the Cost of Anal Fistula Surgery: What to Expect - Surgery

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Anal fistula


Doctor, may I ask if the cost of anal fistula surgery is high?

Zhan, 20~29 year old female. Ask Date: 2019/10/07

Dr. Ke Fangxu reply Surgery


If you are hospitalized in a National Health Insurance bed and do not use any special out-of-pocket items, the portion you need to pay upon discharge is approximately around two thousand NT dollars.

Reply Date: 2019/10/07

More Info


When considering anal fistula surgery, it's important to understand that the costs can vary significantly based on several factors, including the complexity of the case, the type of surgical procedure performed, the hospital or surgical center's pricing, and whether you have insurance coverage. Generally, the cost of anal fistula surgery can range from a few thousand dollars to over ten thousand dollars, depending on these variables.

Anal fistula surgery is typically performed to treat a fistula, which is an abnormal connection between the anal canal and the skin surrounding the anus. This condition often arises from an infection in the anal glands that leads to the formation of an abscess. The surgery aims to close the fistula and promote healing, which can help alleviate symptoms such as pain, swelling, and discharge.

There are several surgical options for treating anal fistulas, including:
1. Fistulotomy: This is the most common procedure, where the fistula tract is opened and laid flat to heal from the inside out. It is generally effective for simple fistulas and has a lower recurrence rate.

2. Seton placement: In cases where the fistula is complex or involves significant sphincter muscle, a seton (a piece of surgical thread) may be placed to help drain the fistula and promote healing over time. This method may require multiple procedures.

3. Flap procedures: For more complicated fistulas, a flap procedure may be performed, where tissue is moved from another part of the body to cover the fistula.

4. LIFT (Ligation of the Intersphincteric Fistula Tract): This is a newer technique that involves ligating the fistula tract to promote healing while preserving sphincter function.

The choice of procedure will depend on the fistula's characteristics, the patient's overall health, and the surgeon's expertise. It's crucial to have a thorough discussion with your surgeon about the best approach for your specific situation.

In terms of costs, if you have health insurance, it's advisable to contact your insurance provider to understand your coverage for the procedure. Many insurance plans cover a portion of the costs associated with surgery, including pre-operative evaluations, the surgery itself, and post-operative care. However, you may still be responsible for co-pays, deductibles, or out-of-pocket expenses.

If you are uninsured or underinsured, it may be beneficial to discuss payment options with the hospital or surgical center. Some facilities offer payment plans or financial assistance programs to help manage the costs.

Post-surgery, patients can expect some recovery time, which may involve managing pain and following specific care instructions to promote healing. It's essential to attend follow-up appointments to monitor the healing process and address any complications that may arise.

In summary, the cost of anal fistula surgery can vary widely, and it's essential to consider factors such as the type of procedure, hospital fees, and insurance coverage. Discussing these aspects with your healthcare provider will help you gain a clearer understanding of what to expect financially and medically. Always prioritize your health and well-being by seeking timely treatment for anal fistulas, as untreated conditions can lead to more severe complications.

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