Coccygeal Fistula Treatment

FiLaC – minimal-invasive Laser therapy

The modern laser procedure FiLaC is a form of therapy carried out in The Beta Klinik. It is straightforward and used in cases of acute infections of the coccygeal fistula. The treatment only takes a few minutes and allows patients to be symptom free in their everyday life within a very short time.

Whilst under anaesthetic, a laser probe is introduced into the infected opening of the fistula right through to the abscess cavity. Only a small incision in the skin is necessary to position the probe as large incisions in the buttocks area are not needed. The low number of cuts is cosmetically attractive and the rapid healing of the wound greatly enhanced. Long periods of lying down and complicated caring of the wound are done away with as the minimally invasive laser therapy allows for absolute precision in the interior of the fistula.

Once the strobe has been placed, the surgeon releases the laser energy which obliterates the infected tissue from the inside. Diseased tissue and remnant hair are destroyed. The probability of fresh infection is extremely rare. While the energy is still activated, the surgeon slowly extracts the flexible probe and at the same time destroys the fistula tract.

The minimal-invasive laser therapy can take place as same day surgery, and is both painless and cosmetically very interesting. There are no unpleasant scars afterwards and the healing period is very quick lasting only a few days.

Pit-Picking according to Bascom

The Pit-Picking method involves the fistula tract being cut in the anal fold. Here, two to three millimetres of the tissue in and around the tract is removed. Through the healing and growing together of the small wound, the fistula tract closes automatically and grows together as normal scar tissue. The previously infected fistula cavity heals and closes after the healing of the drainage canal.

The Pit-Picking according to Bascom takes places under a local anaesthetic and can be carried out as day surgery.

Karydakis Flap Surgery

With Karydakis flap surgery for coccygeal fistula treatment, the patient is under a general anaesthetic. The surgeon removes the diseased tissue in and around the fistula and perform Karydakis flap surgery in order to close the wound. This operation involves the buttocks being flattened and the scar of the wound transposed slightly laterally. This way it can better and more quickly heal. The chances of a new coccygeal fistula forming after this procedure is greatly reduced.