Are there several different procedures for treating anal fistulas?

Anal Fistulas: Yes. Fistula are treated by evaluation under anesthesia, anoscopy, digital exam and proctoscopy. The first step is to determine the locations of the internal and external openings of the fistula, the amount of sphincter involved, the number of tracts, the association with the urethra or vagina, and drainage of any abscesses.Ttreatements include fistulotomy, advancement flap, and fistula plug.

Yes: Fistulas can be simple to complex and treatment can be from simpe division to requiring multiple procedures in stages. In rare cases stool diversion is also done. Your surgeon should be able to describe what type of repair you need and what to expect postop.