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FAQs about Ksharsutra Treatment

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♦ Is Kshar sutra treatment surgery?

→ No. It is an Ayurvedic treatment and can be done in OPD using local anesthesia. Being an Ayurvedic treatment ( non surgical procedure ), this treatment is not covered under insurance in India

♦ Is the method of Kshar sutra treatment performed by every the doctor same?

→ No. The quality of Kshar sutra thread and skill or method of insertion of this thread in fistula track vary as per doctor's experience.

♦ Is general / spinal anesthesia compulsory for Kshar sutra treatment?

→ No. It can be done under local anesthesia.

♦ Is bed rest needed after treatment?

→ No. Because of our special technique of treatment, rest is not required. Patient's mobility helps to remove infection and heal the wound fast.

♦ Is this treatment similar to cutting seton?

→ No. Cutting seton don't have medicine coating on it.

♦ Are the medicated threads sterile?

→ Enough precautions are taken to keep the threads sterile and clean.

♦ Are the medicated threads made by machines or in a laboratory?

→ The threads are made in a natural evironment and made manually to maintain its effectivity.

♦ Can ksharsutra treatment guarantee 100% cure ?

→ No. Though we have high success rate (more than 90%), we can't assure 100% cure in each and every case. As most of the patients come after multiple failed surgical attempts, it may not be possible to understand and repair surgical damages done during previous attempts.

♦ What can be the reasons for failure of Kshar sutra treatment?

→ The possible reasons for the failure of this treatment are as follows -

- Wrong insertion of thread failing to cover whole infected track

- Bad quality of thread

- Patients with low immunity / metabolism or with diseases like HIV, Hepatitis B/C, Tuberculosis, Crohn's, Diabetes, etc.

- Improper cleaning and dressing after removal of last thread

♦ What can be the required duration for the treatment?

→ Duration of treatment depends on the length and cmplexity of fistula. It can be variable from 4 to 8 weeks.

♦ What is the importance of ksharsutra treatment against surgery in fistula treatment?

→ Ksharsutra treatment in fistula can be done under local anesthesia & patient is discharged within an hour. Here no cut or stitches are taken. Patient must come once in a week to change the medicated thread. The herbal coatings of the thread helps body to remove infection and to creat new healthy tissue. The wound gets healed without antibiotics. Just normal dressing is required. No need of hospitalization or bed rest.

♦ What is semi surgical procedure for ksharsutra treatment?

→ Some doctors or surgeons has modified the traditional surgical procedure ( not the ksharsutra treatment ) seeing the success of ksharsutra treatment. They cut & remove fistula track partially & then insert ksharsutra in the remaining intersphincteric track. They claim that this method saves time to heal fistula.

♦ Is ksharsutra treatment similar to seton used by surgeon?

→ Not at all. Don't misunderstand Ksharsutra treatment. Seton is not a treatment. It's just an attempt to avoid blockage of fistula. There is no medication in applying seton. On the contrary, Kshar sutra is a medicated thread which removes the infection and helps body to creat healthy tissue.

♦ Is there any possibility of incontinence after ksharsutra treatment as the thread cuts through sphincters?

→ In our 19 years research, we have observed that the thread cuts the sphincters slowly and helps body to creat healthy tissue. So due to slow cutting and simultaneous healing, the sphincters will not lose their strength and there is very rare possibility of any damage. Patients with low immunity due to any disease or weak metabolism, may have complications due to slow healing.

♦ Is Ksharsutra treatment very painful?

→ As the medicated thread has cutting and healing action, pain will be there. We have modified traditional Kshar sutra treatment to be a less painful. Our patients say that the pain of Kshar sutra is very less as compared with surgery. This pain is manageable by pain killer tablets.

♦ What is the cost of Ksharsutra treatment?

→ In our clinic, we calculate the cost as per complexity and length of the track. So it can vary from case to case. Doctor will tell you cost after actual examination in our clinic. This can't be discussed on phone call.

♦ Are there any food restrictions during treatment?

→ Yes. All instruction will be informed after procedure.

♦ Can I do swimming or Yoga or any other exercise?

→ Patient should strictly avoid swimming and weight lifting. Patient can do limited Yogic exercises. Walking is highly recommended during the treatment.

We have treated patients from many cities in India like Pune, Nashik, Mumbai, New Mumbai, Satara, Kolhapur, Sangli, Solapur, Panvel, Khopoli, Ahmadnagar, Shirdi, Kankavli, Shrivardhan, Ratnagiri ( Maharashtra ), Kolkata ( West Bengal ), Delhi, Ahmadabad, Rajkot ( Gujarat ), Banglore, Udupi, Hubli, Gulbarga ( Karnataka ), Guntur ( Andhra Pradesh ), Hyderabad ( Telangana ), Panaji ( Goa ), Hisar ( Haryana ), Pathankot ( Punjab ), Chennai ( Tamil nadu ), Jamshedpur ( Jharkhand ). Also patients from Dubai ( UAE ), Toronto, Vancouver ( Canada ), Las vegas ( Nevada ), Atlanta ( Georgia ), San Francisco, San Jose ( California ), Boston ( Massachusetts ), Seattle ( Washington ), Phoenix ( Arizona ), Michigan, New Mexico ( All from USA ), London ( England ), Melbourne, Perth, Canberra ( Australia ), Kuwait, Bahrain, Germany, Malaysia, Sweden, Saudi Arabia, Israel, Singapore, Sri Lanka, Afghanistan, Nepal, Philippines, Sudan are cured.

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