- Diagnostic expertise. Mapping the fistula tracts and identifying internal openings can be difficult, especially for severe cases. Mayo Clinic specialists use state-of-the-art imaging technology to trace the pathways of anal fistulas, including endoscopic ultrasound, fistulography, magnetic resonance imaging (MRI) and flexible sigmoidoscopy.
- Advanced treatments. To treat anal fistula, Mayo Clinic doctors offer the latest treatment therapies to help eradicate anal fistula while preserving healthy tissue and normal function. Treatment options include seton placement, fibrin glue and ligation of the intersphincteric fistula tract (LIFT) for complex anal fistula, as well as standard fistulotomy.
- Experience. About 700 people are treated for anal fistula each year at Mayo Clinic. Mayo surgeons have experience with several treatment options, so treatment can be tailored to your specific needs.
Multidisciplinary approach. Mayo Clinic surgeons work closely with colleagues in gastroenterology and other specialties, such as infectious disease, as well as withwound care experts, to ensure that you receive comprehensive, innovative and supportive care.
If you have Crohn's disease or another medical condition, Mayo Clinic specialists will collaborate with your primary care doctor to form the best treatment plan.
Mayo Clinic in Rochester, Minn., ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report. Mayo Clinic also ranks among the Best Children's Hospitals for digestive disorders.
May 06, 2015
- Abscess and fistula expanded information. American Society of Colon and Rectal Surgeons. https://www.fascrs.org/patients/disease-condition/abscess-and-fistula-expanded-information. Accessed April 19, 2015.
- Anorectal fistula (fistula in ano). The Merck Manual Professional Edition. http://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/anorectal-fistula. Accessed April 20, 2015.
- Cook AJ. Decision Support System. Mayo Clinic, Rochester, Minn. April 16, 2015.
- Schwartz DA, et al. The role of imaging tests in the evaluation of anal abscesses and fistulas. http://www.uptodate.com/home. Accessed April 20, 2015.
- Breen E, et al. Anorectal fistula: Clinical manifestations, diagnosis, and management principles. http://www.uptodate.com/home. Accessed April 20, 2015.
- Wolff BG (expert opinion). Mayo Clinic, Rochester, Minn. April 23, 2015.
- Pigot F. Treatment of anal fistula and abscess. Journal of Visceral Surgery. In press. Accessed April 23, 2015.