Anal Fistula Treatment in Seattle – Precision Proctology by Dr. Rod Kratz
Expert Diagnosis & Treatment of Anal Fistulas — With Minimal Downtime
An anal fistula is an abnormal tunnel that forms between the anal canal and the surrounding skin.
They often occur after an abscess and do not heal on their own, requiring proper surgical management to prevent chronic pain, drainage, and infection.
Dr. Rodney Kratz is a board-certified Colon & Rectal Surgeon with 20+ years of exclusive anorectal expertise.
Patients across the Pacific Northwest seek his care for complex, recurrent, and previously mismanaged fistulas.
What Is an Anal Fistula?
An anal fistula is a small tunnel connecting an infected gland inside the anus to an opening on the skin.
Common symptoms include:
Persistent drainage
Pain or swelling near the anus
Recurrent abscesses
Bleeding
Irritation, itching, or odor
A visible external opening or bump
If you’ve had a “pimple” near the anus that keeps returning, there is often an underlying fistula tract.
Why Anal Fistulas Require Surgical Treatment
Unlike fissures or hemorrhoids, fistulas cannot heal with medication alone.
Successful treatment must:
Eliminate the infected tract
Preserve sphincter muscle and continence
Prevent recurrence
Choosing a surgeon with deep experience in sphincter-preserving procedures is essential.
Your Treatment Options
Dr. Kratz offers the full spectrum of fistula procedures, tailored to your anatomy, muscle involvement, and prior treatments.
▶ Fistulotomy
For superficial, simple fistulas.
High success rate
Minimal impact on continence
Usually quick healing
▶ Seton Placement
Used for deeper or more complex tracts.
Drains infection
Protects sphincter muscle
Often part of a staged approach
▶ LIFT (Ligation of the Intersphincteric Fistula Tract)
A sphincter-preserving option for more complex fistulas.
Excellent healing rates
Minimizes risk to continence
Short recovery time
▶ Fistula Plug / Biologic Grafts
When tissue reinforcement is needed.
▶ Advanced / Recurrent Fistula Care
For patients who have had failed procedures elsewhere or ongoing drainage.
What to Expect at Your Visit
1. Private, judgment-free consultation
Your symptoms, history, and prior treatments are reviewed.
2. Expert physical exam
Often requires only a quick, gentle assessment.
3. Definitive treatment plan
You’ll understand exactly what type of fistula you have and which procedure offers the highest chance of healing.
Recovery
Most patients resume normal activity within a few days
Pain is usually mild to moderate and well-controlled
Sitz baths and wound care instructions are provided
Follow-up is essential to ensure complete healing
Why Choose Dr. Rod Kratz?
Fellowship-trained Colon & Rectal Surgeon
20+ years of exclusive proctology expertise
Specializes in complex, recurrent, and sphincter-involving fistulas
Minimally invasive approaches whenever possible
Fast access, discreet care, and a modern patient experience
Don’t wait for symptoms to worsen—early treatment prevents chronic infection and simplifies care.
Call: 425-515-0276
Or request an appointment online.