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Fissure Fistula General Piles Pilonidal Sinus

Best Proctologist in South Delhi

Finding the Best Piles Doctor in South Delhi: Your Guide

Are you tired of the constant battle with piles (hemorrhoids)? Experiencing symptoms like:

  • Constipation
  • Pain in the anal region
  • Swelling or lumps near the anus
  • Bleeding or discharge
  • Swelling or lumps near the anus
  • Lower abdominal discomfort

Despite trying over-the-counter remedies, you’re still not finding relief? You’re not alone. Many people suffer from piles in silence due to embarrassment or not knowing where to turn for help.

If you live in Vasant Kunj, South Delhi and are struggling with these debilitating symptoms, consulting a proctologist could be the answer you’ve been searching for.

Comprehensive Hemorrhoid & Anorectal Treatment at Piles To Smiles

Suffering from piles (hemorrhoids), fissures, fistulas, or pilonidal sinus? Our team of experienced proctologists provides expert diagnosis and treatment for all ano-rectal conditions.

We offer a holistic approach combining modern medical techniques with traditional Ayurvedic treatments to ensure you receive the best possible care for your individual needs.

Schedule a consultation today and find relief from your discomfort.

Finding the Best Proctologist in South Delhi: Your Guide to Expert Anorectal Care

Finding the ideal proctologist in South Delhi is paramount for the successful and comfortable treatment of anorectal conditions. As a medical hub, South Delhi boasts numerous specialists. To make the best choice, prioritize the proctologist’s expertise in your specific condition (e.g., piles, fissures, fistula, pilonidal sinus), meticulously review patient testimonials, assess the clinic’s infrastructure and hygiene standards, and evaluate the doctor’s communication and bedside manner. Before making your decision, carefully consider following factors to ensure personalized and effective care for your unique anorectal needs:

What is a Proctologist?

A proctologist is a medical or surgical specialist who diagnoses and treats conditions of the lower digestive tract, specifically the colon, rectum, and anus. They are also known as colorectal surgeons or colon & rectal surgeons.

What does a Proctologist do?

Proctologists provide a wide range of services, including:

  • Diagnosis and treatment of conditions: This includes conditions like hemorrhoids (piles), anal fissures, anal fistulas, rectal prolapse, colorectal cancer, inflammatory bowel disease (IBD), and diverticular disease.
  • Surgical procedures: Proctologists perform a variety of surgical procedures, including minimally invasive surgeries like sclerotherapy, rubber band ligation, Kshar Karma and Ksharsutra etc.
  • Non-surgical treatments: Many proctologists also offer non-surgical treatments, such as medications, and lifestyle changes.

Looking for an expert proctologist in South Delhi?

Dr. Ravinder Sharma, founder and medical director of Piles To Smiles, is a renowned proctologist in South Delhi. He specializes in both non-surgical and minimally invasive surgical treatments. Dr. Sharma is also a leading expert in Ayurvedic proctology, offering effective and pain-free treatments like Kshara Karma and Ksharsutra.

When to See a Proctologist for Piles (Hemorrhoids)

Experiencing discomfort or changes in your anal or rectal area warrants a visit to a qualified proctologist. These symptoms could indicate underlying health issues that require professional attention.

Seek immediate consultation if you notice:

  • Anal or rectal pain: This can range from mild discomfort to severe, throbbing pain.
  • Burning or itching: Persistent irritation in the anal area can significantly impact your quality of life.
  • Bleeding from the anus: Any blood in your stool, whether bright red or dark, warrants immediate medical attention.
  • Swelling or lumps: Noticeable bumps or growths near the anus could indicate a serious underlying condition.
  • Changes in bowel habits: These include diarrhea, constipation, or a change in the consistency or shape of your stools.

Don’t delay seeking professional help. Early diagnosis and treatment can significantly improve your quality of life and prevent complications. Schedule a consultation with an experienced proctologist in your area today. 

What Conditions Do Proctologists Treat?

Proctologists specialize in the diagnosis and treatment of conditions affecting the rectum, anus, and colon. Some of the most common conditions treated by proctologists include:

  • Hemorrhoids: Swollen and inflamed veins in the lower rectum and anus, often causing bleeding, itching, and discomfort.
  • Anal Fissures: Small tears in the lining of the anus, typically caused by the passage of hard stools, leading to pain during and after bowel movements.
  • Anal Fistulas: Abnormal tunnels or passages that connect the inside of the anus to the skin around it, often resulting in drainage of pus or blood.
  • Peri anal Abscesses: Collections of pus near the anus, often causing significant pain and swelling.
  • Rectal Prolapse: A condition where part of the rectum protrudes through the anus.
  • Anal Warts: Small, fleshy growths around the anus caused by the human papillomavirus (HPV).
  • Pilonidal Disease: A condition characterized by the formation of a cyst or abscess in the cleft of the buttocks.
  • Fecal Incontinence: Difficulty controlling bowel movements, leading to accidental leakage of stool.
  • Constipation: Difficulty or infrequent passage of stool.

It’s crucial to consult with a qualified proctologist for timely diagnosis and treatment. Early intervention can help prevent complications and improve your overall quality of life.

Finding the Best Proctologist in South Delhi for Your Specific Condition

When seeking treatment for a proctological issue, finding the right specialist is paramount. Not all proctologists specialize in the same areas, so finding one with expertise in your specific condition is crucial.

Here’s how to find the best proctologist in South Delhi:

  1. Personal Recommendations:

    • Consult with trusted sources: Ask family, friends, or other healthcare providers for recommendations.
    • Visit your primary care physician: He may be able to refer you to a qualified proctologist.
  2. Online Research:

    • Verify credentials: Ensure the proctologist is licensed and has a valid practice license.
    • Check for availability: Select a proctologist with convenient location and hours, especially crucial for urgent cases.
    • Review experience: Look for a proctologist with extensive experience treating your specific condition.
    • Read patient reviews: Gain insights into patient satisfaction and the quality of care.
  3. Consultation:

    • Schedule a consultation: Meet with potential proctologists to discuss your concerns and treatment options.
    • Assess communication: Choose a doctor who makes you feel comfortable and answers your questions honestly and comprehensively.
    • Transparency: Seek a doctor who openly discusses potential risks, side effects, and recurrence rates associated with treatment options.

Dr. Ravinder Sharma, a renowned proctologist with over 17 years of experience, specializes in treating anorectal conditions like fistula, fissure, piles, and pilonidal sinus at Piles To Smiles. He holds an MS (Ayurveda) and has dedicated his career to advancing Ksharsutra treatment, an ancient Ayurvedic technique. 

Dr. Sharma’s expertise stems from extensive research, including his postgraduate thesis on “Preclinical Evaluation of Standard Ksharsutra Ingredients on Causative Organisms of Bhagandara and Comparative Study of Efficacy of Modified & Standard Ksharsutra on Bhagandara W.S.R To Fistula-In-Ano.” This in-depth study has significantly contributed to his understanding of Ksharsutra and its application in treating various anorectal disorders.

Driven by a commitment to patient care, Dr. Sharma continually strives to enhance the convenience and effectiveness of Ksharsutra treatment. He focuses on providing personalized care and ensuring optimal outcomes for patients seeking relief from debilitating anorectal conditions.

5.0
Based on 195 reviews
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Deepak Kumar
16:21 17 Sep 25
I got my treatment for piles from Piles to Smiles. I'm grateful for such a good treatment. It helped me in my healing journey, I feel better now. The doctor is very professional and polite. He explained the procedure and healing process very well. He was always available on the phone for any help. I'd definitely recommend this place if you need help.
Shashi Sharma
17:03 13 Sep 25
I want to share my heartfelt gratitude and appreciation for Dr. Ravinder Sharma at Piles to Smiles.

Before meeting him, my father was struggling for months with severe discomfort. We consulted multiple doctors, but unfortunately, he was misdiagnosed and treated for piles, which did not give him any relief. The medicines and treatments from other doctors didn’t improve his condition, and his suffering continued.

Finally, we visited Piles to Smiles and consulted Dr. Ravinder Sharma. From the very first appointment, his approach was different—he carefully listened, conducted proper investigations, and correctly diagnosed the real problem: fistula. With his expertise, he immediately guided us toward the right treatment plan.

What impressed us most was not only his medical knowledge but also the way he explained everything in simple terms, giving us confidence and hope. Under his treatment, my father started recovering quickly, and within a few visits, we noticed a huge improvement in his health.

Today, my father is well, and the suffering that seemed endless has finally come to an end—all thanks to Dr. Ravinder Sharma’s accurate diagnosis and excellent treatment.

