A Journey through Persistence: A Case Study on Treating Chronic Perianal Fistula with Kshara Sutra Application

Abstract

Objective: In this case study, an Ayurvedic medical approach called Kshara Sutra treatment is used to treat a chronic transsphincteric fistula in a 45-year-old male patient after three unsuccessful surgical operations. Methods: The patient has been experiencing peri-anal pain and discharge on and off for six years. An extensive diagnostic examination, which included an MRI fistulogram, revealed a transphincteric fistula with several external openings on the left buttock and one internal hole at 6 o’clock. Following methylene blue infiltration confirmation of the interior orifice, Kshara Sutra herapy was applied. Results: The patient responded well to Kshara Sutra therapy, showing significant improvement in pain and discharge as well as no significant side effects. At the conclusion of the therapeutic time, the fistula was seen to have fully resolved, and the patient has since been symptom-free. Conclusions: This instance highlights the Kshara Sutra therapy’s potential efficacy in treating persistent transphincteric fistulas, especially when other treatments have failed. It is necessary to conduct more study to confirm these conclusions and examine the wider Applications of this therapy for the treatment of fistulas.