Most perianal fistulas begin with inflammation of the glands around the anus. Anal fistula patients generally have a previous history of anal abscess. The correct intervention for anal abscess is to have it drained by a physician. Since the abscess that bursts spontaneously does not drain completely, pus remains inside. However, since the patient’s complaints of pain in the anus and bloody-smelling discharge in the anus have significantly decreased, the patient thinks that he has recovered and continues his normal life.

The inflammation remaining in the anus muscles looks for an outlet by taking advantage of the spaces between the anus muscles. This exit point is the hole formed around the anus area. Inflammation, yellow-smelling or bloody discharge constantly begins to come from this hole. This formation is called anal fistula.

Anal fistulas are still challenging diseases for doctors today. There is a high probability of recurrence. It is closely related to fecal retention functions due to its close relationship with the muscles around the anus. Therefore, the treatment procedures must be carried out in a way that will cause the least damage to the surrounding tissues. This is possible with laser treatment.