Advanced Endoscopic Anorectal Surgery
State-of-the-art diagnostic and surgical care for complex fissure, fistula, and anorectal conditions.
Understanding Anorectal Disorders
Endoscopic anorectal surgery represents the modern frontier of treating conditions affecting the anus and rectum.
Using specialized cameras and instruments, this approach allows for precise diagnosis and management of fistulas, fissures, and polyps, avoiding large incisions and preserving critical muscle function.
Common Causes & Risk Factors
Several factors contribute to this condition. Understanding these risks can aid in prevention and management.
Chronic Constipation
Passing relentlessly hard stools painfully tears the delicate anal lining, forming chronic fissures.
Recurring Abscesses
Deeply infected anal glands create highly pressurized abscesses that rupture, leaving permanent tunnel-like fistulas.
Inflammatory Bowel Disease
Crohn's disease intensely drives severe anorectal inflammation, fostering complex, branching fistulas.
Childbirth Trauma
The immense physical strain of childbirth can significantly damage sphincter muscles and surrounding mucosa.
Identifying the Symptoms
Agonizing Pain
Sharp, tearing, 'glass-like' pain explicitly during and immediately following all bowel movements.
Chronic Discharge
Persistent, often terribly foul-smelling purulent discharge from the anal area hinting at a deep fistula.
Fresh Bleeding
Bright, vivid red blood visibly coating the stool or heavily spotting the toilet bowl.
Recurrent Swelling
Repeated, intensely painful infections forming pressurized, throbbing pockets of pus.
Diagnosis Process
To definitively diagnose Anorectal Disorders and rule out other causes, our clinic utilizes comprehensive testing.
Physical Examination
A compassionate, gentle physical examination to carefully assess external sphincter tone and any visible tearing.
Imaging Tests
An Endorectal Ultrasound utilizes incredibly detailed soundwaves to precisely map deeper sphincter defects.
Laboratory Analysis
An MRI of the pelvis provides a perfect 3D roadmap of complex, branching fistulas prior to surgery.
Our Advanced Treatments
VAAFT (Video-Assisted Anal Fistula Treatment)
Using a remarkably tiny endoscope to visualize a fistula tract internally and instantly destroy it using electrical energy.
Laser Sphincterotomy
A profoundly gentle relief of muscle spasms for fissures using laser energy, heavily protecting bowel control.

Experience
Why Choose Dr. Aloy Mukherjee?
Dr. Aloy Mukherjee is an internationally renowned Senior Consultant Surgeon with an exceptional track record of over 25 years. Specializing in Advanced Minimal Access Surgery, he is a pioneer in Laparoscopic, Bariatric, and Gastrointestinal procedures in India.
His comprehensive approach integrates multidisciplinary expertise to ensure the best possible outcomes, prioritizing rapid recovery and minimal discomfort for every patient.
Read MorePatient Testimonials
Frequently Asked Questions
What are the advantages of endoscopic anorectal procedures?
Techniques like VAAFT or EPSiT view the interior of fistulas or sinus tracts with a tiny camera, allowing the surgeon to destroy the tract from the inside with minimal external cutting.
Is it less painful than traditional surgery?
Yes. Because these procedures avoid large, open surgical wounds in sensitive areas, postoperative pain is drastically reduced compared to traditional open excision.
How soon can I sit comfortably after the procedure?
Unlike traditional surgery that can make sitting painful for weeks, most patients undergoing endoscopic procedures experience minimal discomfort and can sit and walk normally within days.
Is there a risk of incontinence?
Traditional fistula surgeries carry a risk of sphincter muscle damage. Endoscopic sphincter-saving techniques preserve the muscle perfectly, virtually eliminating the risk of incontinence.
Will the fistula or pilonidal sinus recur?
Recurrence is a known risk for these diseases, but advanced endoscopic and laser cleanings offer excellent success rates that match or exceed those of traditional, more painful methods.
Do I need to stay in the hospital?
These procedures are almost always performed as day-care or overnight stay cases, allowing you to recover comfortably in your own home the very next day.
Book Your Appointment
Get expert surgical care. Fill out the form below and we'll get back to you promptly.
Visit Our Clinic
Address
2nd floor, Indraprastha Apollo Hospital, Room No. 1265,
Gate No. 10, Jasola Vihar, New Delhi, Delhi 110076
Contact Information
Phone
+91 9810532834
contact@draloymukherjee.com
Timings
Monday- Saturday: 08:00 AM- 08:00 PM
Sunday: Closed
Emergency: 24/7 Available