Advantages of Ayurveda Kshara sutra therapy over conventional surgery in Ano-rectal patients

Diet for Constipation, Piles/Hemorrhoids, Anal fissure and Fistula in ano (anorectal) patients in Hindi
Ano-rectal diseases; an introduction and treatment approach as per Ayurveda



Dr. Monica Sreshtha, MS (Ay)

Consultant Surgeon and Ayurveda Proctologist

CEO, Shri Dhanwantari Clinic, Ghaziabad




  • It is a simple, safe and sure treatment for fistula –in-ano (95-98% success rate)
  •  Ksharsutra is – chemical fistulectomy rather than surgical fistulectomy.
  •  It is a simple minimum invasive surgical technique.
  • Recurrence is negligible (3-5%).
  • Performed in Minor O.T. conditions.
  • Only 30- 45 minutes is required for the procedure
  • Hospital stay is usually minimum (5-6 hrs).
  • Minimal bed rest is required after the procedure.
  • No damage to anal sphincter and chances of incontinence is practically nil.
  • It is an Ambulatory procedure, no hospitalization required.
  • Only local/topical anesthesia required (generally). However sometimes no anesthesia at all is required.
  •  Usually no antibiotic coverage required.
  • Patient can resume his / her daily routine within 3 to 5 days.
  • Most important benefit of Kshar Sutra Therapy over Modern Surgeries is that the muscles that supports the Anus and helps in controlling the bowel movements are not dissected and hence the possibility of Anal Incontinence (loss of power to hold stools) is not there.


Diet for Constipation, Piles/Hemorrhoids, Anal fissure and Fistula in ano (anorectal) patients in Hindi
Ano-rectal diseases; an introduction and treatment approach as per Ayurveda


  • hello nice article…..

  • hello dr

    am in Tanzania, i want to try this treatment as am suffering from ano fistula for a year now, i have high ano fistula and i had done fistulotomy and fistulectomy unsuccesfully, please help me the cost and how long will it take for me to be there?

    is it necessary for me to come india or you have other center in africa

    • Hello!
      For kshara sutra treatment of Fistula in ano you have to visit here in India.
      Thanks and regards,
      Dr. Naveen Chauhan
      Director SDC and Consultant Proctologist

    • you have to come India to have treatment by kshara sutra. For more details kindly call at our helpline at +91-9536909883

  • Dear Dcotor ,

    I am based out Bangalore and suffering with Fistula . I am rally worried about this as this was repeted 3rd time , every time once it comes i use to sitz bath and after continues trails for 3 days the puss will come out and there is no paina fter words . 3 years back one time and after that 1 year back one time and now i facing same . I had undergone Scanning and it was concluded that it was Fistula . Let me know is there any your branch in bangalore for cinsulation for the same .


  • I am currently going through Kshara Sutra treatment. My Ayurveda doctor has told me that he has to change the Kshara Sutra thread thrice and after that he will cut open and do a fistulotomy. My question is, is this acceptable procedure? Please help.

    Thank You

    • Dear Mr. Sunder,
      Every decision depends on Doctor’s individual experience. I don’t do fistulotomy usually in my practice. In my opinion Kshara sutra is enough to cure completely. But sometimes if track is long, fistulotomy may be done to reduce total healing time.
      Thanks and regards,
      Dr. Naveen Chauhan

  • Thanks for your reply.

    While I am discussing this my Doctor, Can I go for an ultrasound to determine the need for fistulotomy after 3 times Kshara Sutra changes?

    Thanks again.


  • Having severe pain when sitting exactly at waist level and in between my bums towards leftside. (Not at anal area. No constipation problem. No blood, No other side problems) ; Is it a fistula. Is it a infection in the anal track ? can I get a treatment in Bangalore, if ‘yes’ let me know whom to contact and where? I have gone to a physician he didn’t suspected any fistula like. Kindly suggest thru email.

  • I belong to a small town in west Bengal. I saw advertisements for kshara sutra in local newspapers I also suffer from hemorrhoid. My question is does every ayurvedic doctor do kshara sutra will equal efficiency and with high success rate?

    • No, if a doctor is qualified one and experienced you can go for him. See his track record, meet or communicate with cured patients then decide yourself.

  • Sir my cousin having fistula in ano since august 2014he had undergone ksharasutra therapy,changing thread everyweek.At that time there was only one external opening.the month of December again one opening came and he had done ksharasutra. the first one has 8cm length.and second 4cm..2nd one was external to external Ligation. this is taking too muCh time?any other investigation I have to be done?now my doctor is doubtful that one more track is present..what is the cause for formation of new fistula.what I have to be done..plz help me

  • My dad is suffering from internal hemoroid will kshar sutra help in curing the same? How long will it take to cure? Is there any other way of treatment? Is there any treatment for constant constipation?

    • Kshara sutra ligation procedure is a good method to remove internal hemorrhoids, external hemorrhoids or sentinel tags or benign skin growths. It takes about 15-20 days for complete cure. As far as constipation is concerned, it depends on many factors. Kindly read articles on constipation in this blog.

  • Mai 30 saal ka hu aoor lagbhag 2 mahina pahle bike se lamba safar kiya tha phir mere mal dwar per kuchh sujan aa gai thi mai mere local Dr surgeon k paas gya to wo check kar k bole ki infection hai aoor kuchh antibiotics aoor painkillers de diye aoor problem kuchh kam to hua per mal dear per 2 phode jaisa ho gya hai aoor rah rah k pak jata hai mawad aoor aata hai tab se 2 surgeon ko aoor dikhaya wo bol rahy hai ki preano fistula hai surgery karna hoga …..

    Mai bohot dar gya hu surgery se …
    Mujhy kya karna chahiye ?
    Kya ye puri tarah curable hai ?

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