
Complex Fistula Surgery
Complex fistulas involve multiple or deep tracts, often near critical areas like the sphincter. Treating them requires advanced surgical methods to ensure complete healing while preserving muscle function. Techniques such as VAAFT (Video-Assisted Anal Fistula Treatment) or laser procedures are commonly used.
At our clinic, we provide expert assessment and personalized surgical plans to manage even the most challenging fistula cases. With a focus on minimizing recurrence and protecting continence, our experienced surgeons deliver safe and effective results tailored to each patient’s condition.
- Same-day discharge
- Quick recovery time
- Painless and bloodless procedure
- No stitches, minimal scarring
Causes
Not eating enough fiber
Not getting enough exercise
Stress
Symtoms
Infrequent Bowel Movements
Loss of Appetite
Lower Back Pain

Treatment
Biofeedback Therapy
A non-invasive, physiotherapy-based treatment designed to help patients regain control over rectal muscles—especially in cases of Obstructed Defecation Syndrome (ODS).
A probe is gently inserted into the rectum to monitor muscle activity, which is displayed on a screen. Under expert guidance, patients are trained to coordinate and strengthen pelvic muscles for smoother, strain-free bowel movements.
Effective for: Chronic constipation due to pelvic floor dysfunction.
STARR Surgery (Stapled Transanal Rectal Resection)
An advanced, minimally invasive procedure for patients with chronic constipation caused by rectal prolapse or ODS.
Under general anesthesia, two circular staplers are used to remove the prolapsed or obstructed section of the rectum, restoring normal rectal anatomy and function.
Invented by Dr. Antonio Longo, this surgery is performed extensively at Healing Hands Clinic, led by Dr. Porwal, offering hope to patients who’ve struggled for years.
Effective for: Structural causes of chronic constipation and rectal prolapse.