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Laser Fistula ( Bhagandar ) Treatment In Pimpri Chinchwad- The main surgical options are outlined here. Fistulotomy. The most common type of surgery for anal fistulas is a fistulotomy. ... Seton techniques. ... Advancement flap procedure. ... LIFT procedure. ... Endoscopic ablation. ... Laser surgery. ... Fibrin glue. ... Bioprosthetic plug. Very few anal fistulas heal by themselves and the only effective cure for a persistent anal fistula is surgery. What is the reason for Bhagandar? Constipation is the most common cause of bhagandar. Apart from that, either a totally sedentary lifestyle or constantly standing for hours together is likely to case bhagandar. Also, chronic diarrhoea, lifting heavy weights, straining when passing a stool and pregnancy may be the other causes of bhagandar.