What is an X-Ray Fistulography?

An X-Ray Fistulography is a radiopaque-enhanced contrast radiographic imaging examination of injection of a radiopaque contrast material into the fistula to visualize its course, depth, and relationship to internal organs or skin. It can assist in:

• Determine the Extent of the Fistula – Measures tract diameter, depth, and branching.
• Identify the Internal Opening – Identifies whether the fistula opens up into an organ or another area of the body.
• Detection of Infections & Abscesses – To test for the presence of pus, infection, or fluid in the fistula.
• Monitoring Treatment Progress – To assist in planning surgery or tracking healing after treatment.

The test is rapid, less invasive, and very useful in providing diagnostic information for the assessment of chronic fistulas and underlying diseases.

We at Medifyhome associate with NABL-certified diagnostic labs to provide quality, affordable, and efficient X-ray services for effective diagnosis and treatment planning.

Why is it Done?

Your physician may prescribe an X-ray Fistulography for:

• Anal & Perianal Fistulas

Determine the degree of anorectal fistulas (common in anal abscesses & Crohn’s disease).

• Gastrointestinal & Urinary Fistulas

Determines fistulas connecting the bowel, bladder, and other organs.

• Post-Surgical Fistulas

Determines repeat fistula creation following abdominal or rectal surgery.

• Chronic Non-Healing Wounds & Abscesses

 Determines underlying infection or fluid collection inside a fistula.

• Congenital Fistulas

Diagnoses birth fistulas, tracheoesophageal fistulas.

Early diagnosis using an X-ray Fistulography prevents complications and offers early treatment.

How do you prepare for an X-Ray Fistulography?

There is minimal preparation, but adhere to these instructions for optimal imaging results:

• Tell Your Doctor About Any Allergies – If you have an allergy to contrast dye, inform your doctor beforehand.
• Fasting Requirements – You may need to fast for a few hours before the procedure.
• Remove Metal Accoutrements – Remove jewellery, metal items, or dentures to prevent interference with the X-ray.
• Stay Hydrated – Drink plenty of water unless otherwise advised.
• Pregnancy and Breastfeeding Precautions – If pregnant or breastfeeding, consult your doctor before taking the test.

If not adhered to, these cautions could leave images clarity, needing to be rerun and receiving further radiation exposure.

What is the procedure for an X-Ray Fistulography?

The X-ray Fistulography is a non-surgical, minimally invasive, outpatient procedure, typically done in 15–30 minutes.

Step 1: Patient Positioning

• You are requested to lie or sit depending on the fistula position.
• The site of the fistula is cleaned and prepared for the procedure.

Step 2: Injection of Contrast Dye

• A radiopaque contrast dye is injected into the external fistula opening with a small catheter or syringe.
• The dye outlines the fistula tract for improved visualization.

Step 3: X-Ray Imaging (Multiple Views)

• The X-ray is taken as contrast dye flows through the fistula.
• The direction, depth, and internal communications of the fistula are viewed by the radiologist.

Step 4: Image Review

• The radiologist reviews the X-ray to look for abnormal tracts, infection, or fistula connections.

Step 5: Report Generation

• Results will be read and reported to your doctor.

The test is extremely minimally invasive, slightly uncomfortable at best, but generally well tolerated.

What is the aftercare for an X-Ray Fistulography?

Since an X-Ray Fistulography involves the use of contrast dye, do the following post-test procedures:

• Drink Plenty of Water – This ensures that you expel the contrast dye out of your system.
• Watch for Any Allergic Reaction – If you experience rash, swelling, or shortness of breath, call your doctor right away.
• Mild Discomfort or Leakage – There can be a temporary drainage of contrast dye from the injection site.

Follow Up with Your Doctor – Your doctor will review the results of the X-ray and determine further treatment if necessary.

What is the cost of an X-Ray Fistulography?

The cost of an X-Ray Fistulography ranges from ₹500 to ₹1,000, depending on the diagnostic center. Results are typically available within 24 hours.

• Test Type: X-Ray Fistulography

• Preparation:
• Wear a loose-fitting cloth
• Fasting is required for a few hours if instructed
• Stay hydrated
• Carry Your ID Proof
• Remove jewellery
• As per the PC-PNDT Act, patients must have a prescription with a doctor’s signature, stamp, and DMC/HMC number. This is a crucial requirement that ensures the safety and accuracy of the procedure. Please ensure you have the necessary prescription before booking your appointment.

• Reports Time: Within 24 hours

Test Price: starts from Rs. 500/- to Rs.1000/-

• How can I book an appointment for a low-cost X-Ray Fistulography through Medifyhome?

Booking an appointment for an affordable X-Ray Fistulography at Medifyhome is straightforward. You can do it through our website, Medifyhome, by filling out the inquiry form or contacting us at +919100907036 or +919100907622. Our team will assist you in finding the earliest available slot that suits your schedule.

• What is detected by an X-ray Fistulography?

• This test detects:

  • Fistula Tracts & Internal Openings
  • Chronic Infections & Abscesses
  • Post-Surgical Fistula Recurrence
  • Bowel, Urinary, or Rectal Fistulae
  • Fistula Healing & Treatment Response
  •  
• What is the cost of an X-Ray Fistulography Scan?

The X-Ray Fistulography scan costs Rs. 500/- to Rs.1000/-.

• When will my reports be available?
  Reports will be available within 24 hours after your scan.
•  
• Is an X-Ray Fistulography safe?
  
• Yes, an X-Ray Fistulography is generally safe, though it involves low levels of radiation, which is carefully controlled.