Recent Posts

anorectal conditions

A very common question that I am asked is whether everyone with hemorrhoids needs surgery. And the truth of the matter is that only a minority of patients need surgery for hemorrhoids. Many times, I am actually able to treat hemorrhoids more effectively in the office than in the operating room. So, who can be treated in the office and who needs surgery for hemorrhoids?   First, we should talk about the difference between external and internal hemorrhoids. I’ve talked about this difference in another post as well. External hemorrhoids have pain...

Because newer treatments are available for fecal incontinence (accidental bowel leakage), I’m often asked about them. I am seeing more and more patients with fecal incontinence. Many patients have questions about what exactly is sacral nerve stimulation. It’s a relatively new procedure that has really changed many patients’ lives, so it’s worthwhile to discuss.   Sacral nerve stimulation (SNS) has been used for a number of years for urinary incontinence (urine leakage). Because many patients with urinary leakage also have bowel leakage, doctors started noticing that when SNS was done for urinary...

I see so many patients in the office who think they have hemorrhoids. Hemorrhoids are one of the most common problems that I, as a colon and rectal surgeon, see. However, many of the patients whom I see who think they have hemorrhoids actually have other problems, such as an anal fissure or anal fistula. So the question you are probably wondering is, “Do I have hemorrhoids?” Hemorrhoids can be divided into two main categories: Internal and external. Internal hemorrhoids cause bleeding (one of the more common causes of bright red...

Last time, I talked about hemorrhoids and how many patients who think they have hemorrhoids actually have another problem. Today, I’ll talk about what those other problems might be. Probably the most common thing that is confused with hemorrhoids is an anal fissure. The main way that I, as a colon and rectal surgeon, am able to determine that the problem is an anal fissure and not something else is by listening to my patients! I know you may not believe that. I don’t need a fancy X-ray or CT scan...

Last time, I talked about hemorrhoids and how many patients who think they have hemorrhoids actually have another problem. Today, I’ll talk about what those other problems might be. Probably the most common thing that is confused with hemorrhoids is an anal fissure. The main way that I, as a colon and rectal surgeon, am able to determine that the problem is an anal fissure and not something else is by listening to my patients! I know you may not believe that. I don’t need a fancy X-ray or CT scan...

Fecal incontinence (or bowel leakage) is a very common problem for women. And now we have treatments available for it that are changing lives. Many previously suffered with this problem in silence, but that doesn’t need to happen any longer.   Bowel leakage is most commonly encountered by women and it can happen at any age. Most commonly it presents after age 50. Patients may have leakage of stool, either liquid or solid, that causes them to need to wear a pad. Bowel leakage can be life altering and I have seen...