I wholeheartedly recommend Dr. Ravinder Sharma and Piles to Smiles to anyone suffering from piles, fistula, or related conditions. He is truly the right doctor for the right treatment.
Varun sharma
07:58 12 Sep 25
Very good experience with this doctor. We consulted him for over 3 months for one of our family member. After undergoing multiple surgeries also, fistula problem was not completely healed. We were advised to undergo third surgery and MRI scans. However, upon meeting Dr. Ravinder Sharma , we were reassured. We found him to be very confident and very gentle with us and all of his patients. He is an expert in treating this disease and more importantly has a very calm demeanour. Although, the procedure time was told to be around 4 months, we observed that the patient recovered complete within 2 months itself without any need for MRI or any other medication. In our every visit, we found doctor Ravinder to be extremely patient and never rushed the case. I recommend him highly. God bless him.
satyam sahu
07:17 09 Sep 25
Hello my self Jitendra
I would take my thought and write about my experience at piles to smiles clinic specially about Dr. Ravinder Sharma, from the first day I was meet with him and I talk about my illness then he was treated very well and also asked about my entire diet and helpful and he was my entire problem was solved by him.
I went to dr. Ravinder for piles problem,he explained me well about the problem and Ayurvedic treatment. I was treated well with medicines only which worked wonder,Thanks a lot sir for ur great efforts 🙏
I recommend this for all the patients having such problems.......
maitrayee das
04:08 05 Sep 25
“I had a really positive experience with this doctor. The treatment gave me very good results and I started feeling much better. What stood out to me was that the doctor did not rush to suggest surgery at the very beginning. Instead, he gave me proper medication which helped a lot. This shows a very genuine and patient-first approach. I truly appreciate his guidance, honesty, and care. I would highly recommend him to anyone looking for the right treatment and peace of mind.”
Ishupreet Kaur
06:43 29 Aug 25
I cannot thank Dr.Ravinder sharma enough.His clinic "Piles to smiles" really lives up to it's name. Not just me-my entire family has received treatment from here over the months of fissures and piles related issue,and every single time the experience has been outstanding.He's genuinely the best doctor I've ever come across.

To me what's stands out the most is Dr.Ravinder humble, compassionate and patient nature.The ayurvedic approach he uses is natural, and gave us long-lasting relief – without any side effects.You feel you're in safe hands the moment you walk in.

If you're suffering from piles, fissures-Don’t wait. I found real help here, and I’m sure you will too.
Swati Pandit
16:42 17 Aug 25
I had visited at Piles To Smiles for the puss discharge and pain near anus but dr ravinder diagnosed that I have been suffering from Fistula. He elaborated about the different kinds of surgical procedure for the treatment of it and also mentioned that chances of recurring is higher with other treatment than Kshar Sutra treatment. Sir very well elaborated that with Kshar Sutra treatment chances of recurring is zero. Hence I have decided to go with Kshar Sutra and It was nice and I haven't need to take any leave from my office. It took 2 months and fistula got treated completely. Thank you so much to sir.
Uma Rai
09:25 06 Aug 25
I was suffering from fistula for 3 months. After checking through multiple sources, i came to know about ksharsutra treatment at piles to smiles clinic. So after watching lots of youtube videos and reviews about “ksharsutra” i finally decided to visit Dr. Ravinder Sharma and i must say it’s worth it. He is very professional, attentive and listens to your problem very patiently. I can say he genuinely cares for his patients. And everything was explained to me before starting the treatment and it hardly took 15 minutes to get it done, even the pain was bearable. Also the Doctor personally gave me a call next day to check whether i was feeling uncomfortable or having any side affect and how kind is that.
The treatment didn’t affect my daily activities and no bed rest needed, i even started working the same day. The entire treatment process was very comfortable and now after 1 month I’m fully recovered. I’m very happy and 100% satisfied with the treatment. A big thank you to Dr. Ravinder Sharma and Ms. Jyoti for making me feel very comfortable with their friendly and kind nature. I highly recommend this clinic(piles to smiles) for those who are suffering from anal problems.
Devesh Bansal
13:00 25 Jun 25
We consulted Piles to Smiles for my pregnant wife who was experiencing severe constipation which led to symptoms of Piles, and the medicines she had taken by then were not effective. But the guidance and medication provided by Dr. Ravinder at Piles To Smiles worked like magic for her and she felt super relieved. His prescribed medicines were totally safe and had no side effects even during pregnancy.
Also, He is vey friendly in nature and his conversations help comfort the patient a lot.
vikas hasiza
16:42 16 Jun 25
I have an excellent experience of treatment in my accute fissure problem undertaken through Dr.Ravinder sharma. I am suffering from severe pain from long time it heals but occurs again after some period of time. But when I talk with Dr. Ravindra sharma He understand my problem and treated me very well. He is very kind and friendly nature doctoe having an excellent skill in this field. I felt my self very comfortable after some days. Now I am perfectly fit Dr. Sharma I wish your ever success in the treatment of piles, fissure and fistula. I hope my small review may help patients to get rid of diseases within very cheap treatment cost.

Thanks a lot sir.
1328 Avnish Kumar
07:38 26 May 25
I visited Dr. Ravinder Kumar at Pile to Smile Clinic for treatment and I’m very satisfied with the care I received. Dr. Ravinder is highly professional, patient, and took the time to explain the condition and treatment options in detail. The clinic is well-maintained, and the staff was courteous and helpful throughout the process.
The treatment was effective, and I noticed significant relief within a short time. What I appreciated most was the doctor’s compassionate approach and his focus on non-surgical, minimally invasive techniques.
I highly recommend Pile to Smile Clinic and Dr. Ravinder Kumar to anyone looking for expert care for piles or related conditions.
Manu sharma
05:20 09 May 25
I was suffering from anal fistula since 14 years when i consulted Dr Ravinder. I had 3 unsuccessful surgeries before ksharsutra treatment. But fistula recurred after every surgery. After taking ksharsutra treatment from Dr Sharma my fistula is completely healed. I am very happy after completing ksharsutra treatment.
NAVEEN HATWAL
09:40 07 May 25
I would take my thought and write about my experience at piles to smiles clinic specially about Dr. Ravinder Sharma, from the first day I was meet with him and I talk about my illness then he was treated very well and also asked about my entire diet and helpful and he was my entire problem was solved by him.

The staff (Jyoti Mam) she is also very friendly, and the clinic maintains great hygiene.

An absolute fabulous 100% treatment with reasonable price.

Request for Dr. Ravinder Sharma Sir, You must keep a print out in your clinic, so that any one need it the regarding the bill purpose for reimbursement, it can be used properly.

Highly recommended for anyone looking for ayurvedic clinic for Piles to Smiles.

Thank you so much for your kind words and appreciation for Dr. Ravinder Sharma. 😃
yash veer
01:47 06 May 25
I, Yashveer Verma,was suffering from multiple fistula tracts and searching for a good kshar Sutra surgery center when I came to know of Dr Ravindra Sharma, who runs Piles to smiles clinic at vasant kunj. I contacted Dr Ravindra Sharma and I started my treatment with him in January 2025. He treated me compassionately and gently. He guided me about all the dos and don'ts and also kept my morale high all through the treatment . Now I am totally cured of my fistulas. I am extremely thankful to Dr. Ravindra Sharma and his staff for their professional approach and deep understanding of their patients' suffering and I strongly recommend all those patients who are suffering from piles, fissure or fistula not to hesitate even a bit and meet him for the best treatment .
Prateek Mediratta
03:38 27 Apr 25
I want to thank Dr Ravinder Sharma for curing my complicated case of Internal Anal fistula which i was suffering from Last one year. After trying so many treatments, I visited Piles to smiles Clinic in January this year and met Dr Ravinder Sharma Sir,
He listened my symptoms and Diagnosed my problem assuring that fistula will be cured by ksharsutra treatment with in 8 weeks with minimal pain and even asked me to resume my daily activities from first day of Treatment.

My Ksharsutra surgery was started on 25th Jan and as estimated correctly by Dr Ravinder Sharma Ji my treatment was completed by 18th March 2025. Dr Ravinder Sharma Ji and his team is very experienced in handling these cases as they made sure that Surgery and thread change was done with less discomfort and pain. During My course of treatment Dr Ravinder Sharma Ji and his team was always reachable on phone and provided me solution to my problems immediately.

I would highly recommend everyone to visit Piles to smiles clinic in case they are facing any complicated or non complicated anorectal problem like Anal fistula, fissure or Piles within cost effective treatment with best results.

