Laser Fistula Treatment
FiLaC — laser fibre ablation of the fistula tract with complete sphincter preservation.
What is Laser Fistula Treatment?
FiLaC (Fistula-tract Laser Closure) uses a radially emitting laser fibre inserted into the fistula tract to ablate the epithelialised lining from within. The laser seals the tract and promotes fibrosis without any cutting of the sphincter muscles.
Dr. Tagore Mohan Grandhi performs FiLaC laser fistula treatment as a day surgery procedure. Complete sphincter preservation makes it suitable for complex transsphincteric fistulas where fistulotomy would risk incontinence.
Suitable for patients with transsphincteric or complex anal fistulas where fistulotomy would risk incontinence due to the amount of sphincter muscle involved.
How the Procedure Works
Internal Opening Closure
Internal fistula opening sutured closed with an absorbable suture to prevent recurrent luminal contamination.
Laser Fibre Insertion
Radially emitting laser fibre introduced through the external opening and advanced to the internal end of the fistula tract.
Laser Ablation
Laser energy delivered as fibre slowly withdrawn, destroying the epithelial lining with controlled thermal energy.
External Opening
External opening curetted and left open as a drainage point to prevent fluid accumulation.
Recovery
Same-day discharge. Review at 6 weeks. Repeatable without additional sphincter risk if fistula persists.
Outcomes
Who Needs This Treatment?
- →No scalpel — laser provides precise bloodless tract ablation without any cutting
- →Complete sphincter preservation — zero incontinence risk
- →Same-day discharge with minimal post-procedure discomfort
- →Repeatable — can be performed again without cumulative sphincter damage
FiLaC laser gives us a sphincter-safe option for complex fistulas. The laser closes the tract from within without a single cut to the sphincter, and if needed, we can repeat it without any additional risk to continence.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Laser Fistula Treatment (FiLaC) Cost in Hyderabad
The cost of Laser Fistula Treatment (FiLaC) in Hyderabad depends on factors such as fistula complexity, tract anatomy, laser treatment requirements, and follow-up care.
For patients requiring a sphincter-sparing approach, the approximate cost of FiLaC ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laser Fistula Treatment (FiLaC) | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, fistula complexity, hospital care, and additional procedures required.
Factors That Influence FiLaC Cost
The overall cost may depend on:
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Fistula complexity: The number and pathway of fistula tracts can influence treatment planning.
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Pre-operative evaluation: Clinical examination and imaging such as MRI fistulogram may contribute to the overall cost.
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Procedure requirements: Laser equipment, anaesthesia, hospital stay, and post-procedure monitoring can affect the final estimate.
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Follow-up care: Monitoring healing, medications, and consultations may influence overall treatment costs.
Is FiLaC Covered by Insurance?
Insurance coverage for Laser Fistula Treatment depends on your policy terms, medical necessity, and insurer approval criteria.
Our insurance support team can assist with checking coverage eligibility and documentation requirements.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will evaluate your fistula condition and determine whether FiLaC is appropriate for your treatment needs. She will explain the procedure, expected outcomes, recovery process, and provide a personalised cost estimate.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.