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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 Iran 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 Iran 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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Iran is a country situated in Western Asia, as well as the second-largest in the Middle East. It is home to one of the oldest civilizations in the world, starting from the fourth millennium BC when the Elamite Kingdoms were formed. Iran is widely known as the jewel in Islam’s crown, filled with awe-inspiring architecture and friendly people. The country is also a popular medical tourism destination due to its efficient healthcare system and experienced specialists. The medical centers in the country keep pace with the latest medical developments and provide top-class services. International medical tourists usually come to Iran for cosmetic procedures, which are currently witnessing a vast growth. Cosmetic procedures in the country, such as rhinoplasty and hair transplant, are performed with advanced scientific techniques and are highly successful. Furthermore, the healthcare cost in the country is a lot more affordable than in many other Western countries.
The capital of Iran, Tehran, is the most populous city in the country. Situated at the foot of the snow-capped Alborz mountain range, the city is filled with museums, restaurants, parks, and friendly people. The most popular landmark in this city is the Azadi Tower, which is the symbol of the city. Besides this tower, visitors can also go to the Tehran City Theater to see its amazing architecture, explore the Treasury of the National Jewels to admire the largest collection of jewels found in the world and visit the Golestan Palace, which is the oldest historic monument in Tehran. Besides Tehran, Tabriz is another popular city and it is a modern industrialized city with a very rich history and historical monuments, such as the Blue Mosque and El Goli.
The main international airport is the new Imam Khomeini International Airport in Tehran. It serves international flights to and from numerous cities around the world, including Dubai, Ankara, London, Bangkok, and Beijing. Budget airlines are operating from this airport, such as Pegasus Airlines and Air Asia. To get around Iran, domestic flights are affordable and fast. Buses and trains are also widely available with extensive networks. Taxis are best for inter-city travel.
Iran allows citizens of 16 countries to visit without a visa for up to 90 days, including Armenia, China, and Malaysia. Most citizens of other countries can obtain a visa on arrival. However, visa on arrival does not apply to citizens of 14 other countries, such as the US and the UK.
Iran experiences four seasons. Spring (March-May) and autumn (September –October) are pleasant with mild temperatures. Summer (June to August) can be scorching hot, with the temperatures soaring to 37°C. The winter can get bitterly cold as the temperatures drop to 0°C.