fistula (bhagandar) is a tunnel between the anal canal and the skin, usually after an abscess. It rarely heals with medicines alone. Simple low fistulas are cured by fistulotomy; complex or high fistulas are treated with sphincter-saving methods such as laser (FiLaC), VAAFT, seton/ksharsutra or LIFT, often after an MRI fistulogram. Dr. Bhupendraa Prrasad treats fistula at Bombay Hospital, Vijay Nagar, Indore.

What is an anal fistula (bhagandar)?भगंदर क्या है?

Small glands inside the anal canal can become infected and form an abscess (pus collection). After it bursts or is drained, a tunnel may remain connecting the inside of the anal canal to the skin — this is a fistula. It keeps discharging because it stays connected to the bowel.

Fistulas can be simple (low, single track) or complex (high, branching, recurrent). The type decides the treatment. Read fistula symptoms.

गुदा की ग्रंथि में संक्रमण से फोड़ा बनता है; फोड़ा फूटने के बाद अंदर से त्वचा तक सुरंग रह जाती है — यही भगंदर है। यह आंत से जुड़ा रहने के कारण बार-बार मवाद निकालता है। सरल और जटिल भगंदर का इलाज अलग होता है।

Symptoms of fistulaभगंदर के लक्षण

A small opening near the anus that discharges pus or fluidगुदा के पास छेद से मवाद
Staining of underwear, bad smellकपड़ों पर दाग़, बदबू
Repeated painful swelling that eases after burstingबार-बार दर्दनाक सूजन
Itching and skin irritationखुजली और जलन
Fever when an abscess formsफोड़ा बनने पर बुखार

See a doctor urgently if: a hot, rapidly growing, very painful swelling with fever — this may be an abscess needing drainage, especially if you have diabetes. See abscess vs fistula.

Treatment options in Indoreइलाज के विकल्प

Method	Best for	Key point
Fistulotomy	Simple, low fistula	Highest cure rate for suitable cases
Laser (FiLaC)	Selected fistulas	Sphincter-sparing, minimal pain
VAAFT	Complex / branching / recurrent	Camera-guided treatment of all branches
Seton / Ksharsutra	High or complex fistula	Staged, protects muscle
LIFT / flap	Trans-sphincteric / high fistula	Muscle-preserving closure

An MRI fistulogram is advised for recurrent or complex fistulas so no branch is missed — the main reason fistulas come back. Read fistula treatment options.

Why patients choose Dr. Bhupendraa Prrasadक्यों चुनें

25+ years of surgical experience with 15,000+ operations25+ वर्ष का अनुभव, 15,000+ ऑपरेशन
MBBS, MS (General Surgery), MRCPS (Glasgow), FICS, FCLS, FAIS, FMASउच्च प्रशिक्षित, फ़ेलोशिप-प्राप्त सर्जन
Laser, laparoscopic (keyhole) and robotic techniques at Bombay Hospital, Indoreबॉम्बे हॉस्पिटल, इंदौर में लेज़र, दूरबीन व रोबोटिक तकनीक
Honest advice in simple Hindi & English — surgery only when it is truly neededसरल हिंदी में ईमानदार सलाह — ऑपरेशन तभी जब सच में ज़रूरी हो

What happens on the dayइलाज के दिन क्या होता है

Consultation & examinationExamination at Bombay Hospital, Vijay Nagar. Bring any previous operation notes and MRI reports.

Mapping the fistulaMRI fistulogram for complex or recurrent fistulas to see every track and hidden abscess.

Personal plan & estimateThe method is chosen for your anatomy, balancing cure with protection of bowel control.

ProcedureUsually day-care under spinal or short general anaesthesia.

Wound careSitz baths, dressings and sugar control if diabetic — clear written instructions.

Follow-up until healedRegular reviews to make sure the wound heals from the base, plus WhatsApp support.

Recovery timelineरिकवरी में कितना समय

Day 0

Procedure; most go home the same day.

Day 2–5

Back to desk work after laser/sphincter-saving methods.

Week 3–6

Fistulotomy wounds heal from inside out.

Staged cases

Seton-based treatment over weeks to months.

Every patient is different — your own timeline is explained at consultation.

Fistula treatment cost in Indoreखर्च और बीमा

Cost depends on whether the fistula is simple or complex, the method (laser, VAAFT, seton, fistulotomy), whether an MRI is needed, anaesthesia and room category. A clear estimate is given after examination.

Fistula surgery is generally covered by health insurance after the policy's waiting period. See insurance coverage.

Patients from across Indore & Malwaइंदौर और आसपास के मरीज़

Fistula patients — including those with recurrent fistula after previous surgery — come to Bombay Hospital, Vijay Nagar from across Indore and from Dewas, Ujjain, Dhar, Khargone, Khandwa, Ratlam and nearby towns.

Vijay Nagar Rau Mhow Pithampur Sanwer Dewas Ujjain Dhar Khargone Khandwa Ratlam Shajapur All areas →

Frequently Asked Questionsसवाल-जवाब

Can fistula be cured without surgery?

क्या भगंदर बिना ऑपरेशन ठीक होता है?

An established anal fistula rarely heals with medicines alone. Minimally invasive procedures such as laser and VAAFT treat the tunnel with little cutting.

दवा से स्थायी रूप से बहुत कम ठीक होता है; लेज़र जैसे कम चीर-फाड़ वाले विकल्प हैं।

Which is the best treatment for fistula?

सबसे अच्छा इलाज कौन सा?

It depends on the fistula type: fistulotomy for simple low fistulas, and sphincter-saving methods like laser, VAAFT, seton or LIFT for complex ones.

भगंदर के प्रकार पर निर्भर है।

Is laser fistula surgery successful?

क्या लेज़र सफल है?

It works well in selected fistulas with minimal pain; success depends on the track type, and some cases need a combined or repeat procedure.

चुनिंदा मामलों में अच्छा परिणाम; प्रकार पर निर्भर।

Why is MRI needed for fistula?

MRI क्यों ज़रूरी?

An MRI fistulogram maps all tracks and hidden abscesses in complex or recurrent fistulas, reducing the chance of recurrence.

सारी शाखाएं दिखती हैं, दोबारा होने का ख़तरा घटता है।

Why did my fistula come back after surgery?

ऑपरेशन के बाद भगंदर दोबारा क्यों?

Common reasons are a missed branch or internal opening, a complex fistula, diabetes, or conditions like Crohn's or TB. Careful mapping helps.

छूटी शाखा, जटिल भगंदर, शुगर या टीबी/क्रोन्स।

How long is recovery after fistula surgery?

रिकवरी कितनी?

2–5 days for laser and sphincter-saving methods; 3–6 weeks for laid-open wounds to heal fully.

लेज़र में 2–5 दिन; खुले घाव में 3–6 हफ़्ते।

Is ksharsutra treatment available?

क्या क्षारसूत्र उपलब्ध है?

Seton-based staged treatment, including medicated threads, is one of the options for high or complex fistulas and is chosen after examination.

सेटन आधारित इलाज जटिल भगंदर का एक विकल्प है।

Where is fistula treatment available in Indore?

इंदौर में इलाज कहां?

At Bombay Hospital, Opp. Prestige College, Vijay Nagar, Scheme No 54, Indore. Call +91 92430 14133.

बॉम्बे हॉस्पिटल, विजय नगर, इंदौर।

Please note: This page is general information to help patients in Indore understand their options. It is not a substitute for a doctor's advice. Diagnosis and treatment are decided only after examination.