Surgeons at Cedars-Sinai specialize in using minimally invasive surgery to treat a wide range of anorectal conditions. We help you get relief from conditions such as fistulas, hemorrhoids and rectal prolapse.
Why Anorectal Surgery?
While anorectal conditions are often stigmatized and little discussed, these disorders, including hemorrhoids, fistulas and fissures, affect millions of people every year. And anal (or rectal) cancer is one of the most common forms of cancer.
The anus and rectum are vital to the body's system of waste disposal, so anorectal conditions affect routine activities like going to the bathroom. Our team uses surgery to treat conditions of the anus and rectum. We determine the specific procedure you need based on your symptoms, history and how far the condition has advanced.
Anorectal Surgery We Perform at Cedars-Sinai
Our surgeons offer an advanced technique for anorectal conditions that requires specialized skill and training. Transanal endoscopic microsurgery is a minimally invasive procedure to remove rectal polyps and tumors. We access the area through the anus instead of the abdomen. This technique offers many improvements, including:
- Precise tissue removal
- Faster recovery time
- Less bleeding
- Less scarring
- Lower risk of infection
- Less postoperative pain
An anal sphincter tear can have many causes, including cancer, childbirth, trauma and incontinence. We offer reconstructive options to rebuild the weakened or torn parts of the sphincter and anus to reduce pain and discomfort.
We may remove smaller fistulas during an outpatient procedure. However, large fistulas require a more advanced approach, which may involve one or a combination of several options:
- Fistulotomy: Removing the entire fistula and tissue around it
- Fistula closure: Closing the fistula opening with a flap (advancement rectal flap) or collagen and glue (fibrin)
- Seton placement: Splitting the vessels that form the fistula
- Ligation of intersphincteric fistula tract: A two-step process to divide and then drain the fistula
Some hemorrhoids heal on their own or require nonsurgical treatments. Others need surgery to heal appropriately. We may recommend:
- Rubber band ligation: Tying a small surgical band around the hemorrhoid to cut off the blood supply
- Sclerotherapy: Injecting chemicals into the hemorrhoid to help it shrink
- Infrared light: Using infrared light to harden and shrink the blood vessels
- Hemorrhoidectomy: Removing the hemorrhoid and surrounding tissue
- Staples: Stapling the hemorrhoid to cut off the blood supply