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Dr. mukul patel answered : 9 years ago
A anal fistula is difficult to treat and often recurres. Can not be predicted. There may be possibilities of partial-temporary or permanent incontinence ( loss of control of passing flatus or stool) Ksharsutra is definitely a far better choice. However Ksharsutra is a surgical method which is a part of Ayurveda and hence is not practiced by modern surgeons. To my knowledge there is no one in Philippines,Indonesia, British Columbia, Canada who does this procedure.
It is widely practicing in India and to a certain extenent in ShreeLanka. I can provide the guidelines for the procedure A visual CD of the method of the operation as well as the Ksharsutra, if some surgeon to ready to perform it.
Another alternative is that, you come down to India for some days , get the main procedure done at our institute. The change of the Ksharsutra tread which is done every 8 to 10 days till the complete healing , is comparatively very simple and can be done by any surgeon according to the CD presentation that we provide.
No medicine taken orally ( by mouth) can completely heal such a complicated fistula.
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