Proctology Procedures
Overview of Proctology
▲Proctology is the branch of medicine focused on disorders of the rectum, anus, and colon. Proctologists, who are often colorectal surgeons, diagnose and treat conditions such as haemorrhoids, anal fissures, fistulas, and pilonidal disease using a combination of office-based procedures and minimally invasive surgery.
Because many anorectal conditions share overlapping symptoms—such as bleeding, pain, itching, or discharge—accurate diagnosis through direct examination and endoscopy is central to effective treatment.
Haemorrhoidectomy
▼A haemorrhoidectomy is a surgical procedure performed to remove enlarged, prolapsed, or persistently bleeding haemorrhoids that have not responded to conservative treatment. It stands as one of the most commonly performed proctology procedures. This technique is typically reserved for more advanced cases, specifically grade III–IV haemorrhoids, offering patients a durable, long-term solution.
Rubber Band Ligation
▼Rubber band ligation is a quick, in-office procedure used primarily to treat internal haemorrhoids. During the treatment, a small rubber band is placed tightly at the base of the haemorrhoid. This cuts off its direct blood supply, causing the affected tissue to shrink and fall away naturally within a week. It remains among the most frequently searched and performed haemorrhoid treatments.
Anoscopy and Sigmoidoscopy
▼Anoscopy and sigmoidoscopy are common diagnostic procedures that utilize a short, rigid or flexible scope to carefully examine the anal canal, rectum, and lower colon. These diagnostic evaluations are essential to investigate unexplained symptoms such as localized pain, bleeding, or sudden changes in bowel habits. Additionally, these procedures can facilitate minor treatments or the collection of tissue biopsies during the very same visit.
Lateral Internal Sphincterotomy
▼A lateral internal sphincterotomy is a targeted surgical treatment performed for chronic anal fissures that have failed to heal with conservative measures. The procedure involves making a precise, small cut in the internal anal sphincter muscle. This intervention relieves painful muscle spasms and improves local blood flow, allowing the underlying fissure to heal completely.
Fistulotomy and Fistula Surgery
▼An anal fistula is an abnormal tunnel connecting the anal canal to the skin near the anus, often developing as a result of a previous localized abscess. A fistulotomy is a procedure that opens up this abnormal tract, allowing it to heal naturally from within.
For more complex anatomical fistulas that involve significant portions of the sphincter muscle, advanced preserving techniques are required. In these cases, procedures like the LIFT technique (ligation of the intersphincteric fistula tract) are performed to successfully cure the tract while preserving essential bowel continence.
Rectal Prolapse Repair (Rectopexy)
▼Rectal prolapse repair, or rectopexy, is a highly specialised surgical procedure designed to correct a rectal prolapse—a condition in which the rectum slips out of its normal anatomical position. Depending on the patient's age, overall medical health, and unique structural needs, the repair can be performed abdominally (often utilizing minimally invasive laparoscopic approaches) or directly through the perineum.
Sacral Nerve Stimulation
▼Sacral nerve stimulation is a rare, highly specialised treatment pathway reserved for severe cases of faecal incontinence that have failed to respond to other conventional therapies. The procedure involves implanting a small electrical device near the sacral nerves. This device carefully modulates the nerve signals that control underlying bowel function, operating in a manner conceptually similar to a pacemaker for the bowel.