Again i want to thank Dr Ravinder Sharma Ji and Piles to smile clinic for making me smile again:)
suman pandey
11:35 20 Apr 25
My dad got his fissure treatment done from this very humble polite and nice doctor. He hears, understands and explains issue very nicely. Totally satisfied with the treatment and the doctor. My dad is fit n fine now just by his medicines. He is trustworthy and not at all money minded. Thanks a lot doctor if u r reading it.
Avisha Gupta
09:21 20 Apr 25
I successfully underwent Kshar sutra treatment for fistula under Dr. Ravinder Sharma. Would highly recommend him to anyone suffering from ano rectal disease. I had suffered unbearable pain before coming to Dr. Sharma and he completely cured me of my illness with his expertise and with a lot of empathy. He is indeed the best doctor in this space and am very grateful to him. Dr. Sharma is very knowledgable and highly experienced. The clinic is clean, well maintained and the staff specially Jyoti ji is extremely caring and professional. At the start of the treatment itself, Dr. Sharma gave clear advice and guidance around the procedure, its advantages over regular surgery and the maximum time period needed. He made sure that the procedure was completed with minimal pain and was always available for resolving any concerns. He was always positive, confident and clear in his approach which led to quickly developing complete trust in him and in the procedure.
Pal Chandni
08:52 20 Apr 25
Thankyou so much sir.🙏

I recently had a great and incredible experience at Piles to Smile Clinic in Delhi. Dr Ravinder Sharma sir and his team done a great job. I was suffering from chronic fissure. Then I got to know about this clinic. Finnally, i found the solution from him. I am impressed by his professionalism and his genuine care for his patients and if patients forget to come for the next date he especially as a doc. he called and ask about their problem and remind them.

I am so happy now, I free from this horrible pain during my those days.By this i depressed and anxiety issues But thanks to sir to cure this problem.

Really, your treatment is outstanding and best part is medicine is fully ayurvedic and I don't like alopathy medicine.

I highly highly recommend him to those who suffer from this problem as like me .

Rest apart of this, his consultation charges is also payable and medicine is 100% ayurvedic and curable .

My last message to those people who suffer by this problem plz plz consult with doc and don't hesitate to tell your parents in early stage.

Thankyou so much sir for this painless treatment journey🙏
JR MALLICK
01:58 14 Apr 25
The Dr. is very professional and sound in knowledge. He is soft spoken and caring in nature.
I was suffering from chronic fissure and I went to 4/5 Dr. before him. Finally, I found the solution from him. Now I get rid of the issue. After my experience, I will recommend the Dr you should take a visit try the treatment from him.
Monika Bhrigu
16:12 28 Mar 25
I would take my time to write about my experience at piles to smiles clinic specially about Dr.Ravindra .I visited the clinic with a misdiagnosis of piles and was advised surgery by one of the doctors in Delhi.Later I got to know about this clinic while I was looking for doctor of piles so that I can take a second opinion.I visited him and got my diagnosis from him and for a surprise I was not suffering from piles and there was no need of surgery.I was just suffering from Anal fissure and he treated me and within a month I recovered fully with no pain no bleeding at all.I am really thankful to Dr.Ravindra for excellent diagnosis and his line of treatment.
I would suggest it to everyone who are suffering from piles and other related issues Kindly do consult him.
Shubham
01:33 26 Mar 25
I have an excellent experience of treatment in my accute fisher problem undertaken through Dr.Ravinder sharma. I visited his clinic with a very severe pain. He assured me that it will take 55 days time of treatment. He is very kind and sover doctor having an excellent skill in this field. I felt my self very comfortable after 10 days. Now I am perfectly fit even before 45 days. Dr. Sharma I wish your ever success in the treatment of piles, fisher and fistula. I hope my small review may help patients to get rid of diseses within very cheap treatment cost.
Utsav Nigam
13:25 19 Mar 25
It's incredibly important to have a doctor who stays with you throughout your treatment, especially when dealing with a condition like this. Dr. Ravinder truly stands out in this regard. I sought his treatment for a Perianal Abscess, and he performed a small procedure. What sets him apart from other doctors is his constant availability for any kind of help and his genuine understanding of your pain.

I would personally recommend anyone facing anorectal issues to visit his clinic, even if it's far or you're already undergoing treatment elsewhere. Just getting a check-up with him is worth it. He doesn't suggest anything for his personal gain; his focus is solely on the well-being of his patients. His consultation fee is very reasonable, and surprisingly, he doesn’t push for unnecessary treatments to make money.

I last visited him on March 15th, and looking back over the past 2-3 months, I have no regrets about choosing him as my doctor.

I wish Dr. Ravinder all the best for his continued efforts and great work!
Rishita Rohilla
16:37 15 Mar 25
I was suffering from fistula in Ano for last 10 to 12 years. Tried all kinds of treatments even surgery but the fistula did not cure. Finally after searching the web I came across Dr Ravinder Sharma. I visited his clinic. He assured me that it will be cured within 4-6 sittings. Kshar sutra was inserted on 15 Mar and changed weekly. As assured by him the fistula totally cured within stipulated time. Dr Ravinder has vast experience in curing fistula and other related diseases. His staff is very cooperative. I recommend Ravinder for treatment of fistula. One year almost over now and I am perfectly fine now. I recollect Dr Ravinder's last conversation when he said go eat anything and enjoy. I have really forgotten that I had this disease. Thank Dr Ravinder sir
sanjeev Goyat
07:56 13 Mar 25
I recently had a great experience at Piles to Smiles Clinic in Delhi. Dr. Ravinder Sharma and his team were highly professional, skilled, and compassionate throughout my treatment. Their expertise and care made the entire process smooth and comfortable. I truly appreciate their dedication and would highly recommend them to anyone in need of quality treatment.
Mahipal Kashyap
02:04 11 Mar 25
I recently underwent treatment for a fistula and I couldn’t be more grateful for the care I received from Dr. Ravinder from the very first consultation, Doctor took the time to thoroughly explain my condition, the treatment options available, and what to expect during the recovery process. I was going through a truma and was very depressed but suddenly I came to know about Piles to Smiles clinic, I went there all my worries gone after meeting Dr. Ravinder and his team.

The ksharsutra treatment was performed with great skill, and I felt comfortable and reassured throughout the entire process. Dr. Ravindra and their staff were always professional, compassionate, and available for any questions I had, both before and after the procedure.

My recovery has gone smoothly, and I am now feeling much better. I truly appreciate Dr. Ravinder expertise and commitment to my well-being. I highly recommend Piles to smiles to anyone seeking treatment for fistula or similar condition.
Rahul Gautam
11:25 08 Mar 25
Dr. Ravinder Sharma is an outstanding expert in the treatment of anorectal conditions, and my experience at Piles to Smile exceeded all expectations. From the moment I arrived, I was impressed by Dr. Sharma's professionalism and his genuine care for his patients. He took the time to thoroughly listen to my concerns, ensuring that I felt heard and comfortable at every step. His ability to explain the treatment process clearly and his compassionate approach made a world of difference. The entire experience was seamless, stress-free, and left me feeling completely confident in my treatment. Dr. Ravinder Sharma is truly one of a kind – a rare combination of expertise, empathy, and dedication. I highly recommend him to anyone seeking top-notch care for anorectal issues. His level of care is unparalleled!

Thank you 😊
SHIVAS MEDIRATTA
14:03 05 Mar 25
Sir is very polite and listen properly.
Happy with the treatment.
ashish sharma
15:12 03 Mar 25
Well maintained facility and amazing doctor with great knowledge
Sanjay Kumar
17:21 02 Mar 25
Thanks a lot sir for the treatment of fistula with ksharsutra treatment without any complication,I am very satisfied with the treatment with proper healing and 100 percent cure,thanks a lot sir for this...☺️
Sushma Laut
17:17 02 Mar 25
Sir treated me well from fissures, he is very expert in dealing with fissure without surgery from Ayurvedic treatment.... Thanks a lot sir
gaurav bhatnagar
15:42 01 Mar 25
Best Treatment in the town
My problems were resolved completely
aman sharma
09:04 01 Mar 25
Visited Doctor Ravinder with severe pain and infection in peri-anal area. Was given a thorough treatment that lasted 3 weeks and was super helpful in the recovery process. Highly recommended
Vinod Kumar
06:46 01 Mar 25
Very satisfied with the treatment and guidance of doctors, my wife have a serious problem and they treat her and cure the problem. In present condition she is in very good condition.
pawan kumar
14:36 28 Feb 25
I visited the dr Ravindra Sharma ji with the problem of acute pain, he diagnosed me with the fissure and treated me. Now I am totally fine. Apart from his diagnosis, he is very nice and humble human being also. I wish him all the best.🙏🏻
Mithu Kumar
12:52 27 Feb 25
Gaurav Sharma
05:38 26 Feb 25
Thanks a lot Doctor for helping me in my tratment. Now i am feeling much better!!

