Proctology

 

Proctology is the medical speciality in the diagnosis of disease, prevention and treatment of the anus and rectum, otherwise known as anorectal problems.

 

Proctocologist

If you’re having problems in and around the bottom area, unexplained itching, painful passing of faeces or recurring haemorrhoids then you should see our Proctologist at Tooting Medical Centre.

 

Our Proctologists are sensitive to the delicate nature of the conditions presented in this area and have heard of every thinkable symptom and situation.  So rest assured, you may be prolonging your suffering needlessly, what you may consider embarrassing or difficult to discuss, our Proctologist will have you at ease in no time.  We offer you excellence in care and comfort.

 

NHS have long waiting lists and you may not get an appointment for another fortnight.  At Tooting Medical Centre we can see you on the day.  Why wait in pain?

 

 

 

Treatable Conditions

 

 

Genital Warts

 

Warts are an overgrowth of tissue caused by the Human Papilloma Virus (HPV). The virus lives in your cells and can either remain dormant or activate the cell to create warts.  The most common way of contracting the Human Papilloma Virus is through anal intercourse or anal sexual activity.

 

 

Treatment

If you have visible warts, the treatment will depend on your personal circumstances; how many you have, where they are and what they look like.  Visible warts can be removed by by two methods;

 

 

 

Topical therapy

  • Podophyllin cream (requires clinic visits for application).
  • Mild acid applied by the Proctologist in the clinic. The acid burns the warts which then slough off. Typically, this treatment will cause mild discomfort/pain.
  • Creams applied over a number of weeks

Surgery

  • Freezing (cryotherapy)

  • Heat (electrocautery) using local anaesthetic

  • Laser treatment (using local anaesthetic

 

 

 

Fissures

A fissure is a tear at the edge of the anus causing a sharp burning pain or bleeding in the anal area.  The blood can be seen in the toilet or on toilet paper.  Fissures can be a result of constipation, diarrhea, childbirth or haemorrhoids.  They can heal  within a few weeks without  any treatment, however chronic anal fissures that recur require treatment.

 

 

Trreatment

The goals of treatment for anal fissures is to break the cycle of spasm of the anal sphincter and its repeated tearing.

 

 

Anesthetics and steroids

Topical anesthetics such as lidocains and pramoxine may be recommended especially prior to  bowel movement to reduce the pain of passing hard stools.

 

 

Nitroglycerin

Creams containing nitroglycerin has proven to cause a relaxtion  on the internal anal sphincter and reduces the pressure in the anal canal.  This relieves the spasm of the muscle and also may increase the flow of blood, which promote healingof fissures.

 

 

Botulinum toxin can also paralyze the muscles which can anal fissures.

 

 

 

Haemorrhoids

We are born with haemorrhoids, both internal and external and their function is considered  to aid in keeping stool from leaking out the anus.

 

Symptoms of internal haemorrhoids include pain, swelling, itching, bleeding, prolapse (protrusion outside of the anus, and symptoms of external haemorrhoids include a clot within the haemorrhoid causing pain, itching and bleeding.  The causes of haemorrhoids can be constipation, diarrhea, straining to have a bowel movement and haemorrhoids sagging as we grow older.

 

 

Treatment

Often haemorrhoids can clear up after a few days without any recourse for treatment. However, when they don’t a few simple dietary changes, having a warm bath and not straining when using the toilet can assist in the discomfort.

 

Creams, ointments and suppositories which can be purchased from the pharmancy can help to relieve any swelling or discomfort or medication to soften the stool.

 

 

 

Non-surgical and surgical procedures

For an external haemorrhoid in which a clot has formed, prompt relief can be obtained from your Proctologist performing a simple incision to remove the clot. 

For persistent bleeding or painful haemorrhoids, the following non-surgical procedures to destroy the haemorrhoid can be performed in the clinic on an outpatient basis:

 

  • →  rubber band ligation, involves using a rubber band to cut off the blood supply to the haemorrhoid causing it to shrivel and die

  • →  injection (sclerotherapy), involves injecting a substance into the haemorrhoid to make it harden and shrink

  • →  laser or infrared coagulation, which is a type of heat treatment that causes the haemorrhoid to harden and shrivel.

  • →  If non-surgical procedures are not successful or if the haemorrhoids are particularly large, one of the following surgical procedures may be necessary:

  • →  haemorrhoidectomy - removal of a haemorrhoid with a scalpel or laser

 

haemorrhoid stapling - removal of a haemorrhoid with a special staple gun that also inserts a ring of staples to close the wound and prevent bleeding.

 

 

For relief on sexual health conditions, call our friendly reception team to book an appointment.

 

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