Kshar Yoni and Management of Fistula-In-Ano with Ksharsutra: A Case Study

Abstract

Fistula-in-ano is a chronic granulomatous condition associated with high recurrence rates and postoperative complications. In Ayurveda, it is described as Bhagandara, for which Ksharasutra therapy is considered an effective para-surgical intervention.
Objective: To evaluate the clinical efficacy of Ksharasutra therapy in the management of fistula-in-ano.
Case Description: A 33-year-old male patient presented with persistent perianal discharge and pain for 6 months. MRI revealed a transsphincteric fistulous tract. The patient underwent Ksharasutra application combined with partial fistulectomy under local anaesthesia.
Results: Complete healing of the fistula was achieved within 5 weeks. No complications were reported, and no recurrence was observed during the 6-month follow up period.
Conclusion: The therapeutic effect of Ksharasutra may be attributed to its mechanical ligation and chemical cauterization properties, which facilitate debridement and healing. This case highlights that Ksharasutra therapy is a safe, cost-effective, and minimally invasive alternative to conventional surgical procedures in the management of fistula-in-ano.