Thanks for all your support
Rajesh Sachdeva
03:59 26 Feb 25
Very good experience with the doctor.
he was empathetic for my pain and helped it get away by giving right medicines
shalini goel
05:39 23 Feb 25
Like
I recommend this doctor!
Before 4 months i dignosed with Fissure , i visited many doctors and hospital everywhere i get same solution thats A surgery but mentally i not prepared for this.

Finally i find Piles to smile ( Dr. Ravindra ) from Google. and i visited there. Dr Ravindra is a good , humble and experienced Doctor and he have magical treatment. After regular medication of 2 months i m perfectly fine. i feel like i was never suffered with the same.

i recommed to Piles to smiles for all piles related issues.

Thanks Piles to Smile..

Thanks Dr Ravindra. 🙂
Gajendra Singh
02:20 16 Feb 25
Good experience ,Dr Ravinder sharma is very expert in handling anorectal problems,he is having good knowledge ,clinic is very clean and neat,thanks a lot sir...
Ambrish
18:37 14 Feb 25
"I had an excellent experience at Piles To Smiles Ayurvedic Clinic. Dr. Ravinder sir is highly knowledgeable and provide effective Ayurvedic treatment with a personalized approach. The staff is friendly, and the clinic maintains great hygiene. My health has improved significantly after following their treatment plan. Highly recommended for anyone looking for natural and holistic healing!"
Narendra Teotia
08:01 11 Feb 25
Very good experience
R.K. Sharma
15:35 04 Feb 25
Very good experience, Dr. Ravinderji is so humble and experienced.
Thanks and regards
Pawan Seth
12:55 03 Feb 25
I lost my hope of recovery without operation. But after getting treatment from piles to smile I am OK now. Dr ravinder sharma is very friendly and polite to there patient. Thanks to dr ravinder sharma ji
Preeti Sehrawat
07:06 29 Jan 25
Professional environment. I felt very looked after and comfortable. I was given all necessary information and had a good experience. Proper hygiene was also maintained.
VIKASH SHARMA
15:03 26 Jan 25
Dr. Ravindra is an exceptional doctor who truly cares about their patients. He is knowledgeable, patient, and take the time to explain everything clearly. The staff is friendly, and the overall experience was seamless. Highly recommend for anyone seeking excellent care!"
sucharit narang
11:41 26 Jan 25
Had consulted with Dr. Ravinder, we were initially very apprehensive of Ayurveda and the doctor. But the doctor was very patient, helpful and our problem was solved by him.
When most of the hospitals had suggested surgery, He gave us time and explained us things very patiently. Highly recommended the clinic and dr Ravinder in particular. Such doctors are God send.

Thank you so much from the bottom of our hearts.
roshan kumar
08:49 19 Jan 25
"I had a great experience at Piles to Smiles Clinic. The doctor ravinder sharma was very professional, knowledgeable, and made me feel comfortable throughout the treatment. Highly recommend this clinic for anyone seeking expert care!"
Neha rathor
05:19 19 Jan 25
Dr Ravinder is very expert in handling haemorrhoids problem with perfect ayurvedic treatment,he listens the patient problem well,and provide effective treatment for the same,I m very satisfied after his treatment and well recovered,clinic hygiene is excellent,will suggest to all those who are suffering from such problem👍
sameer subba
02:47 11 Jan 25
I am from Darjeeling and I got cured from Piles to Smile.
I always used to ask Dr.Ravinder Sir when I get a smile on my face he replies soon you will get it…
Now I am fully cured and thanks to Dr. Ravinder and his team.
I am very Lucky and fortunate that I got Dr. Ravinder for my treatment. He is very soft spoken and he understand the feelings of patient…
Thanks to Dr. Ravinder Sir and Team
ajay Kumar
06:35 10 Jan 25
Must visit piles to smiles for haemorrhoids problem,,good ayurvedic treatment and painless with 💯 percent recovery,thanks a lot sir🙏😊
Jagdish Kumar
06:32 10 Jan 25
I m giving 5 star rating according to my experience with Dr. Ravinder Sharma,he is very expert in handling fistula ,got treated well and satisfied 😊
Gora devi
08:08 09 Jan 25
Good one, satisfied with the ayurvedic treatment of piles,the treatment by the docter defines the name of the clinic i .e.piles to smiles ☺️thanks a lot sir🙏(Dr Ravinder Sharma)..
Very good experience.
Am very satisfied.
Piles smile is good for treatment of piles.
jagmati vats
11:58 29 Dec 24
Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.
Kullu Noel
09:47 22 Dec 24
Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄
Alka Bisht Bisht
08:48 22 Dec 24
Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.
med Jayant
09:02 18 Dec 24
Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.
Kiran Grover
06:05 13 Dec 24
One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏
Mandy Sandhu
17:40 29 Nov 24
Highly impressed by the service received by the doctor and the staff at Piles to Smiles.
An absolute fabulous treatment with reasonable price.
I recommend people to visit Piles to Smiles clinic for an efficient treatment.
Devdutt Dev
07:20 26 Nov 24
Best place for fistula treatment...
Md Shamim Ansari
14:18 25 Nov 24
Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.
Komal Tanwar
18:41 17 Nov 24
i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.
Nikita Verma
17:51 06 Nov 24
I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️
Akash Chaubey
15:32 05 Nov 24
My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...
deepika singh
14:04 22 Oct 24
Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...
Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.
Monika
12:43 16 Oct 24
I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.
Ravi Lagga
08:27 12 Oct 24
There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.
Lalita Bhandari
13:27 07 Oct 24
My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.
He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.

Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏

I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏

I will give him five star for this treatment.
mahipal kathayat
13:40 27 Sep 24
PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir
Who Yogisingla
01:14 25 Sep 24
Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.
I’ll highly recommend.
Rameshwari Singh
01:59 20 Sep 24
Good experience,best docter for painless ayurvedic treatment for piles....
Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....
Shashi Devi
12:08 09 Sep 24
Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏
Priya Vats
18:01 28 Jul 24
A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...
Amarjeet Cagten
03:57 25 Jul 24
"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"
Nidhi Bhardwaj
07:02 19 Jul 24
I would definitely
recommend this hospital to
family and friends!
One of my friend had taken treatment for fistula and he’s satisfied and happy with the treatment now!
All reward goes to Dr.Ravinder & It's a
beautiful environment, very
nice and clean. The
community needs this
service.
Thank you for all you do!
Yogeeta Kadian
06:37 30 Jun 24
Dr. Ravinder is an experienced doctor. He understands the problem well and provides right solutions to cure people's suffering from intense pain. His expertise has been very helpful for my mother. I have referred him to my relatives and friends and all of them were also treated well. Apart from his expertise as doctor he is very soft spoken and kind person.
creative songs
05:23 29 May 24
I got my previous treatment done somewhere,but was not having good experience. Then I decided to visit piles to smiles,Dr Ravinder is very incredible,He explains everything in clear manner,he treated me well,best experience, will recommend to visit here for best ayurvedaic treatment for fissures...

Piles To Smiles: Pain-Free Treatment for Piles, Fissures, & Fistulas in South Delhi

Experience cutting-edge anorectal care at Piles To Smiles, South Delhi’s premier proctology clinic. Founded by Dr. Ravinder Sharma, we specialize in treating a wide range of conditions, including piles (hemorrhoids), fissures, fistulas, pilonidal sinus, and prolapse rectum. Our focus lies in providing the safest and most effective treatment options, minimizing the need for invasive surgeries and prioritizing patient comfort.

 

Ksharsutra Therapy for Anorectal Problems: Find Lasting Relief

At Piles To Smiles, we offer safe and effective treatments for hemorrhoids, fissures, Pilonidal sinus, fistula-in-ano, and other anorectal conditions, all designed to minimize side effects like post-operative stool incontinence or fistula recurrence. Our expertise lies in Ksharsutra therapy, an ancient Ayurvedic technique that provides effective treatment for anorectal disorders with minimal pain and discomfort. Experience reliable and affordable treatment for your anorectal concerns at South Delhi’s leading proctology clinic.

