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Anal Fistula Treatment Market - Snapshot

Anal fistula is a tunnel or tract between the epithelial surface of the rectum or anus and the skin i.e., perianal area. This tract can develop infection causing swelling, pus, and pain. The global anal fistula treatment market was valued at US$ 550 Mn in 2017 and is anticipated to expand at a CAGR of 4% from 2018 to 2026 to reach US$ 800 Mn by 2026. High incidence rate of anal fistula and recurrence rate of treated cases have led to a large patient pool. Moreover, increase in incidence of anal fistula inducing co-morbidities such as Crohn’s disease, anal abscess, HIV, and TB infections have resulted in new complex anal fistula cases. Rise in demand for safe and effective treatment with no chance of recurrence and fewer side effects is inducing key industry players to introduce advanced drugs and devices. These include under trial collagen paste for blocking and removing fistula tract, adipose stem cell therapy for anal fistula treatment in Crohn’s disease, video-assisted anal fistula treatment (VAAFT) devices, and laser energy-based devices for anal fistula. However, high cost of treatment and lack of awareness about anal fistula treatment are likely to restrain the global anal fistula treatment market during the forecast period.

High unmet needs in the global anal fistula treatment market present lucrative opportunities for existing players and new entrants. Examples of recent developments in the field are anal fistula tool comprising a channel for anal fistula treatment Queen Mary University of London, by January 2018, Implantable prosthesis for anal fistula treatment by C.R. Bard (acquired by BD) in February 2018, Seton stringing device for anal fistula treatment by Changshu No.2 People’s Hospital in June 2017, innovation of elastic thread for drawing thread in perianal abscess and anal fistula treatment by First Affiliated Hospital of Jiaoning University of Traditional Chinese Medicine in June 2017 and others.

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In terms of treatment type, the global anal fistula treatment market has been segmented into surgical and non-surgical. The non-surgical segment has been bifurcated into drugs and others. The surgical segment has been classified into fistulotomy, advancement flap procedures, seton techniques, bioprosthetic plugs, and others. Based on application, the global market can be divided into intersphincteric, transsphincteric, suprasphincteric, extrasphincteric, and others. In terms of end-user, the global anal fistula treatment market can be classified into hospitals & ambulatory surgery centers, clinics, and others.

North America accounted for the largest share of the global anal fistula treatment market in 2017, followed by Europe. North America’s dominance of the global market is due to early adoption of new technologies and high health care expenditure by the public and private sectors in the U.S. Growth of the anal fistula treatment market in the country is also attributed to high prevalence of inflammatory bowel diseases (IBD) such as Crohn’s disease and ulcerative colitis. According to the Crohn’s & Colitis Foundation of America (CCFA), nearly 1.6 million people in the U.S. had IBD in 2014, which includes 780,000 people with Crohn’s disease and 907,000 with ulcerative colitis. Approximately 70,000 new cases of IBD are diagnosed in the country each year. It is estimated that around 35% people with Crohn’s disease develop anal fistula. On the other hand, key players prefer to introduce new treatment tools in Europe. For instance, TiGenix & Takeda Pharmaceutical introduced adipose stem cell-based therapy in March 2018. Medtronic plc is conducting trials for its collagen paste Permacol in Europe. New product launches and their adoption are likely to fuel the market in the region.

The anal fistula treatment market in Asia Pacific is set to grow at a rapid pace during the forecast period. Developing economies such as China, India, and countries in Southeast Asia are likely to contribute to the growth of the market in Asia Pacific from 2018 to 2026. Initiatives to improve health care infrastructure, increase in health care expenditure, and trend of medical tourism in these countries are projected to boost the market in Asia Pacific. Moreover, rise in new cases of anal fistula among men in Brazil, increase in awareness about the condition, and high rate of diagnosis and treatment are likely to propel the market in the country during the forecast period. A study conducted at the Hospital Santa Izabel, Brazil, and published in ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA in 2014, stated that video-assisted fistulotomy proved to be safe and effective in the treatment of anal fistula. This procedure helped directly visualize the internal openings, allowing surgeons to operate without any risk of mistakes. Such technological advancements are projected to augment the anal fistula treatment market in Brazil from 2018 to 2026. Low awareness about anal fistula treatment and inadequate medical infrastructure in Africa are likely to restrain the anal fistula treatment market in Middle East & Africa during the forecast period.

Key companies operating in the global anal fistula treatment market are Becton, Dickinson and Company, biolitec AG, Cook Medical, Gem srl, KARL STORZ SE & Co. KG, Medtronic plc, TiGenix NV, and W. L. Gore & Associates, Inc. (Gore Medical).

