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By Dr. Kaushik Vora, MS – Proctologist, Guwahati, Assam. What is anal fistula? Anal fistula is an abnormal tract connecting the inside of the anal canal to the skin around the anus. It causes symptoms like: Because it is a chronic disease, patients often look for a “permanent cure” and are easily attracted to words […]

By Dr Kaushik Vora, Proctologist, Apollo Clinic, Bora Service, Ulubari GS Road Many young people in India grow up hearing this line: “If piles is not treated, it will turn into cancer.” This is one of the biggest misconceptions — especially in Assam and the Northeast. Let’s clear it once and for all. Can Piles

By Dr Kaushik Vora, MS. Proctologist , Apollo Clinic,Bora Service ,Ulubari GS road,Guwahati. Are you preparing for piles (haemorrhoids) surgery? Feeling anxious is completely normal — but the best way to reduce anxiety is to know exactly what to expect. This guide covers: When you know what may happen, you feel more confident, calm, and

By Dr. Kaushik Vora, Consultant Proctologist. Apollo Clinic, Bora Service and Hayat Hospital– Guwahati Piles (haemorrhoids) are one of the most common anorectal conditions — but the biggest frustration patients face is recurrence. Many people take medicines, feel better for a few weeks, and then the symptoms return. The truth is simple: Piles is a

“It is estimated that one‑third of India’s population will experience piles at some point in their life.” Yet many still believe haemorrhoids always require surgery. But medical evidence, and daily clinical experience across India, show something very different. Nearly 80% of cases, including Grade 2 and early haemorrhoids, and even anal fissures, improve with simple,

If you have an anal fissure and your surgeon has advised Lateral Internal Sphincterotomy (LIS), there’s a high chance one fear is holding you back: “Doctor, will I lose control of my motions after LIS?” Let’s address this clearly, honestly, and scientifically. Without scaring you and without sugar‑coating. What exactly is LIS? Lateral Internal Sphincterotomy

Post‑Surgery FAQ: Your First 72 Hours After Piles Surgery Welcome to our Post‑Surgery Care FAQ, designed to answer the most common questions patients have in the first 72 hours after piles surgery, by Dr. Kaushik Vora, MS, at his Proctology Practice in Guwahati. Our goal is to keep things simple, friendly, and stress‑free, so you

As a practicing proctologist, I frequently counsel patients and colleagues alike on the full spectrum of management for pilonidal sinus disease, a condition that can range from a minor nuisance to a recurrent surgical challenge. In this article, I review all viable treatment options, from conservative care to surgical techniques, focusing on evidence, outcomes, and

Chivate’s transrectal suture haemorrhoidopexy offers a safer, simpler, and more cost-effective alternative to stapled surgery for piles. Chivate’s transrectal suture haemorrhoidopexy is gaining recognition as a minimally invasive, tissue-preserving technique for managing advanced hemorrhoids/Piles. Compared to stapled haemorrhoidopexy, this method offers several clinical and practical advantages that make it especially appealing in both urban and

What do you mean by Complicated Fistula? A complicated (or complex) fistula in ano refers to a type of anal fistula that presents significant challenges in both its management and potential outcomes. Unlike simple fistulas, which involve minimal muscle tissue and usually have a single tract, complicated fistulas engage more complex anatomy and often require