Experience Pain-Free Relief: Why Choose Piles To Smiles in South Delhi

Piles To Smiles: Your Trusted Partner for Anorectal Health in Vasant Kunj, South Delhi

At Piles To Smiles, we’re not just a proctology clinic; we’re your path to a life free from anorectal discomfort. As a leading specialist in South Delhi, we prioritize personalized care and cutting-edge treatments to deliver exceptional outcomes for our patients.

Why Choose Piles To Smiles?

  • Minimally Invasive Treatments: Experience the latest advancements in proctology, including non-surgical and minimally invasive procedures for a faster recovery and minimal discomfort.
  • Skilled & Experienced Specialists: Our team of highly qualified proctologists brings years of expertise and a compassionate approach to every patient.
  • Traditional Ksharsutra Treatment: Benefit from the proven effectiveness of traditional Ksharsutra treatment, a safe and effective option for various anorectal conditions.
  • Customized Treatment Plans: We understand that every patient is unique. Our personalized treatment plans are tailored to your specific needs and medical history.
  • Quick Recovery & Minimal Downtime: Get back to your daily routine quickly with our minimally invasive procedures and focus on healing and recovery.
  • Improved Quality of Life: Say goodbye to discomfort and regain confidence in your daily activities.
  • Affordable & Accessible Care: We offer competitive pricing and flexible payment options to make quality proctology care accessible to all.

Experience the Piles To Smiles Difference

  • Unmatched Patient Care: Our dedicated team provides compassionate and supportive care throughout your entire treatment journey.
  • Comfortable & Discreet Setting: Our clinic offers a comfortable and discreet environment where you can feel at ease discussing your concerns.

Don’t Suffer Any Longer. Schedule Your Consultation Today!

Contact us to schedule a consultation with one of our expert proctologists. We’re here to help you find the best solution for your anorectal health needs.

Conclusion

Finding the right proctologist in South Delhi is crucial for successful treatment of anorectal conditions. Prioritize expertise in your specific condition, review patient testimonials, assess the clinic’s infrastructure, and consider the doctor’s communication style. A proctologist specializes in diagnosing and treating conditions of the lower digestive tract, including hemorrhoids, fissures, fistulas, and colorectal cancer. They offer a range of services, from non-surgical treatments like medication and lifestyle changes to surgical procedures like minimally invasive surgeries.

Dr. Ravinder Sharma, founder of Piles To Smiles, is a renowned proctologist specializing in both non-surgical and minimally invasive surgical treatments. He is a leading expert in Ayurvedic proctology, offering effective and pain-free treatments like Kshara Karma and Ksharsutra. Consult a proctologist immediately if you experience anal or rectal pain, bleeding, swelling, or changes in bowel habits. Early diagnosis and treatment can significantly improve your quality of life and prevent complications.

Piles To Smiles offers cutting-edge anorectal care in Vasant Kunj – South Delhi, specializing in treating piles, fissures, fistulas, and pilonidal sinus. We prioritize minimally invasive treatments, skilled specialists, and traditional Ksharsutra therapy. Our focus is on providing personalized care, quick recovery, and improved quality of life for our patients. Experience the Piles To Smiles difference with compassionate care, a comfortable setting, and affordable treatment options. Schedule your consultation today and take the first step towards a life free from anorectal discomfort.

Categories
Fissure Fistula Piles Pilonidal Sinus

Why Choose Ayurveda For AnoRectal Problems?

Ayurveda: The Ancient Science of Healing

Ayurveda, an ancient Indian system of medicine, is a holistic approach to health and well-being that has been practiced for thousands of years. It emphasizes the interconnectedness of the mind, body, and spirit, and aims to balance these elements to achieve optimal health.

Ayurveda offers a holistic approach to treating anorectal disorders. By addressing the root cause of the problem rather than just the symptoms, Ayurveda can provide long-lasting relief and improved overall health.

Here are some compelling reasons why Ayurveda is a preferred choice for treating anorectal health problems:

  • A Holistic Approach to Healing

    Unlike conventional medicine, which often focuses on treating symptoms, Ayurveda delves deeper to address the root cause of the problem. Considering your unique constitution, lifestyle, and diet, Ayurvedic practitioners can tailor a personalized treatment plan to restore balance and harmony within your body.

  • Minimal Side Effects

    या हि उदीरणं शमयति नान्यं व्याधिं करोति च |

    सा क्रिया; न तु या व्याधिं हरति अन्यं उदीरयेत् ||

     i.e. The ideal treatment is one that does not cause any complications while treating a disease, not one that results in another disease while treating one. 

    – सुश्रुत संहिता (Sushruta Samhita)

    This philosophy ensures that Ayurvedic treatments, particularly for anorectal conditions, are minimally invasive and have fewer side effects compared to conventional surgical procedures. This makes them a safer and more gentle option for many individuals seeking relief from these conditions.

  • High Success Rate

    Ksharsutra therapy, a time-tested Ayurvedic technique, has demonstrated exceptional efficacy in treating fistula-in-ano, boasting an impressive success rate of approximately 96.77%. This traditional approach offers a reliable and effective solution for this common anorectal condition.

  • A Hospital-Free Approach: The Ayurvedic Advantage

    One key benefit of Ayurvedic treatment for anorectal problems is the minimal need for hospitalization. Many procedures, such as Kshar karma and Ksharsutra treatment, can be performed as outpatient procedures, reducing the burden of extended hospital stays. This makes Ayurvedic treatment a convenient and less stressful option for patients.

  • Ayurveda: A Natural Approach to Anorectal Health

    Ayurveda emphasizes using natural remedies, including herbs, minerals, and healing oils. By avoiding harsh chemicals and synthetic drugs, Ayurvedic treatments minimize the risk of adverse reactions and promote long-term health.

  • Long-Term Benefits

    Ayurveda goes beyond treating the immediate symptoms of anorectal problems. It focuses on preventive measures and lifestyle modifications to enhance overall well-being and reduce the risk of recurring issues. By adopting Ayurvedic principles, you can cultivate a healthier lifestyle and improve your digestive health.

  • Personalized Care for Anorectal Health

    Ayurvedic practitioners take a holistic approach to healthcare, tailoring treatment plans to the individual’s unique needs. In the case of anorectal issues, this personalized care might involve a combination of:

    • Herbal Remedies: Targeted herbal formulations to soothe inflammation, reduce pain, and promote healing.
    • Dietary Modifications: Dietary recommendations to optimize digestion, reduce constipation, and support overall gut health.
    • Lifestyle Changes: Lifestyle adjustments, such as stress management techniques and regular exercise, to improve overall well-being.
    • Yoga and Meditation: Specific yoga practices, like Mulabandhasana and Ardha Matsyendrasana, can strengthen the pelvic floor muscles, improve digestion, and alleviate symptoms.
  • Minimal Disruption to Daily Life

    One of the significant advantages of Ayurvedic treatment for anorectal problems is the minimal requirement for bed rest. In most cases, patients can continue their daily routines without significant interruption, making it a convenient and patient-friendly approach.

  • Cost-Effective and Accessible Care

    Ayurvedic treatments, particularly Ksharsutra therapy, are often more affordable than conventional medical treatments. This makes them an accessible option for many people, regardless of their socioeconomic background. Unlike conventional treatments that may involve expensive surgeries and medications, Ayurveda offers a cost-effective solution without compromising efficacy.

If you’re struggling with anorectal issues, consider exploring the benefits of Ayurvedic treatment. Combining ancient wisdom with modern scientific knowledge, Ayurveda can provide a safe, effective, and natural solution to your health concerns.

Categories
Fistula

Top 10 treatments for Fistula-in-Ano

Fistula-in-Ano: Understanding the Condition

A Fistula-in-Ano is an abnormal tunnel that forms between the anal canal and the skin around the anus. This inflammatory tract is lined with unhealthy tissue and can cause significant discomfort, including pain, swelling, and drainage.

Over the years, various treatment options have been explored to address Fistula-in-Ano, each with varying degrees of success.

Seton Treatment for Fistula-in-Ano: A Closer Look

Seton treatment is a surgical technique used to manage fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves inserting a non-absorbable thread, typically made of nylon or silk, into the fistula tract.

How Seton Treatment Works:

  • Draining the Fistula: The primary purpose of the seton is to keep the fistula tract open, allowing for drainage of pus and reducing inflammation.
  • Promoting Healing: In some cases, the seton is gradually tightened over time to cut through the tissue of the fistula tract, stimulating healing.