Technological Progress to Foster Growth of the Anal Fistula Treatment Market

Anal fistula refers to a tract or tunnel between epithelial surface of the anus or rectum and the skin i.e. the perianal space. This tunnel is able to cause infection causing pain, pus, and swelling. The global anal fistula treatment market is expected to exhibit rapid growth owing to increasing incidences of different inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease. In addition, launch of various new products along with rising demand for various non-surgical methods, such as adipose-derived stem cells therapy, fibrin glue injection are estimated to trigger growth of the global anal fistula treatment market in the years to come. In addition, there has been surging incidences of anal fistula because it is still quite a complicated condition for the surgeons.

Increased prevalence of inflammatory bowel disease and rise in incidences of AIDS (acquired immunodeficiency syndrome) are expected to emerge as growth factors for the global anal fistula treatment market in the years to come. 

Increased Preference for Surgeries for Treatment to Boost Demand in the Market

In an effort to ensure good quality of life and low rate of recurrence is expected to drive the demand for surgical treatment. Surgical treatment is highly dependent on the position of fistula. Surgeries are also dependent on whether the fistula is branched off or is a single channel. Various surgical procedures comprise seton techniques, advancement flap procedures, bioprosthetic plugs, and fistulotomy. It also comprises new techniques, such as FiLaC therapy and LIFT therapy. Fistulotomy is the most common type of surgery of anal fistules.

When it comes to treatment of anal fistula, surgeries are the most common method. There has been rising cases of infections caused by fistula along with the growing demand for effective and safe method treatment is likely to widen the scope of the global anal fistula treatment market in the near future. Fewer side effects and reduced chances of recurrence are estimated to encourage industry players to come up with new devices and drugs. Such developments comprise an under trial paste of collagen utilized for removing and blocking fistula tract, laser energy-based devices for anal fistula, and video-assisted anal fistula treatment (VAAFT) devices.

Anal Fistula Treatment Market - Overview

Anal fistula treatment involves use of both surgical and non-surgical approaches for effective removal of anal fistulae in patients. Surgical procedures include fistulotomy, bioprosthetic plugs, advancement flap procedures, seton techniques, and new techniques such as LIFT and FiLaC therapy. Non-surgical methods include drugs as well as fibrin glue injections, adipose stem cell therapy, and collagen paste. This report analyzes the current and future prospects of the global anal fistula treatment market based on treatment type, application, end-user, and region.

This study is a combination of primary and secondary research, conducted for understanding and arriving at trends, used to forecast the revenue of the global anal fistula treatment market in the near future. Primary research formed the bulk of the research efforts, with information collected from in-depth interviews and discussions with a number of key industry experts and opinion leaders. Secondary research involved study of company websites, annual reports, press releases, investor presentations, analyst presentation, and various international and national databases. The report provides estimated market size in US$ Mn for treatment type, application, end-user, and region for the period of 2018 to 2026.

The report contains an elaborative executive summary, which includes a snapshot providing information on various segments of the market. It also provides information and data analysis of the market with respect to segments based on treatment type, application, end-user, and region. The overview section of the report analyzes market dynamics such as drivers, restraints, and opportunities that can influence the global anal fistula treatment market in the current and future scenario. The report also provides Porter’s Five Force Analysis that studies five factors and their impact on the market.

Market share of key players is analyzed to signify the contribution of these players toward the revenue of the market. As such, these factors are likely to help market players in deciding about business strategies and plans for strengthening their position in the global market. Based on region, the market has been analyzed for five major regions: North America, Europe, Latin America, Asia Pacific, and Middle East & Africa. The study also covers detailed country analysis in these regions for the anal fistula treatment market.

The report also profiles major players in the global anal fistula treatment market in terms of key attributes such as company overview, financial overview, product portfolio, business strategies, and recent developments. Major companies profiled in this report include Becton, Dickinson and Company, biolitec AG, Cook Medical, Gem srl, KARL STORZ SE & Co. KG, Medtronic plc, and TiGenix NV. Inorganic growth strategies and business collaborations were the primary strategies adopted by the major players to cement their position in the global anal fistula treatment market.

The global anal fistula treatment market has been segmented as follows:

Treatment Type

  • Non-surgical
    • Drugs
    • Others (fibrin glue, adipose stem cell therapy, etc.)
  • Surgical
    • Fistulotomy
    • Bioprosthetic Plugs
    • Advancement Flap Procedures
    • Seton Techniques
    • Others

Application

  • Intersphincteric
  • Transsphincteric
  • Suprasphincteric
  • Extrasphincteric
  • Others

End-user

  • Hospitals & Ambulatory Surgical Centers
  • Clinics
  • Others

 Region

  • North America
    • U.S.
    • Canada
  • Europe
    • U.K.
    • Germany
    • France
    • Spain
    • Italy
    • Rest of Europe
  • Asia Pacific
    • India
    • China
    • Japan
    • Rest of Asia Pacific
  • Latin America
    • Brazil
    • Mexico
    • Rest of Latin America
  • Middle East & Africa
    • South Africa
    • GCC Countries
    • Rest of Middle East & Africa

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