Sphincter-preserving treatment in Seattle, Washington
Anal Fistula
An anal fistula is a small tunnel that forms between the anal canal and the skin, often after an abscess. It won't heal on its own and needs surgical treatment.
Signs of an anal fistula
- Persistent drainage
- Pain or swelling near the anus
- Recurrent abscesses
- Bleeding
- Irritation, itching, or odor
- A visible opening or bump that keeps returning
If you've had a "pimple" near the anus that keeps coming back, an underlying fistula tract is often the reason.
How anal fistulas are treated
- Fistulotomy for superficial, simple fistulas, with a high success rate and minimal impact on continence
- Seton placement for deeper or more complex tracts, often as a staged approach
- LIFT, ligation of the intersphincteric fistula tract, for more complex fistulas
- Fistula plug or biologic graft when tissue reinforcement is needed
- FiLaC care for recurrent or previously treated fistulas
Your specific procedure depends on the tract's depth and how much sphincter muscle is involved. Preserving continence is the goal of every option.
Your visit
- A private, judgment-free consultation reviewing your symptoms and history
- A physical exam, usually quick and straightforward
- A definitive treatment plan, so you know exactly what type of fistula you have and which procedure is likely to work
Most patients resume normal activity within a few days of treatment.
What it costs
Fistula treatment can be covered by insurance, depending on your plan. Our billing team reviews your benefits and confirms pricing before your visit.
Performed by Dr. Kratz, in our Seattle office
Dr. Kratz treats complex, recurrent, and previously mismanaged fistulas personally, using sphincter-preserving technique.
Common questions
Will this heal on its own?
Will I lose bowel control?
What if a previous procedure didn't work?
How long is recovery?
Is my visit private?
Connected to your care
Fistulas often follow an abscess.
You don't have to keep living with this.
Call or text for a private consultation and a clear plan.