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Centre of Excellence for Proctology in Chandigarh

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20+ years experience, trained at India’s premier institutes like AIIMS, PGI

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Full range of surgeries for patients of all ages. Team of specialists creates a dedicated comprehensive plan for each case.

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Still have questions on Proctology ?

What all does the fixed price package include?

The fixed price package typically covers all costs associated with the surgery. This typically includes:

  • Hospital admission charges

  • Surgery charges including surgeon fees, anaesthetist fees and OT charges

  • Standard pre-surgery pathology and radiology diagnostic tests

  • Hospital stay

  • Cost of drugs consumed during stay at hospital

Typical exclusions:

  • Cost of transportation to and from hospital

  • Room upgrades

  • Cost of implants


Is there a cure for Anal Fissure without surgery?

Yes, Anal fissures can be treated based on how chronic the tear is. If the tear is a small one, it can heal with self-care like drinking plenty of water and intake of fibre rich food. The doctor might also suggest medications like stool softeners, ointments to quicken the self-healing process. At Ayu Health, our intent is to find the most optimal cure for our patients. The doctor will only recommend a surgical procedure if needed.


Can an anal fissure be cured permanently?

Yes, it can be cured permanently through laser surgery.


Will there be pain while passing stool after surgery?

The laser surgery gives instant relief after the surgery which means mild to no pain at all.


What is a Fissure?

A fissure also called, an anal fissure is a minor cut or tears in the lining of the anus. It causes bleeding and mild pain. Like any normal cut, the body can heal the fissure on its own. However, if the cut is deep you need to seek the help of a doctor.


What causes a fissure to form?

When the anal canal stretches beyond its limit, it tears and causes a fissure to form. The stretching of the anal canal might be due to passing hard stools, diarrhoea, childbirth or anal sex.


What are the symptoms of anal fissure?

Some of the chronic symptoms of anal fissure that require immediate medical attention are:

  • Blood in stools

  • Sharp pain when you pass stools

  • Itching or burning in the anal region


What happens when an anal fissure is left untreated?

When the anal fissure is left untreated, it can lead to:

  • Acute pain while passing stools

  • Anal Cancer

  • Serious infections


How is an anal fissure diagnosed?

An anal fissure is diagnosed by a physical examination of the anal area. To find out the extent of the tear, the doctor might perform anoscopy, colonoscopy, or flexible sigmoidoscopy.


What are the diet restrictions to be followed after the surgery?

After the surgery, you must avoid constipation so that the cut can heal. To avoid constipation, one should follow a diet that consists of:

  • Fibre-rich food

  • 10 -12 glasses of water

  • Simple, nutritious food

It is recommended to avoid alcohol and coffee consumption.


How is traditional surgery performed for fissures?

The traditional procedure also called the Lateral Internal Sphincterotomy (LIS) is a procedure where the fissure is treated by cutting or stretching the muscles surrounding the anus.

  • The patient is given general anaesthesia for the procedure

  • An incision is made in the anal muscles to relieve pressure on the fissure.

  • The fissure heals quickly by itself


How quick can you resume work after laser treatment for fistula?

You can resume your normal routine on the next day of the treatment.


What are piles?


What causes piles?


What are the symptoms of Piles?


What are the stages or grades of Piles/haemorrhoids?

Grade I - No prolapse, just prominent blood vessels,Grade II - Prolapse upon bearing down, but spontaneous reduction,Grade III - Prolapse upon bearing down requiring manual reduction,Grade IV - Prolapse with inability to be manually reduced


Can Piles (Haemorrhoids) be cured permanently?

Yes, piles can be cured permanently through laser treatment, if you follow post-surgery instructions given by doctor


Is laser treatment painful?

Laser treatment for piles (haemorrhoids) is painless and takes only minutes to complete


What are the medications to be followed after surgery?

Doctors will prescribe medications and dietary plans which include intake of 2-3 litres of water and intake of fibre rich food


What is fibre rich food?

Some of the fibre rich food are whole grains, wheat pasta, whole wheat bread, Barley, Carrot, Berry, broccoli, sweet corn, potatoes with skin.


What are the benefits of laser treatment?

See the table on 2nd page


What are the risks if piles are not treated on time?

