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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 Portugal 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 Portugal 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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Portugal is a country located in southwestern Europe. It’s one of the oldest nation-states of Europe and the world. Its territory had been continuously invaded, settled, and fought over since prehistoric times. Today, the country has become a major tourist destination, with its architecturally stunning cities, cobblestone villages, medieval castles, great food, stunning beaches, and incredible weather. Besides its beauty, Portugal is also attracting people from all around the world for its healthcare. The country offers a combination of state-of-the-art private medical centers, with spotless facilities and private rooms, a wide range of procedures, with very short waiting lists, as well as highly trained patient-oriented medical teams who are fluent in different languages. The physicians in this country have been trained by high standard medical schools, where just top and talented students are allowed to attend.
Lisbon is the capital and the largest city in Portugal. This city is filled with friendly people, history, mystique, and amazing food. Explore its many beautiful churches, listen to Fado, take a trip to the Castle of St. Jorge, see Sintra, and have some fun in one of its nightclubs. Another popular destination is Batalha, which is home to the UNESCO-listed Batalha Monastery. The monastery was build from 1386 to 1517 and is known as the greatest Gothic masterpieces in Europe. Those who want to party or soak up the sun should visit Lagos, while those who love to wander around and visit museums should visit Porto. Both of these cities are popular and fascinating.
International tourists usually arrive at Lisbon Airport. It is a hub for low-cost airlines EasyJet and Ryanair, and it serves flights to numerous cities around the world. To get around Portugal, trains and buses are very efficient. While trains are often cheaper, buses are usually quicker. Taxis are available in almost every city and are relatively cheap.
Since Portugal is part of the Schengen Area, citizens of 62 countries, including the US, Australia, the UAE, and Canada, are allowed to visit without a visa for up to 90 days. Citizens of most other countries are required to obtain a Schengen visa to visit the country.
From March to May it is spring and the weather is pleasant but there will likely be some heavy rain. Summer, is from June to mid-September, can be scorching hot with temperatures rising to mid 30oC. Autumn, starts from mid-September to December and it brings colder temperatures but and an increased chance of rain. Winter can get quite cold and the days are shorter and always expect rain and storms during this season.