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Treatment Options

Hemorrhoids and anal fissures are often treated with nonsurgical methods, which can include a recommended change in diet and bowel habits or injection of medications. When the nonsurgical methods have been unsuccessful or are not felt to be appropriate for the situation, surgical removal of the hemorrhoids or partial cutting of the internal sphincter muscle will take care of the problem.

Anal fistulas are evaluated as part of a possible inflammatory condition of the rest of the gut or lower bowel. If there is no such association, the fistula can either be closed with specialized material or opened for healing.

Anorectal polyps can also be part of a more generalized inflammatory condition of the gut or lower bowels. If further evaluation does not show such a correlation, the polyps are removed so that they can be thoroughly evaluated by a pathologist.

All of the above treatment interventions are performed with the patient comfortably asleep or sedated. The patient can typically go home on the same day. At home, local cleansing with warm sitz baths is recommended. Pain medication and stool softeners are prescribed after all of the procedures except the removal of polyps.