Ano-Rectal Conditions
We Specialize In

Piles, or haemorrhoids, are swollen and inflamed blood vessels in and around the rectum and anus. They are one of the most common ano-rectal conditions, affecting millions globally. Grade I–IV classifications determine the treatment approach.

Internal haemorrhoids lie inside the rectum; external haemorrhoids develop under the skin around the anus. Modern laser treatment eliminates the need for open surgery — patients recover within a day.

• Bright red bleeding during bowel movement
• Pain, itching or irritation near anus
• Swelling or lump around the anus
• Discomfort or mucus discharge
• Feeling of incomplete evacuation
• Prolapse of tissue outside anus

• ✓Laser Hemorrhoidoplasty (LHP)
• ✓DGHAL-RAR — Doppler-Guided Artery Ligation
• ✓Radio Frequency Ablation (RFA)
• ✓Sclerotherapy (Grade I–II)
• ✓Day Care Procedure — Discharged same day

An anal fissure is a small tear or cut in the thin, moist tissue (mucosa) lining the anus. It causes intense burning pain, especially during and after bowel movements, and may bleed.

Acute fissures heal within a few weeks with conservative care. Chronic fissures (>6 weeks) often require laser treatment or sphincterotomy to relax the internal anal sphincter and restore blood flow to the area.

• Severe burning pain during defecation
• Pain lasting 1–2 hours after bowel movement
• Bright red blood on stool or tissue
• Visible crack or tear at the anal opening
• Spasm of the anal sphincter
• Skin tag or sentinel pile near the fissure

• ✓Laser Fissurectomy — precise tissue removal
• ✓Lateral Internal Sphincterotomy (LIS)
• ✓Anal Sphincterometry — pressure assessment
• ✓Topical anaesthetic and muscle relaxant therapy
• ✓Day Care Procedure

A fistula-in-ano is an abnormal tunnel that forms between the inner lining of the anal canal and the skin near the anus. It usually begins as an abscess that partially drains and leaves a chronic tract.

Fistulas are classified as simple or complex depending on their relationship to the sphincter muscles. Advanced procedures like VAAFT and FiLaC preserve sphincter function — avoiding the risk of incontinence.

• Persistent pus or blood discharge near anus
• Pain and swelling around the anal area
• Recurrent perianal abscesses
• Foul-smelling discharge on underwear
• Itching and skin irritation
• Fever (during acute infection)

• ✓VAAFT — Video Assisted Anal Fistula Treatment
• ✓FiLaC — Fistula Laser Closure (sphincter-preserving)
• ✓Laser Fistulotomy (for low simple fistulas)
• ✓Seton technique for complex tracts
• ✓Day Care Procedure

A pilonidal sinus is a small cyst or abscess that occurs near the tailbone (coccyx), at the top of the cleft of the buttocks. It often contains hair and skin debris, and tends to become infected and painful.

Common in young men with thick or coarse hair. The condition frequently recurs after conventional surgery, but laser-assisted excision and pit-picking techniques have significantly reduced recurrence rates.

• Pain, redness and swelling near the tailbone
• Pus or blood draining from a small opening
• Foul odour from the sinus tract
• Recurrent infection and abscess formation
• Tender lump at the top of the buttock crease
• Difficulty sitting for prolonged periods

• ✓Laser Pilonidal Sinus Excision
• ✓Pit Picking (minimally invasive)
• ✓Sinusectomy with primary closure
• ✓Wound care and post-operative dressing
• ✓Day Care Procedure

A perineal tear is a laceration of the perineum — the area between the vaginal opening and the anus. It most commonly occurs during childbirth but can also result from trauma or surgery.

Tears are classified into four degrees based on depth. First and second degree tears heal spontaneously; third and fourth degree tears (involving the sphincter) require surgical repair to restore function and prevent long-term complications.

• Perineal pain, bruising and tenderness
• Difficulty or pain while sitting
• Bleeding or wound discharge in the perineal area
• Bowel or urinary incontinence (in severe tears)
• Painful sexual intercourse post-delivery
• Slow or non-healing perineal wound

• ✓Perineal Repair (primary suturing)
• ✓Sphincter Reconstruction (3rd/4th degree)
• ✓Laser-Assisted Wound Healing & Debridement
• ✓Pelvic floor physiotherapy referral
• ✓Day Care or Short-Stay Procedure

A recto-vaginal fistula (RVF) is an abnormal connection or opening between the rectum and the vagina. This allows faecal matter and gas to pass through the vagina, causing significant distress and hygiene concerns.

RVFs are most commonly caused by obstetric injury during childbirth, but can also arise from inflammatory bowel disease, radiation, prior surgery, or infection. Laser-assisted repair offers excellent outcomes.

• Passage of gas or stool through the vagina
• Foul-smelling vaginal discharge
• Recurrent vaginal or urinary tract infections
• Persistent pain and discomfort in the pelvic area
• Skin irritation around the vaginal opening
• Emotional distress and social embarrassment

• ✓Fistula Flap Repair (endorectal advancement flap)
• ✓Sphincteroplasty (if sphincter involved)
• ✓Laser-Assisted Fistula Closure
• ✓Tissue interposition technique
• ✓Day Care or Short-Stay Procedure

Anal stenosis is an abnormal narrowing of the anal canal that makes it difficult and painful to pass stools. It is often a complication of prior anal surgery, chronic inflammation, or repeated injury to the anal mucosa.

The condition ranges from mild (easily dilated) to severe (requiring reconstructive surgery). Untreated anal stenosis leads to chronic constipation, straining, and recurrent fissures.

• Difficulty and pain when passing stools
• Narrow, ribbon-like or pencil-thin stools
• Severe straining during defecation
• Rectal bleeding and fissures
• Feeling of incomplete bowel emptying
• Chronic constipation

• ✓Progressive Anal Dilation (bougie dilators)
• ✓Anoplasty — mucosal advancement flap
• ✓Laser Anal Sphincteroplasty
• ✓Lateral Internal Sphincterotomy where indicated
• ✓Day Care Procedure