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[av_heading tag='h1′ padding='10' heading='Fistulectomy: Further development of the laser method' colour='custom-color-heading' style='blockquote modern-quote' custom_font='#008dcf' size=" subheading_active='subheading_below' subheading_size='20' custom_class=" admin_preview_bg=" av-desktop-hide=" av-medium-hide=" av-small-hide=" av-mini-hide=" av-medium-font-size-title=" av-small-font-size-title=" av-mini-font-size-title=" av-medium-font-size=" av-small-font-size=" av-mini-font-size="]
Remove coccygeal fistulas effectively and gently
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If the coccygeal fistula is treated with pit-picking or by sclerosing the fistula ducts with the FilaC laser, this produces quite good results, but neither option is the best solution. For this reason, Dr Hofer has further developed the laser method and created a procedure with which a coccygeal fistula can be cured by 90 percent.

Treatment of the coccyx fistula without surgery: peeling of the fistula ducts

Dr Hofer's proctology practice in Munich has many years of experience in the treatment of coccygeal fistula by means of peeling. As with pit-picking, this creates a minimally small wound through which the fistula ducts are completely removed. This procedure offers the great advantage that almost all coccygeal fistulas can be cured.
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Advantages and disadvantages of the treatment

Advantages when stripping the fistulas:

Disadvantages of peeling the fistulas:

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Fistulectomy is an optimal compromise, combining the thoroughness of removal as in flap surgery with the minimal interference in the course of healing as in pit-picking. This method is possible in about 80 per cent of non-pre-operated patients and in about half of patients after pre-operation.
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  1. Cleaning of the fistula tract with pit-picking
  2. Economical removal of the coccyx fistula with a fistulectomy
  3. Removal of the coccyx fistula with flap surgery (after Karydakis)

The procedure requires appropriate experience on the part of the practitioner and particularly fine instruments. We have the necessary experience to perform the procedure as precisely and gently as possible. Make an appointment and let us advise you on fistulectomy at the Proctology Practice Munich.
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