Advantages of Seton Treatment:

  • Effective Drainage: Seton treatment is highly effective in draining the fistula, reducing pain, and preventing abscess formation.
  • Minimal Discomfort: The procedure is relatively painless and can be performed under local anesthesia.

Disadvantages of Seton Treatment:

  • Limited Success Rate:
    • 100% persistence of fistula in seton treatments when it is a draining seton[1].
    • One of the key limitations of seton treatment lies in its mechanism of action. The process of cutting the seton relies on tissue necrosis, which is the death of tissue. This approach, however, does not effectively debride or remove unhealthy tissue from the fistula tract. As a result, the success rate of seton treatment can be quite low, with approximately 20% of cases experiencing failure[2].
  • Risk of Incontinence: There is a risk of fecal incontinence, especially with long-term seton placement – about 30%[2]

Fistulotomy and Lay-Open Technique: A Surgical Approach to Fistula-in-Ano

Fistulotomy and lay-open technique is a surgical procedure used to treat fistula-in-ano. It involves cutting open the fistula tract to allow it to heal naturally.

How Fistulotomy and lay-open technique Works:

  1. Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
  2. Incision: The surgeon makes an incision along the fistula tract, cutting through the overlying tissue.
  3. Laying-Open the Fistula: The fistula tract is opened, creating an open wound.
  4. Healing Process: The wound is left open to heal naturally, often with packing or drainage tubes.

Advantages of Fistulotomy and Lay-Open Technique:

  • Effective for Simple Fistulas: This technique is suitable for simple, low-risk fistulas.
  • Quick Procedure: It’s a relatively quick surgical procedure.

Disadvantages of Fistulotomy and Lay-Open Technique:

  • Risk of Incontinence: One significant drawback of the Fistulotomy and Lay-Open Technique is the risk of fecal incontinence, which can range from partial to complete loss of bowel control. Approximately 25-35% of patients who undergo Fistulotomy and Lay-Open Technique may experience this side effect, especially for fistulas that involve the anal sphincter.[3]

Fistulectomy with Primary Sphincter Reconstruction: A Surgical Solution for Fistula-in-Ano

Fistulectomy with primary sphincter reconstruction is a surgical procedure used to treat fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves removing the abnormal fistula tract and repairing the damaged anal sphincter muscles.

How Fistulectomy with primary sphincter reconstruction Works:

  1. Incision: A surgical incision is made from the internal opening of the fistula to the anal verge.
  2. Excision of Fistula Tract: The abnormal fistula tract is carefully removed, ensuring complete excision.
  3. Sphincter Repair: The damaged anal sphincter muscles are repaired to minimize the risk of fecal incontinence.

Advantages of Fistulectomy with Primary Sphincter Reconstruction:

  • Minimal Discomfort: Post-operative pain is generally mild and can be managed with medication.
  • Rapid Recovery: Patients can usually resume normal activities within a few weeks.
  • Low Risk of Recurrence: This technique has a relatively low recurrence rate.

Disadvantages of Fistulectomy with Primary Sphincter Reconstruction:

  • Risk of Incontinence: Studies have shown that approximately 23% of patients who undergo seton treatment may experience some degree of incontinence.[1]

Fibrin Sealant Treatment for Fistula-in-Ano

Fibrin sealant is a minimally invasive technique for treating fistula-in-ano. It involves injecting a biological adhesive into the fistula tract to seal it off.

How Fibrin Sealant Treatment Works:

  1. Debridement: The fistula tract is cleaned to remove infected tissue.
  2. Injection: A fibrin sealant, that promotes blood clotting, is injected into the fistula’s internal opening.
  3. Clot Formation: The sealant forms a clot, sealing off the fistula tract.

Pros of Fibrin Sealant Treatment:

  • Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
  • Quick Recovery: Patients typically experience a faster recovery time with minimal discomfort.
  • Low Risk of Incontinence: This technique preserves the anal sphincter muscles, reducing the risk of fecal incontinence.
  • No Need for Antibiotics: Antibiotics are usually not required, minimizing the risk of antibiotic resistance.

Cons of Fibrin Sealant Treatment:

  • High Recurrence Rate: Studies have shown a significant recurrence rate of around 36.95%, indicating that the fistula may reoccur after treatment.[4]
  • Lower Long-Term Success Rate: The long-term overall success rate of fibrin sealant treatment is approximately 63.04%.[4]

Fistula Plug Treatment: A Minimally Invasive Approach

Fistula plug treatment is a minimally invasive technique for treating fistula-in-ano. It involves inserting a plug into the fistula tract to promote healing.

How Fistula Plug Treatment Works:

  1. Identification of the Fistula Tract: The fistula tract is identified using a probe.
  2. Insertion of the Plug: The plug is inserted into the tract and secured.
  3. Healing Process: The plug stimulates the body’s natural healing process, leading to the closure of the fistula.

Pros of Fistula Plug Treatment:

  • Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
  • Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
  • Quick Recovery: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of Fistula Plug Treatment:

  • Variable Success Rates: The success rate of fistula plug treatment can vary, with some studies reporting success rates between 24% and 88%[5].

Advancement Flap: A Surgical Option for Fistula-in-Ano

Advancement flap is a surgical technique used to treat fistula-in-ano. It involves creating a flap of tissue from the rectal lining or the skin and advancing it to cover the fistula tract.

How Advancement Flap for Fistula Works:

  1. Identification of the Fistula Tract: The fistula tract is carefully identified and probed.
  2. Creation of the Flap: Depending on the specific technique, a flap of tissue is raised from the rectal lining or the skin.
  3. Advancement of the Flap: The flap is advanced to cover the fistula’s internal opening.
  4. Closure of the Flap: The flap is sutured in place to promote healing.

Types of Advancement Flaps:

  • Endorectal Advancement Flap: A flap of tissue is raised from the rectal lining.
  • Dermal Advancement Flap: A flap of skin is raised and advanced to cover the fistula tract.

Pros of Advancement Flap:

  • Effective in Complex Cases: This technique can be useful in complex cases, such as fistula with Crohn’s disease or rectovaginal fistulas.
  • Minimal Disruption of Anal Sphincter: The procedure avoids cutting the sphincter muscles, reducing the risk of incontinence.

Cons of Advancement Flap:

  • High Recurrence Rate: The recurrence rate of fistula-in-ano after advancement flap surgery can be significant, ranging from 30% to 50%[1] .
  • Technical Difficulty: The procedure requires advanced surgical skills and can be challenging to perform.

Ligation of Intersphincteric Fistula Tract (LIFT)

LIFT is a minimally invasive surgical technique used to treat fistula-in-ano, particularly for intersphincteric fistulas.

How LIFT Works:

  1. Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
  2. Dissection: A groove is created between the internal and external sphincter muscles to expose the fistula tract.
  3. Ligation: The fistula tract is ligated (tied off) above and below.
  4. Division of the Tract: If the fistula tract is long, a portion of it may be excised.
  5. Wound Closure: The wound is closed loosely to allow for drainage.

Advantages of LIFT:

  • Minimally Invasive: LIFT is a less invasive procedure compared to traditional techniques, leading to faster recovery.
  • Lower Risk of Incontinence: By avoiding division of the sphincter muscles, LIFT reduces the risk of fecal incontinence.

Cons of LIFT:

  • High recurrence Rates: LIFT has shown promising results, with success rates ranging from 57%[6] to 76.5%[5]. That means fistula recurrence is observed in 23.5% to 43% of cases after LIFT treatment.

Video-Assisted Anal Fistula Treatment (VAAFT): A Minimally Invasive Approach

Video-Assisted Anal Fistula Treatment (VAAFT) is a minimally invasive procedure that uses advanced imaging techniques to visualize and treat fistula-in-ano.

How VAAFT Works:

  1. Visualization of the Fistula Tract: A tiny camera is inserted into the fistula tract, allowing the surgeon to visualize the internal anatomy directly.
  2. Cleaning the Tract: Any debris or infection is removed from the fistula tract.
  3. Closing the Internal Opening: The fistula’s internal opening is closed using specialized techniques, such as laser therapy or suture.

Advantages of VAAFT:

  • Minimally Invasive: VAAFT is a minimally invasive procedure, causing minimal discomfort and a shorter recovery time.
  • Accurate Diagnosis: The use of a camera allows for precise diagnosis, identification of secondary tracts, and assessment of the fistula’s complexity.
  • Reduced Risk of Incontinence: By preserving the anal sphincter muscles, VAAFT minimizes the risk of fecal incontinence.

