Management of Anterior Trans-Sphincteric Fistula-in-Ano in a Female by Mikst (Minimally Invasive Kshara Sutra Technique): A Case Report

Anterior fistula-in-ano is an uncommon and challenging condition in females with limited literature describing effective management strategies. Surgical interventions are often complicated because of the anatomical intricacies of the pelvic region in females. This case explores the use of the Minimal Invasive Ksharasutra Technique, A modification of traditional ksharasutra therapy, in managing anterior fistula-in-ano among female patients. This Report presents a case of 24 y old female patient diagnosed as a case of Anterior fistula- in- ano confirmed by the clinical examination. Patient Reported a history of pus and fecal matter discharge from right side of vagina. Patient undergone MIKST under spinal anaesthesia completely healing occurred within 13 weeks with preservation of anal continence and no recurrence during follow-up were noted. This case highlights MIKST can provide a safe, effective and recurrence free treatment option for fistula- in-ano.