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Anal fistulas are caused by an infection of the anal glands - a small tunnel/tract forms between the end of the bowel and the skin next to the anus. Bacteria can cause a collection of abscesses to form when the pus from these drains away, a small channel is left behind.
Anal Fistula Surgery is often performed under general anesthetic and can take up to 30 mins. Depending on where the fistula is, the surgeon will determine how to approach the surgery - surgery may be performed over a few separate operations to reduce the risk of infection when passing bowel movements.
Depending on the severity of the fistula, the surgical technique used, the surgeon's training and expertise, and the amenities provided by the clinic of choice, the cost of Anal Fistula Surgery in Bulgaria varies. Making an informed decision requires having a thorough awareness of all associated costs. For example, the costs can include consultation fees, costs for diagnostic testing, costs for surgery, hospitalisation fees, and expenditures for post-operative care.
The specifics of your health insurance policy would determine if Anal Fistula Surgery was covered by insurance. It might be wise to get in touch with your insurance company for precise details on coverage and out-of-pocket expenses.
There are several different procedures to treat an anal fistula and the surgery will be performed by a colon or rectal surgeon. The goal of the surgery is to heal the fistula while avoiding damage to the sphincter muscles, which could result in loss of bowel control. Your surgeon will discuss the best option suitable for you. It usually depends on where the fistula is and whether it is a single channel or branches off in different directions. To help determine the best treatment for you, you may need to have an initial examination of the area. Anal fistula surgery is performed under local or general anesthetic.
After the surgery, you should be able to go home on the same day or you will need to stay in the hospital for one night. However, you may need to stay in Bulgaria for 10 to 14 days, because you will need to allow some time for the initial recovery and to attend follow-up checkups. This period is critical for monitoring your recovery, ensuring that the wound is healing correctly, and addressing any potential complications at the earliest.
The recovery period may vary from patient to patient. Although superficial anal fistula can heal faster, it still will take several months for a full recovery. Within one or two hours after the surgery, your surgeon will encourage you to get up and walk around. However, you will need to rest for the first 10 days and walk as little as possible to help the wound to heal.
Expect to pass feces within one to three days, which may feel uncomfortable at first and a small amount of bleeding is possible. You can take a painkiller around 20 minutes before going to the toilet to help with the uncomfortable feeling. The wounds should heal within six weeks. You may get back to work after 2 weeks when you feel comfortable enough.
Your surgeon will likely give you advice and post-operative instructions. You will need to make sure that you follow the instructions strictly for a quicker recovery. You must keep the wound clean and dry so it can heal well. If your wound is bleeding, you can use a dressing or gauze pad over the wound. It might be helpful for you to use a sanitary pad to protect your clothes.
To help ease the pain and keep your wound clean, you will be advised to have warm baths each day. However, do not add anything to the bathwater to avoid irritating the wound. Your surgeon may prescribe laxative medicine to help keep your stool soft so that it is less painful for you to go to the toilet.
The success rate of anal fistula surgery is extremely high, with many patients experiencing complete relief from symptoms and a significantly enhanced quality of life after the surgical intervention. However, the exact rate may differ based on the surgical method employed and the complexity of the fistula. Though the treatment aims at healing the fistula completely and maintaining normal sphincter function, recurrences are possible in some cases. Regular follow-ups and appropriate aftercare can significantly minimize the chances of recurrence.
Alternatives to Anal Fistula Surgery could be considered, depending on the nature of the fistula and the patient's overall health condition. The decision to opt for an alternative treatment would primarily be based on the surgeon's professional assessment.
Note that an anal fistula cannot be treated without surgery because only very few anal fistulas heal by themselves. Without surgery, the symptoms may get worse. The only non-surgical option to treat anal fistula is fibrin glue, the surgeon injects special glue into the fistula. The glue helps seal the fistula and encourages it to heal.
Your surgeon will give you thorough information about the surgical procedure, its risks, rewards, and possible alternatives before the Anal Fistula Surgery. They might also provide you advice on how to take your meds and food. To determine whether you are surgically fit and to better understand the details of the fistula, some tests may be carried out.
You should anticipate some discomfort and soreness following the surgery, which can be adequately treated with recommended drugs. An immediate postoperative evaluation will be done, and recommendations for medication use, food, and wound care will be given. A follow-up appointment will be set on a regular basis to check on your development and resolve any issues. The success of the Anal Fistula Surgery can be considerably improved, and recovery can go more quickly, with optimal participation in the aftercare plan.
Some of the risks for anal fistula surgery are:
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Bulgaria has plenty to offer and tourists are going to be very impressed with the country’s mountainous landscapes, beautiful Black Sea beaches, fascinating history, friendly locals, lively nightlife, and affordability. Although the country’s holiday tourism is very much on the radar, it is also actually quite popular with medical tourists, due to its modern medical centers, highly trained medical professionals, state-of-the-art equipment, affordable healthcare, and mineral baths, thousands of medical tourists visit this country each year. Most of the medical tourists come for dental treatment, orthopedic surgery, elective surgery, neurosurgery, as well as health screening.
Bulgaria’s laid-back capital city, Sofia, is truly a must-visit. It is full of museums, Ottoman mosques, communist architecture, chic galleries, Eastern Orthodox churches, amazing restaurants, and upbeat clubs. One of the most popular landmarks in the country is the Aleksander Nevski Cathedral, which is an awe-inspiring church built between 1882 and 1912 to honor 200,000 Russian soldiers who died fighting for the independence of Bulgaria during the Russo-Turkish war. If you want to relax on beautiful beaches visit Varna, which is a major tourist destination during the summer. The second-largest, city in Bulgaria is Plovdiv and it is one of the oldest continuously inhabited cities in Europe. Tourists are attracted by the Roman Amphitheatre, Archeological Museum, and Tsar Simeon Central Garden.
Most international tourists will arrive at Sofia Airport, which serves flights to most numerous major cities in Europe and the Middle East. There are several budget airlines that operate flights from this airport, including Ryanair and Wizz Air. Domestic flights are available, but they tend to be expensive. Therefore, to travel from one city to another, trains and buses are the best option. Buses and trains are punctual and affordable. However, if you are in a hurry, you should avoid trains as they can be a little slow. To travel around big cities, taxis are widely available and are really cheap. Just make sure you choose a licensed taxi to avoid being overcharged.
While Bulgaria is not yet a part of the Schengen Area, it has a visa policy that is based on the Schengen system. Therefore, holders of Schengen Visa are allowed to enter the country. Additionally, citizens of 62 countries, including the US, Australia, and the UAE, can stay in the country for up to 90 days without a visa.
From June to August, Bulgaria experiences summer. The weather can get a bit hot and humid, with an average temperature of 19°C to 21°C. July is the wettest month in the country. Winter, from December to February, is usually freezing. Autumn and Spring bring pleasant weather.