Disadvantages of VAAFT:

  • Higher Cost: VAAFT can be more expensive than traditional surgical techniques.
  • Limited Success Rate: The overall success rate is reported to be around 73.5%[5] .

Fistula Laser Closure (FiLaC): A Minimally Invasive Approach

Fistula Laser Closure (FiLaC) is a minimally invasive technique that uses laser energy to treat fistula-in-ano.

How FiLaC Works:

  1. Identification of the Fistula Tract: The fistula tract is identified using a probe.
  2. Laser Fiber Insertion: A laser fiber is inserted into the fistula tract.
  3. Laser Energy Delivery: Laser energy is delivered through the fiber to the fistula walls, causing tissue shrinkage and closure.

Pros of FiLaC:

  • Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
  • Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
  • Quick Recovery Time: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of FiLaC:

  • Lower Success Rate: The overall success rate of FiLaC is around 81%, which can decrease to 71% in patients with Crohn’s disease[5] .
  • Cost: The procedure can be relatively expensive.
  • Less Effective in Complex Cases: FiLaC may be less effective in complex fistula cases, such as those associated with Crohn’s disease.

Ksharsutra Treatment: A Traditional Approach to Fistula-in-Ano

Ksharsutra treatment is an ancient Ayurvedic technique for treating fistula-in-ano. It involves putting a medicated thread, known as Ksharsutra, into the fistula tract.

How Ksharsutra Treatment Works:

  1. Identification of the Fistula Tract: The fistula tract is carefully mapped using a probe or advanced imaging techniques such as an MRI fistulogram.
  2. Insertion of the Ksharsutra: A specially prepared medicated thread is inserted into the fistula tract.
  3. Gradual Healing: The Ksharsutra gradually dissolves, promoting healing from within the fistula tract.
  4. Regular Replacement: The Ksharsutra is replaced periodically until the fistula is completely healed.

Pros of Ksharsutra Treatment:

  • High Success Rate: Ksharsutra treatment has proven highly effective in treating fistula-in-ano, with a remarkable success rate of around 96.77%[7].
  • Minimal Risk of Incontinence: This technique is less likely to cause incontinence, a common complication of other surgical procedures.
  • Minimal Invasive: Ksharsutra treatment offers a minimally invasive and holistic solution, addressing underlying imbalances and promoting overall well-being.

Cons of Ksharsutra Treatment:

  • Time-Consuming: The treatment process can be time-consuming, requiring regular visits to the healthcare provider.
  1. Seyfried S, Bussen D, Joos A, Galata C, Weiss C, Herold A. Fistulectomy with primary sphincter reconstruction. Int J Colorectal Dis. 2018 Jul;33(7):911-918. doi: 10.1007/s00384-018-3042-6. Epub 2018 Apr 12. PMID: 29651553.
  2. https://www.medscape.com/answers/190234-82310/what-is-the-efficacy-of-seton-placement-for-the-treatment-of-fistula-in-ano-anal-fistula
  3. https://link.springer.com/chapter/10.1007/978-1-4614-9014-2_9
  4. Maralcan G, Başkonuş I, Gökalp A, Borazan E, Balk A. Long-term results in the treatment of fistula-in-ano with fibrin glue: a prospective study. J Korean Surg Soc. 2011;81(3):169-175. doi:10.4174/jkss.2011.81.3.169
  5. Limura E, Giordano P. Modern management of anal fistula. World J Gastroenterol. 2015;21(1):12-20. doi:10.3748/wjg.v21.i1.12
  6. Bleier JI, Moloo H, Goldberg SM. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas. Dis Colon Rectum. 2010 Jan;53(1):43-6. doi: 10.1007/DCR.0b013e3181bb869f. PMID: 20010349.
  7. Dr., P.S., & Prof., M.S. (2010). Efficacy of Kshar Sutra (medicated seton) therapy in the management of Fistula-in-Ano. World Journal of Colorectal surgery, 2, 6.
Categories
Fistula

Ksharsutra Treatment for Fistula- What you need to Know?

Ksharsutra Treatment: A Natural Approach to Fistula-in-Ano

Ksharsutra is an ancient Ayurvedic technique that involves using a medicated thread to treat various ailments, including fistula-in-ano. The term “Ksharsutra” is a combination of two Sanskrit words:

  • Kshar: An alkaline substance derived from specific plants.
  • Sutra: Thread

In the context of fistula-in-ano, a Ksharsutra is a specialized thread impregnated with medicinal substances. This thread is carefully inserted into the fistula tract, where it gradually dissolves the infected tissue and promotes healing.

This minimally invasive procedure offers a natural and effective solution for fistula-in-ano, reducing the need for surgical intervention and associated complications.

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

A landmark 1991 study by the Indian Council of Medical Research (ICMR), involving leading institutions such as AIIMS New Delhi and PGIMER Chandigarh, demonstrated the superior efficacy and convenience of Ksharsutra treatment over conventional surgical approaches for anal fistula. This time-honored Ayurvedic technique provides a gentle yet powerful solution for this challenging condition.

The Preparation of Ksharsutra: A Rigorous Process

Ksharsutra, a traditional Ayurvedic remedy, requires a precise and standardized preparation process to ensure its efficacy. The following steps outline the meticulous preparation of this therapeutic tool:

Key Ingredients:

  • Apamarga Kshar: An alkaline substance derived from the ashes of Achyranthus aspera.
  • Snuhi Ksheer: Latex extracted from the Euphorbia nerrifolia plant.
  • Haridra: Turmeric powder.

Preparation Process:

  1. Initial Coating: The thread is repeatedly coated with Snuhi Ksheer, typically 11 times.
  2. Medicinal Coatings: Subsequent layers involve a combination of Snuhi Ksheer and Apamarga Kshar, applied 7 times.
  3. Final Coatings: The final three layers consist of a mixture of Snuhi Ksheer and Haridra.

Sterilization:

To maintain sterility and prevent infection, the prepared Ksharsutra is sterilized using ultraviolet radiation.

Modern Preparation Techniques:

In contemporary times, Ksharsutra preparation often involves specialized cabinets equipped with facilities for hanging, heating, and ultraviolet sterilization. This ensures standardized quality and consistency.

By adhering to this rigorous preparation process, Ksharsutra is produced with optimal therapeutic properties, making it a valuable tool in traditional Ayurvedic medicine.

A Timeless Remedy: The Ancient Origins of Ksharsutra

The roots of Ksharsutra treatment for fistula-in-ano can be traced back to ancient Ayurvedic texts. Acharya Sushruta, a renowned Ayurvedic physician, extensively described Ksharsutra in his seminal work, the Sushruta Samhita, around 500 BC. He recognized its efficacy in treating various conditions, including fistula-in-ano, hemorrhoids, and sinus tracts.

While Acharya Charaka, another prominent Ayurvedic physician, also mentioned Ksharsutra, it was Acharya Chakradutta who provided detailed insights into its preparation and application.

In recent times, Dr. Deshpande from Banaras Hindu University (BHU) has made significant contributions to the standardization of Ksharsutra preparation. His research has led to a validated and approved method by the Central Council for Research in Ayurvedic Sciences (CCRAS). This standardization ensures the efficacy and safety of Ksharsutra treatment.

The Ksharsutra Treatment Process: A Step-by-Step Guide

The Ksharsutra treatment for fistula-in-ano involves a precise procedure:

  1. Diagnosis and Assessment:

    • A qualified healthcare provider will carefully examine the fistula tract, determining its depth, direction, and any branching patterns.
    • In complex cases, an MRI fistulogram may be recommended for a more detailed assessment.
  2. Ksharsutra Insertion:

    • The Ksharsutra, a medicated thread, is carefully attached to a probe.
    • The probe is inserted into the external opening of the fistula tract and gently advanced towards the internal opening.
    • As the probe is withdrawn, the Ksharsutra is placed within the fistula tract.
  3. Healing Process:

    • The medicinal properties of the Ksharsutra gradually dissolve the infected tissue lining the fistula tract.
    • This promotes healing and closure of the fistula.
  4. Regular Replacement:

    • The Ksharsutra is typically replaced every 7-10 days.
    • The frequency of replacement depends on the severity of the fistula and the individual’s healing response.

By following this precise procedure, Ksharsutra treatment offers a natural and effective approach to healing fistula-in-ano.

Healing Timeline for Ksharsutra Treatment

The duration of Ksharsutra treatment for fistula-in-ano can vary depending on several factors, including:

  • Severity of the Fistula: The length, depth, and complexity of the fistula tract influence the healing time.
  • Individual Response to Treatment: Each individual’s healing rate may vary.

