Kshar Sutra Procedure for Fistula: Benefits, Side Effects, and Cost

Kshar Sutra Procedure for Fistula: Benefits, Side Effects, and Cost

In this article, we will delve into the Kshar Sutra procedure for fistula, exploring its benefits, potential side   effects, and the associated cost. Our aim is to provide you with comprehensive information that outranks other websites and serves as your go-to guide on this topic.

What is Kshar Sutra?

Kshar Sutra is a unique Ayurvedic surgical technique used primarily for the management of anal fistulas. It is an ancient Indian method that involves the use of a specially treated thread (Kshar Sutra) made from plant-based materials. The term “Kshar” refers to alkaline ash, while “Sutra” means thread. The combination of these two elements is the essence of this therapeutic procedure.


The Procedure of Kshar Sutra

Step 1: Selection of Kshar Sutra

The first step in the procedure is the selection of an appropriate thread. The thread is using various herbal medicines (snuhi latex, apamarga kshara and turmeric powder), making it a potent tool to aid in healing.

Step 2: Anesthesia

Before starting the procedure, the patient is given local anesthesia to minimize discomfort during the treatment.

Step 3: Thread Insertion

Next, we gently insert the Kshar Sutra into the external opening of the fistula tract. The surgeon then guides the thread through the entire length of the fistula channel.

Step 4: Daily Dressing

The thread remains in place for a specific period, usually 5-7 days, during which the patient needs to visit the clinic for daily dressing. The surgeon periodically tightens the thread to ensure gradual cutting and healing of the fistula tract.

Step 5: Natural Fistulectomy

As the Kshar Sutra gradually cuts through the fistula tract, allowing for the formation of healthy granulation tissue. This process is natural fistulectomy.

Step 6: Complete Healing

With regular dressing and the natural cutting action of the Kshar Sutra, the fistula heals from the inside out, leading to complete closure.


Benefits of Kshar Sutra

  1. Minimally Invasive: Kshar Sutra is a minimally invasive procedure, meaning it involves smaller incisions and causes less trauma to the surrounding tissues. As a result, patients experience reduced pain and faster recovery compared to traditional surgical techniques.
  2. High Success Rate: The Kshar Sutra technique has shown a high success rate in the treatment of fistulae. Studies have demonstrated that it offers better outcomes and lower recurrence rates compared to certain other treatments.
  3. Lower Recurrence Rates: One of the key benefits of the Kshar Sutra procedure is its ability to reduce the risk of fistula recurrence. The meticulous removal of diseased tissues and the promotion of healthy granulation tissue contribute to better healing and a lower chance of fistula reappearance.
  4. Preservation of Sphincter Function: Unlike some conventional surgical approaches that may impact the anal sphincter, the technique focuses on preserving the sphincter’s integrity. This ensures better bowel control and a lower risk of incontinence issues.
  5. Suitable for Complex Cases: It is effective even in cases of complex and recurrent fistulas that might be challenging to treat with other methods. Its unique mechanism targets the root cause of the fistula, leading to improved outcomes.
  6. Natural Healing: It promotes natural healing, as it encourages the growth of healthy tissues and gradually eliminates the fistula tract without the use of harsh chemicals.
  7. Cost-Effective: In comparison to certain modern surgical interventions, the procedure tends to be more cost-effective, making it a viable option for many patients.

Side Effects of Kshar Sutra

While the procedure is generally safe and well-tolerated, it is essential to be aware of potential side effects. These can include:

  1. Mild Discomfort: Some patients may experience mild discomfort or pain at the site of the treated fistula. We can manage this with over-the-counter pain relievers and subsides as the healing progresses.
  2. Bleeding: It is not uncommon to experience slight bleeding during the thread changes. However, excessive bleeding is rare.
  3. Infection: As with any procedure involving incisions, there is a slight risk of infection. However, strict adherence to post-operative care and regular dressing can significantly reduce this risk.
  4. Allergic Reactions: In rare cases, patients may exhibit allergic reactions to the herbal preparations used in the thread. It is essential to inform the surgeon about any known allergies before undergoing the procedure.


The Cost of Kshar Sutra Procedure

The cost of the procedure can vary. Depending on several factors, including the severity of the fistula, the healthcare facility, and the region. It is important to consult with your healthcare provider or surgeon to get an accurate estimate of the overall cost.

Is Kshar Sutra Procedure Right for You?

Determining the most suitable treatment for a fistula requires a thorough evaluation by a qualified healthcare professional. While the procedure offers numerous benefits, it may not be the best option for everyone. Factors such as the fistula’s location, size, and complexity will be considered to make an informed decision.


The Kshar Sutra procedure for fistula presents a promising alternative to conventional surgical methods. With its minimal invasiveness, lower recurrence rates, and sphincter preservation, it offers several advantages. While there may be mild side effects. The overall risk-benefit profile makes it a viable option for those suffering from anal fistulas.


In conclusion, if you are dealing with a fistula and seeking a holistic approach to treatment, the procedure may be worth exploring. Always prioritize your health and well-being and make informed decisions with the guidance of a knowledgeable medical practitioner.

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