Written and medically reviewed by: Assoc. Prof. Cengiz Dibekoğlu, MD, General SurgeryLast updated:
Anal Fistula — Fistula Plug and Fibrin Glue
Filling the tract without cutting
Biologic plugs or fibrin sealants attempt to fill and close the fistula channel without sphincter division—continence risk is lower than lay-open surgery. Short-term results vary; long-term healing is generally lower than fistulotomy, LIFT, or flap in many series. Selected narrow, quiet tracts only.
Educational schematic. Some structures may be simplified or emphasized for clarity; not an exact anatomical depiction.
© Cengiz Dibekoğlu — illustrative; not for unauthorized use
Figure summary
This educational figure shows: Plug · fibrin options.
Who may be a candidate?
- Continence is the top priority
- Narrow single tract without active sepsis
Key points
- Key note inside
Set expectations
Success is inconsistent; failure should not surprise—backup plan is discussed upfront.
Advantages
Minimal tissue loss and low incontinence risk in appropriate anatomy.
If it fails
Persistent discharge or new abscess triggers re-mapping; LIFT or flap often remains possible.
- Key note inside
Poor candidates
Active abscess, horseshoe tracts, uncontrolled Crohn inflammation—control sepsis first.
More chapters in this hub
Diagnosis & anatomy
Anal Fistula Symptoms
Discharge, recurrent abscess, and urgent warning signs
What Causes an Anal Fistula?
Abscess, Crohn’s, and other triggers
Abscess and Fistula Link
Infection first, tunnel second
Anal Fistula Classification
Simple versus complex — explained for shared decisions
Anal Fistula Diagnosis
Exam, MRI mapping, and Parks classification
Simple fistula
Complex fistula
Seton
LIFT / flap
Crohn
Newer sphincter-preserving techniques
Recovery / recurrence / continence
Appointment / info
This page is for education. It is not medical advice and does not replace a visit with your physician.
Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.