Clinic Timings Peshawar: Mon–Fri 2–7 PM Lahore: Sat 9 AM–4 PM Islamabad: Sun 9 AM–4 PM Khattak Medical Center, Dabgari Garden, Peshawar
Laser Proctology

Laser Treatment for Fistula-in-Ano in Peshawar

A fistula-in-ano is an abnormal tract running from inside the anal canal to the skin outside, and it will not close without treatment. Dr. Muhibullah Dawar performs laser closure of the tract (FiLaC), which treats the fistula without dividing the sphincter muscle.

Written and reviewed by Dr. Muhibullah Dawar, FCPS (General Surgery) Last updated 2026-09-07

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Key takeaways: Fistula-in-Ano

  • Why the sphincter matters here — Traditional fistulotomy lays the tract open, and where the tract passes through the sphincter that means dividing muscle. Laser closure works along the tract from the inside, which is what allows the muscle to be left alone.
  • Signs you may have an anal fistula — A small opening near the anus that discharges pus, blood or fluid.
  • Assessed and performed at Advance Surgery Clinic, Dabgari Garden, Peshawar.

What is an anal fistula?

A fistula-in-ano is a tunnel that connects an infected anal gland inside the anal canal to an opening on the skin near the anus. Most begin as a perianal abscess: the abscess drains or is drained, the skin heals over, but the tract behind it stays open. The result is an opening that keeps discharging pus or blood, settles for a while, and then flares again.

In laser closure (FiLaC — fistula tract laser closure), a radial laser fiber is passed along the cleaned tract and withdrawn slowly, delivering energy in a full circle as it goes. The tract wall is destroyed and shrinks closed along its length. Because the surgeon works inside the tract rather than cutting down onto it, the sphincter muscle the tract passes through is not divided.

Assessed before any treatment is recommended.

Signs you may have an anal fistula

  • A small opening near the anus that discharges pus, blood or fluid
  • Staining of underwear that keeps recurring
  • Recurrent swelling and pain that builds, then relieves when it discharges
  • A previous perianal abscess that was drained
  • Itching or irritation of the skin around the opening

An early assessment is what keeps the options open.

Questions before booking?

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FAQs

Frequently asked questions

The questions patients ask most often before booking this procedure.

It is very unlikely. The tract is lined and keeps reopening. Antibiotics settle a flare but do not close the tract.

Sparing the sphincter is the reason this technique is used. The muscle is not divided, which is the main cause of continence problems after conventional fistulotomy.

For a complex, recurrent or high tract, yes — knowing the exact course of the tract and whether there are branches changes the operation. A simple low fistula may not need one.

Yes. Recurrence is possible with every fistula technique, and a further procedure is sometimes needed. You are reviewed so that it is picked up early.

Dr. Muhibullah Dawar

Dr. Muhibullah Dawar

General, Laparoscopic, Thoracic and Laser Proctologist

FCPSGeneral Surgery
FellowshipLaparoscopic Surgery, CMH Rawalpindi
FCPS-IIThoracic Surgery, CMH Rawalpindi
Advance Surgery ClinicDabgari Garden, Peshawar
Medical references
NHS — Anal fistula
Related procedures
Piles Anal Fissure Pilonidal Sinus All Laser Proctology
Medical disclaimer

This page describes a procedure in general terms so patients know what to expect. It is not medical advice and cannot replace an examination. Whether a procedure suits you, and what your recovery looks like, depends on your diagnosis, imaging, general health and how you respond to treatment — which is why every plan is made in consultation.

If you have severe abdominal pain, heavy rectal bleeding, a hernia that has become hard and painful, or sudden difficulty breathing, seek urgent care rather than waiting for an appointment.

Get an anal fistula properly assessed

Book a consultation with Dr. Muhibullah Dawar for assessment, diagnosis and a treatment plan explained in plain language.

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