Care UnitSpecialist Unit
क्षारसूत्र व क्षारकर्म चिकित्सा

Ksharsutra and Ksharkarma, chosen honestly for the case.

Ksharsutra is a classical Ayurvedic para surgical technique that uses a medicated thread to gradually treat anal fistula and select other anorectal conditions. The thread simultaneously cuts and heals the tract over weekly sessions, minimising injury to the sphincter muscles. Ksharsutra is particularly valuable for complex, high, and recurrent fistulas where sphincter preservation is critical. Dr. Vipin Tongale at Shri Manmukund Hospital has practised Ksharsutra for over 15 years across multiple institutions.

In one paragraph

Ksharsutra is a classical Ayurvedic para surgical technique that uses a medicated thread to gradually treat anal fistula and select other anorectal conditions. The thread simultaneously cuts and heals the tract over weekly sessions, minimising injury to the sphincter muscles. Ksharsutra is particularly valuable for complex, high, and recurrent fistulas where sphincter preservation is critical. Dr. Vipin Tongale at Shri Manmukund Hospital has practised Ksharsutra for over 15 years across multiple institutions.

3 conditions handled under one roof.

From the most common presentations to the most complex recurrent cases. Every condition is examined, staged, and matched to the appropriate treatment tier.

पा

Ksharsutra for Anal Fistula

Step-by-step classical para surgical track excision and simultaneous healing.

Clinical GuideAll tiers
Read about ksharsutra for anal fistula
भ

Ksharkarma (Caustic Therapy)

Classical Ayurvedic alkaline caustic therapy as a non-cutting para surgical alternative for piles and fissures.

Clinical GuideAll tiers
Read about ksharkarma (caustic therapy)
भ

Procedure and Recovery Guide

What patients can expect from initial threading to complete track closure.

Clinical GuideAll tiers
Read about procedure and recovery guide

Common questions, honestly answered.

Is Ksharsutra painful?
Ksharsutra application is performed under local anaesthesia. Between weekly applications, most patients experience mild soreness for 24 hours, then normal comfort.
How long does Ksharsutra treatment take?
Simple fistulas typically take 4 to 8 weeks. Complex or high fistulas may take longer. Duration is assessed weekly.
Can I work during Ksharsutra treatment?
Yes. Normal daily activity is possible throughout. Only weekly OPD visits are needed.
Is Ksharsutra a proven technique?
Yes. Ksharsutra has substantial clinical literature and is recognised by AYUSH and standard Ayurvedic surgical practice.
Will I be incontinent after Ksharsutra?
Ksharsutra is designed specifically for sphincter preservation. Incontinence risk is significantly lower than aggressive surgical fistulotomy, especially for high or complex fistulas.
How does Ksharsutra compare with laser?
Both are sphincter-preserving. Laser is single-session with faster completion typically. Ksharsutra takes weeks but has stronger evidence for complex and recurrent cases. Choice depends on your fistula. See our full comparison guide.
Can Ksharsutra treat piles?
Yes, particularly piles associated with fistula or fissure. For isolated piles without associated conditions, other options may be equally or more suitable.
What is the cost of Ksharsutra treatment?
Cost varies by complexity and duration. Please call 8208927917 for current guidance. ---

Both specialists, consulting daily.

Neither Dr. Vipin nor Dr. Swati sees you and refers you to junior associates. You are seen by the specialist you booked with, throughout your treatment.

Dr. Vipin Tongale - General Surgeon & Proctologist

Dr. Vipin Tongale

General Surgeon & Proctologist

MS Ayurveda Shalya Tantra · PhD

Fifteen years of dedicated practice, including twelve years of AYUSH service at District Hospital Amravati. Over 16,000 procedures performed across Vidarbha.

KsharsutraLaser ProctologyGeneral Surgery
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Dr. Swati Tongale - Female Care Unit Lead

Dr. Swati Tongale

Female Care Unit Lead

MS Ayurveda Shalya Tantra

Female proctology, Uttarbasti-based fertility care, and Masanumasik Garbhsanskara. Practice built to remove access barriers women face with complete privacy.

Female ProctologyUttarbastiGarbhsanskara
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