Ignoring haemorrhoids may lead to rectal cancer, rectal prolapse, obesity, anal injury, Inflammatory Bowel Disease (IBD)


What is the cost for piles surgery?

The cost of the surgery varies based on the severity or complexity of the disease, and the procedure chosen. Please refer to the procedure page for more details on Ayu Health packages.


Is there a cure for Anal Fistula without surgery?

Yes, if the diagnosis is done within stage 1 of Anal Fistula, the disease can be cured by following a fiber & nutrition rich diet and drinking a lot of water. Additional antibiotics or oinments may be prescribed by the doctor. Dietary correction and medication help flush away the fistula naturally. At Ayu Health, our intent is to find the most optimal cure for our patients. The doctor will only recommend a surgical procedure if needed.


Can an anal fistula be cured permanently?

Yes, it can be cured permanently through laser surgery.


What preparation needs to be done before the surgery?

The doctor will explain the procedure and the precautions to be taken before the surgery. Some of them may be: Quit smoking , Not to eat anything 6 hours prior to the surgery, Diagnostic tests for heart rate, BP and urine samples


What is a Fistula?

A fistula is a small tunnel in the skin of the anal region. Whenever there is an infection inside the anus, a tunnel is formed to drain the pus which is the fistula.


What causes a fistula to form?

In majority of the cases, a fistula is formed when there is an infection in the anal region. Sometimes, it also forms because of sexually transmitted diseases, tuberculosis or any illness that affects the bowels. Some fistulas also form during childbirth.


What are the symptoms of anal fistula?

You must reach out to your doctor if you have:

  • Pain

  • Swelling and bleeding

  • Discharge of pus from the anal region


How is it diagnosed?

Fistulas can be easily diagnosed by a physical examination. To understand if there are any other complications, the doctor might ask for an X-ray, CT scan or a colonoscopy report.


What are the dietary restrictions after surgery?

It is best to have simple, bland, low-fat food like rice, toast, yoghurt etc after the surgery. Increasing the intake of fibre rich food and water is recommended.


What are the types of treatment available?

The two types of treatments available for anal fistula are:

  • Laser surgery

  • Traditional surgery


What are the different traditional procedures to treat fistula?

There are several procedures that involve cutting through the anal region to seal the fistula. Some of the procedures are:

  • Fistulotomy: The entire length of the fistula is cut and opened so that it heals like a cut

  • Seton Technique: A cut is made in the anal region and a surgical thread is placed in the fistula to help it to drain out slowly and heal on its own

  • Flap Procedure: A cut is made in the fistula through which it is drained. A flap is used to cover the fistula to help it heal. The flap is made of tissue taken from a healthy part of the rectum.

  • LIFT procedure: The fistula is cut and sealed at both ends and the rest of it is kept open to heal


How many days does it take to recover from traditional surgery?

It takes 2-4 days to recover from traditional surgery for fistula.


What are the risks involved with traditional surgery for fistula?

As the procedures involve cutting through the anal region. So, some of the risks associated may be:

  • Injury to the anal area

  • Excessive bleeding

  • Infection of the surgical wound

  • Faecal or urinary incontinence

  • Blood clots

  • Risks of general anaesthesia


Does laser treatment for fistula involve any complications?

There are very less risks involved with laser treatment for fistula. Some of the risks of the procedure may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Blood clots

  • Damage to blood vessels

  • Incontinence


How is Ayu Health able to offer more affordable prices than other hospitals?

Ayu Health hospitals are typically 30-50% cheaper than other equivalent hospitals. It's time to debunk the myth that quality comes at higher prices - Ayu Health is on a mission to provide the highest quality healthcare at affordable prices.

The Ayu Health network enables significantly lower costs for its partner hospitals through the following mechanisms:

  • Better utilization - our hospitals operate at almost 50% higher utilization levels than the industry average. Since healthcare is a largely fixed cost business, better utilization results in lower cost of serving each patient.

  • Higher efficiency in operations through Ayu Health technology - Ayu Health’s proprietary technology (OPD digitization, patient data management, etc.) allows hospitals to provide a superior patient experience at lower costs.

  • Lower procurement costs - our hospitals procure drugs & consumables in bulk, bringing down a significant portion of expenses associated with each procedure



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