Anorectal procedures performed by our board-certified colon and rectal surgeons may include:
Procedures used to treat hemorrhoids include:
- Infrared photocoagulation
- Rubber band ligation
- Standard hemorrhoidectomy
- Doppler guided hemorrhoid ligation
Specific mentions of procedures we have tested, but found inadequate include injection sclerotherapy, freezing and true lasers.
Treatment of Anal Abscesses and Fistulas
Anal abscesses are treated by incising and draining the infected area. This is usually done as an office procedure, but sometimes may require use of a format operating room if the abscesses are unusually large, or there are medical problems due to an underlying condition such as diabetes. Surgical treatment of a fistula usually involves opening the tract and letting it heal from the inside, but there are sphincter sparing operations including flap procedures and plug procedures.
Repair of Sphincter Injuries
Surgery entails finding the ends of the injured sphincter muscles and rejoining them.
Repair of a Fissure
The spastic internal sphincter prevents healing of an open, painful fissure. If the sphincter is relaxed, the fissure heals. Therefore, a small cut in the margin of the internal sphincter called a sphincterotomy, relaxes the muscle. This operation is very successful.
High Resolution Anoscopy (HRA)
High resolution anoscopy is a procedure used for the treatment and surveillance of anal dysplasia and the prevention of anal cancer. HRA is performed on patients with abnormal anal cytology or abnormal anal Pap test. High resolution anoscopy (HRA) is a procedure that allows for the examination and evaluation of the anal canal using an anoscope with a high resolution magnifying instrument called a colposcope. During this procedure, application of a mild acidic liquid is placed on the anal canal tissue to aid in evaluation of the abnormal tissue. Biopsies can be obtained during the procedure if indicated. The procedure is performed in office, is well tolerated, and generally lasts approximately 15 minutes.
Sacral Nerve Stimulation (InterStim) for treatment of Fecal Incontinence
Sacral nerve stimulation (InterStim) is most appropriate for patients who suffer from chronic fecal incontinence. Sacral nerve stimulation targets the communication problem between the brain and the nerves that control bowel function. The sacral nerve stimulator (InterStim) is a small implantable device under the skin in the hip area. A lead wire connects to the device and sends electrical pulses to the sacral nerves. The electrical pulses delivered to the sacral nerves stimulate the nerves that influence the colon, pelvic floor, and anal sphincter muscles leading to improved bowel control.