Dr. Manas Kumar Sahoo

MBBS, MS, FIAGES, FMAS
(Robotic & Laparoscopic GI / Bariatric Surgeon)

Proctology

Advanced Treatment for Piles, Fistula, Fissure & Rectal Disorders

Proctology is a specialized branch of surgery that focuses on diseases of the rectum, anus, and lower digestive tract. We provide advanced laser, laparoscopic, and minimally invasive proctology treatments for piles, anal fistula, fissure, rectal prolapse, and rectopexy.

Our goal is to provide pain-free treatment, faster recovery, and minimal recurrence risk using modern surgical techniques.

Hemorrhoids (Piles)

Hemorrhoids (piles) are swollen veins in the rectum or anus causing pain, bleeding, and discomfort during bowel movements.

Symptoms

Treatment Options

  • PPH (Procedure for Prolapse and Hemorrhoids) / Stapler Surgery

  • Sclerotherapy

  • STARR Surgery (Stapled Transanal Rectal Resection)

Comparison of Hemorrhoid
Treatment Techniques

Open
Laser
Stapler (PPH)
Involves complete surgical removal of hemorrhoidal tissue
Uses focused laser energy to shrink & seal hemorrhoidal tissue
Uses a circular stapling device to remove a ring of tissue with lifting of hemorrhoidal tissue
Longer recovery period
Shorter recovery period
Shorter recovery period
Increased risk of bleeding & infection and stenosis
Reduced risk of bleeding & infection
Less risk of pain & bleeding
Minimal chances of recurrence
May be inappropriate for very large hemorrhoids
Best for large hemorrhoids

Complex Anal Fistula (High/Low) – FILAC

An anal fistula is an abnormal tunnel between the anal canal and the skin near the anus, usually caused by infection or abscess.

Advanced Treatment

Anal Fissures

An anal fissure is a small tear or cut in the lining of the anal canal, usually caused by passing hard or strained stools. This common condition can cause sharp pain, bleeding, and discomfort during or after bowel movements. Although often mistaken for hemorrhoids, fissures are distinct and require specific treatment.

Symptoms of Anal Fissures

Treatment Options

  • LIS (Lateral Internal Sphincterotomy)
  • Anal Dilatation
  • Fissurectomy

Rectal Prolapse

Rectal Prolapse is a condition where the rectum loses its normal attachments and protrudes through the anus. Rectopexy is an advanced surgical procedure to treat rectal prolapse.

Symptoms of Rectal Prolapse

Treatment Options

  • STARR
  • Delorme’s Procedure
  • Rectopexy

Rectopexy

Rectopexy is a surgical procedure to correct rectal prolapse by repositioning and securing the rectum, restoring normal anatomy, improving bowel control, and preventing recurrence.

Types of Rectopexy