Kshar sutra - FAQ

Pain | Recurrence | Cost | Cutting

Laser Surgery | Medicine Cure

FAQ - Piles - Fistula -plonidal sinus - Kshar sutra

Frequently Asked Questions

Kshar sutra Treatment

Here is all information related to success rate of Kshar sutra in piles, fistula, pilonidal sinus; precautions, pain, risks, food restrictions, home remedy during treatment; limitations of surgery and Ksharsutra; thread quality, price; cutting and healing.

Table Of Contents

What are precautions after Kshar sutra treatment?

  • Keep the are clean an dry free from stool particles
  • Keep changing cotton pads 2-3 times in a day
  • Walk 2 to 4 km per day. This will improve bleed circulation in the infected area to help healing. It also squeeze out infection
  • Avoid constipation
  • Use warm water to clean the area
  • Take pain killer tables as and when required. ( under the guidance of doctor)

What is recovery time for Kshar sutra treatment?

Our 21 years research has made recovery time very low. The recovery time can be explained in 3 ways.

  • The actual procedure time is just half hour. Patient can go home immediately. 
  • As the procedure is under local anesthesia, the post operative recovery is within few minutes.
  • After completion of treatment, patient may need 6 to 8 weeks to heal the wound completely.

How Kshar sutra treatment works in Anal Fistula?

Part I – Formation of fistula – time slab between 0 sec to 1.20 min.

Part II – Procedure of Kshar sutra treatment can cure in fistula – time slab between 1.20 min to 3.10 min

How Kshar sutra treatment works in Pilonidal sinus?

Part I – Formation of sinus – time slab between 0 sec to 2 min.

Part II – Procedure of Kshar sutra treatment can cure in Pilonidal Sinus – time slab between 2 min to 3.35 min

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. Patient can travel all over india between two follow ups. 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.

Is Kshar sutra useful in diabetic / multiple / deep fistula ?

Yes. We have treated successfully patients with multiple tracks and diabetic patients successfully.

What is the cost of Kshar sutra treatment?

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.

Why there is so much difference in the cost of Kshar sutra treatment in India?

Many clinics / hospitals in India may run marketing policy to quote low price which may be the cost of the procedure day only. They don’t disclose cost of hospital stay, medicines, duration of treatment, recurring follow up charges, etc. In our clinic, we quote the whole price. So be cautious and always take decision only after the whole quotation.

Which is the best treatment surgery or Kshar sutra?

Kshar sutra treatment is the best option for anal fistula. If someone is using partial surgery, antibiotics and Kshar sutra, he /she may not be confident about the medicated thread or any one of these techniques. That’s why they try all together. As we use our own manufactured threads and technique, we don’t use multiple surgical techniques.

Can ksharsutra treatment guarantee 100% cure?

No. Though we have high success rate (more than 90%) for fistula cure, 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 fistula 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 possible reasons for the failure of Kshar sutra treatment in patients with active Crohn's?

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

  • Wrong insertion of thread failing to cover whole fistula 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 complexity of fistula. It can be variable from 4 to 8 weeks.

Is Kshar sutra treatment effective in active Crohn's?

Yes. We have treated successfully patients with active Crohn’s disease. In these cases Crohn’s must be under control and patient should follow strict diet restrictions.

Is Kshar sutra 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.

Does the Kshar sutra thread cut sphincters?

Yes. This treatment is based on simultaneous cutting and healing process. Thread doesn’t cut sphincter in one day. So there is no loss of controll.

Are there any fitness requirements before starting Kshar sutra treatment?

Yes. Patient must be physically and mentally fit for anesthesia and pain. This can be confirmed by blood and other tests before procedure. If patient is unfit mentally or physically, treatment will be cancelled.

Is there any anesthesia used during procedure?

The procedure can be done under local anesthesia.

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 satisfied patients in...

Satisfied Patients in 25 Countries
India, USA, England, Canada, Australia, Germany,

Sweden, Netherlands, Ireland, South Africa, Singapore,

Saudi Arabia, UAE, Israel, Kuwait, Spain, Bahrain,

Malaysia, Sri Lanka, Afghanistan, Maldives,

Nepal, Philippines, Indonesia, Sudan
15 States in India
Maharashtra, West Bengal, Delhi, Gujarat,

Karnataka, Uttar Pradesh, Haryana, Punjab,

Madhya Pradesh, Andhra Pradesh, Telangana,

Goa, Tamil Nadu, Jharkhand, Rajasthan