Written and medically reviewed by: Assoc. Prof. Cengiz Dibekoğlu, MD, General SurgeryLast updated:
Anal Fistula — VAAFT
Video-assisted anal fistula treatment
Video-Assisted Anal Fistula Treatment (VAAFT) uses a small endoscope to visualize the tract, clear branches, and treat the internal opening without dividing the sphincter. It is offered in selected cases at experienced centers. Long-term data are less extensive than for fistulotomy or LIFT.
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: VAAFT.
Who may be a candidate?
- Visible, accessible tracts
- Continence preservation goal
- After sepsis control
Key points
What happens
Camera enters the tract; side branches and debris are addressed; internal opening is managed per protocol.
Who it fits
Not for active abscess or unmapped complex disease—MRI mapping first in many cases.
- Key note inside
Results
Short-term comfort may improve; recurrence remains possible—plan the next step in advance.
Combined approaches
Laser or seton may accompany or follow VAAFT depending on anatomy.
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.