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MasaratDr. Mohammed Hatem Alsubaih
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COLorectal Health · Riyadh

VAAFT for anal fistula: what the scope adds

How VAAFT visualises a fistula tract, why the internal opening still matters, and what to ask about recurrence and follow-up.

For education and visit preparation; individual assessment requires a clinical history and examination.

What does VAAFT involve?

Video-assisted anal fistula treatment uses a small scope inside the tract to visualise and treat it. Identifying the tract is one step; the plan for the internal opening remains important.

Does the device suit every fistula?

Selection still depends on the internal opening, branches, collections, prior repairs and continence. Long-term outcome evidence is limited, so a minimally invasive description should not be read as a promise of lasting closure.

Clarify the full operation

Ask how the scope will be used, how the opening will be closed, and what happens if access is difficult or the fistula returns. Discuss alternatives that fit your anatomy, including LIFT or a flap where appropriate.

Questions for your appointment

  • What will the scope add in my case?
  • How will healing and recurrence be assessed?

Further reading

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