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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 Saudi Arabia 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 Saudi Arabia 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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The Kingdom of Saudi Arabia is the birthplace of Islam and is home to the holy Muslim city of Mecca, all Muslims are required to make a pilgrimage to this city at least once during their life and non-Muslims are forbidden from the city. There are other wonders to be found here, from the Red Sand Dunes in Riyadh, Jeddah’s coral architecture, to the azure waters of the Red Sea. In the last few years, the Kingdom has developed a plan to encourage international patients to seek treatment at its medical centers. The healthcare sector in the country has constantly improved and developed and the country has all the attributes to have a successful medical tourism industry, such as ultra-modern hospitals that are well-equipped with cutting-edge technology, foreign-trained doctors and specialists, and a well-established private healthcare sector.
The capital city is Riyadh, which is one of the wealthiest cities in the world. It offers amazing attractions for tourists, such as the Masmak Fortress, the National Museum, the Kingdom Center, the Sky Bridge, Riyadh Zoo, and the Antiquities Museum. Another popular city is Jeddah, which is called the Bride of the Red Sea. It’s a large metropolitan city with an incredible waterfront and beautiful old town. It’s the traditional gateway to Mecca, as well as the historic crossroads of traders and pilgrims. Most tourists visit this city to admire its World Heritage Red Sea architecture, explore its lively souq, relax in its laid-back coastline, and try its world-class cuisine.
King Fahd International Airport is the largest airport in Saudi Arabia, located in the city of Dammam. It serves flights to and from numerous cities in Europe, Asia, and the Middle East. Domestic flights are the best way to travel around this country. Buses, taxis, and car rental are widely available for travel inside the cities.
Almost all nationalities need to have a visa to visit Saudi Arabia, except for citizens of Bahrain, Kuwait, Oman, and the UAE. eVisa or visa on arrival is available for holders of passports of 51 countries, including all EU countries, the US, the UK, and Japan. Most other countries need to obtain a visa prior to arrival.
Saudi Arabia has two seasons, summer and winter. Summer (April – October). The weather is extremely hot and humid. The average temperatures range between 40oC to 45oC, but it can soar to 49oC. Winter, from November to March, brings mild temperatures, with an average of 20oC during the day and 10oC during the night.