Generally, it’s observed that the fistula heals at a rate of 0.5 to 1 cm per Ksharsutra change. For instance, a 3 cm long fistula tract may require 4-6 Ksharsutra changes, typically spaced a week apart.

It’s important to note that these are approximate estimates, and actual healing times may vary. Regular follow-ups with a healthcare provider will help monitor the healing progress and adjust the treatment plan as needed.

Are There Any Contraindications for Ksharsutra Treatment?

While describing Ksharsutra treatment; Acharya Sushruta says:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29)

Acharya Sushruta, a renowned Ayurvedic physician, recognized the value of Ksharsutra, particularly in treating patients who may not be suitable for surgical intervention. He emphasized its suitability for individuals who are:

  • Emaciated: Those who are physically weakened or underweight.
  • Weak: Patients with general physical debility.
  • Fearful or Timid: Individuals who experience anxiety or fear related to surgical procedures.
  • Those with Fistulas in Sensitive Areas: Patients with fistulas located in delicate or sensitive areas.

In such cases, Ksharsutra offers a less invasive and more patient-friendly approach to treatment. Its gentle action and minimal tissue damage make it a preferred choice for these vulnerable patient groups. So generally speaking Ksharsutra Treatment for Fistula is a safe treatment option without any contraindications. 

Managing Discomfort During Ksharsutra Treatment

While Ksharsutra treatment is generally well-tolerated, some patients may experience mild discomfort or burning sensations. This is due to the alkaline nature of the medicinal substances used in the Ksharsutra thread.

To manage this discomfort, several strategies can be employed:

  • Sitz Baths: Regular warm water sitz baths can help soothe the affected area and reduce pain & inflammation.
  • Topical Anesthetics: Applying a topical anesthetic gel, such as lidocaine, can numb the area and relieve discomfort & burning.
  • Pain Relievers: Over-the-counter pain relievers can help alleviate discomfort.

It’s important to consult with your healthcare provider to discuss the best pain management strategies for your specific needs.

During Ksharsutra Treatment: Patient Care

To ensure optimal healing and minimize discomfort, it’s essential to follow these guidelines during Ksharsutra treatment:

  • Maintain Regular Bowel Movements: A healthy bowel regimen is crucial to prevent straining and promote healing.
  • Practice Good Hygiene: Keep the anal area clean and dry to reduce the risk of infection.
  • Sitz Baths: Regular warm water sitz baths can help soothe the area, reduce inflammation, and promote healing.
  • Stay Active: Engaging in moderate physical activity, such as walking, can aid in the healing process and overall well-being.

By following these simple steps, you can optimize your recovery and achieve a successful outcome with Ksharsutra treatment.

The Secret to Ksharsutra’s High Success Rate

One of the key factors contributing to Ksharsutra’s high success rate in treating fistula-in-ano is its ability to effectively target and treat the entire fistula tract. Here’s how:

  • Precise Targeting: Before inserting the Ksharsutra, the healthcare provider carefully identifies the extent and complexity of the fistula tract. This ensures that the medicated thread reaches all affected areas.
  • Medicinal Action: The Ksharsutra releases medicinal substances that gradually dissolve the infected tissue lining the fistula tract. This process, known as debridement, promotes healing and prevents recurrence.
  • Self-Expanding Properties: The Ksharsutra’s medicinal properties allow it to penetrate deeper into the fistula tract, ensuring complete coverage and treatment.
  • Adaptive Healing: If any part of the fistula tract remains untreated, the Ksharsutra’s medicine can often stimulate the formation of a new opening, making it accessible for further treatment.

By combining these factors, Ksharsutra offers a comprehensive and effective approach to treating fistula-in-ano, leading to high success rates and minimal recurrence.

Factors Affecting Healing Time with Ksharsutra

The healing time for fistula-in-ano using Ksharsutra can vary between individuals and even within the same individual. This variation is primarily influenced by:

  • Tissue Consistency: The type of tissue involved in the fistula tract can impact healing time. Softer tissues, such as fatty tissue, tend to heal faster than harder tissues like muscle.
  • Complexity of the Fistula: The length, depth, and branching patterns of the fistula can affect the duration of treatment.
  • Individual Response: Each individual’s healing capacity and response to treatment can vary.

While these factors can influence the healing timeline, Ksharsutra remains a highly effective treatment option with a high success rate. By following the prescribed treatment regimen and maintaining good hygiene, patients can optimize their healing process.

Ksharsutra vs. Surgery: A Comparative Analysis

Ksharsutra treatment offers several advantages over surgical interventions for fistula-in-ano:

Lower Recurrence Rate

  • Ksharsutra: Predictably, Ksharsutra treatment has a significantly lower recurrence rate, often resulting in complete healing without the need for repeat procedures.
  • Surgery: Surgical interventions for fistula-in-ano have a higher risk of recurrence, with approximately 15-20% of cases experiencing a recurrence.

Lower Risk of Complications

  • Reduced Risk of Incontinence: Ksharsutra preserves the anal sphincter muscles, minimizing the risk of fecal incontinence, a common complication of surgical procedures.
  • Lower Infection Risk: The minimally invasive nature of Ksharsutra reduces the risk of post-operative infections.

Minimally Invasive Approach

  • Ksharsutra: As a minimally invasive procedure, Ksharsutra involves smaller incisions and less tissue damage, leading to faster healing and reduced pain.
  • Surgery: Surgical procedures for fistula-in-ano typically involve larger incisions and more extensive tissue manipulation, which can increase the risk of complications and prolong recovery time.

Faster Recovery Time

  • Ksharsutra: Ksharsutra is often an outpatient procedure, allowing patients to return home on the same day. The recovery period is typically shorter, enabling patients to resume normal activities quickly.
  • Surgery: Surgical procedures often require hospitalization and a longer recovery period. Patients may experience limitations in their daily activities for several weeks.

Improved Quality of Life

  • Minimal Discomfort: Ksharsutra typically results in less post-operative pain and discomfort.
  • Faster Return to Normal Activities: Patients can often resume their normal activities sooner after Ksharsutra treatment.

Anesthesia related Complications

  • Surgery: Surgical procedures for fistula-in-ano often require general or spinal anesthesia, which can lead to various side effects, including:

    • Headache
    • Nausea and vomiting
    • Dizziness
    • Temporary memory loss
    • Back pain
  • Ksharsutra: Ksharsutra, on the other hand, typically involves local anesthesia, which is a less invasive and safer approach. Local anesthesia targets the specific treatment area, minimizing the risk of systemic side effects and allowing for a more comfortable procedure.

Cost-Effective Treatment

  • Lower Financial Burden: Ksharsutra is generally more affordable than surgical procedures, making it a cost-effective option for many patients.

By considering these factors, it’s evident that Ksharsutra offers a compelling alternative to surgery for fistula-in-ano, providing a safer, less invasive, and more patient-friendly approach to treatment.

Ksharsutra: A Solution for Recurrent Fistula-in-Ano

Yes, Ksharsutra treatment can be an effective solution for recurrent fistula-in-ano, even after previous surgical interventions.

Ksharsutra’s mechanism of action involves debriding the fistula tract, removing infected tissue, and promoting healing. This process is equally effective in treating recurrent fistulas. By targeting the root cause of the problem, Ksharsutra can help prevent further recurrences.

If you have experienced recurrent fistula-in-ano after surgery, consulting with a qualified healthcare provider to discuss the potential benefits of Ksharsutra treatment can be a valuable step toward finding a lasting solution.

Preserving Sphincter Function: A Key Advantage of Ksharsutra

One of the major concerns with surgical interventions for fistula-in-ano is the potential risk of fecal incontinence. Ksharsutra, however, offers a significant advantage in this regard:

Preservation of Sphincter Muscles:

  • Gradual Tissue Removal: Ksharsutra involves a slow and controlled process of removing infected tissue, minimizing damage to the delicate sphincter muscles.
  • Minimal Disruption: The procedure avoids extensive cutting or excision of tissue, reducing the risk of muscle damage.
  • Encouraging Natural Healing: The body’s natural healing process is stimulated, allowing the sphincter muscles to repair and regain their function.

Additional Factors:

  • Targeted Therapy: Ksharsutra targets the specific fistula tract, minimizing damage to surrounding healthy tissue.
  • Post-Treatment Care: Post-treatment care, including sphincter exercises, can further strengthen the anal sphincter muscles.

By adopting a gentle and precise approach, Ksharsutra significantly reduces the risk of fecal incontinence, offering a safer and more effective treatment option for fistula-in-ano.

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