Proctology
Understanding Proctology with Dr. Sirisha Routhu
Proctology is the branch of medicine that deals with disorders of the rectum, anus, and surrounding tissues. These conditions are often uncomfortable and can affect your daily life, but the good news is, they’re treatable, especially when detected early.
Dr. Sirisha Routhu, a specialist in Proctology, offers compassionate care combined with modern laser techniques to treat conditions like piles, fissures, and fistulas. Her goal is simple: to make patients feel better, faster, with minimal pain and maximum comfort.
Here is how the diagnosis is made, and the Proctology conditions are evaluated
Visual & Physical Examination
This is a quick and simple external check of the anal area to look for signs like swelling, cuts, or infection. It's a painless first step to understand the root cause of discomfort.
Digital Rectal Exam (DRE)
A gloved, lubricated finger is gently inserted into the rectum to feel for any lumps, tightness, or unusual growths that may not be visible from the outside. The process takes only a minute and helps in identifying deeper concerns.
Anoscopy / Proctoscopy
A small tube with a light is used to look inside the anal canal and rectum. This tool provides a clear view of internal issues in a safe, precise, and painless way.
Disclaimer:
Each of these procedures is done with utmost care, privacy, and respect. The focus is on making patients feel comfortable, informed, and at ease throughout the process. Because the goal is to remove the fear, not just the discomfort. Because Your health matters.
Haemorrhoids (Piles)
What it is:
Haemorrhoids, commonly known as piles, are swollen veins in the anus or lower rectum. They can be internal (inside the rectum) or external (outside the anus) and may cause bleeding, itching, discomfort, or a feeling of a lump.
How it's diagnosed:
A physical examination is often enough to detect external piles. For internal haemorrhoids, an Anoscopy or proctoscopy may be performed to view inside the anal canal and rectum.
How it’s treated:
Laser treatment is the modern and preferred method for piles. It involves using a focused laser beam to shrink or remove the swollen veins with minimal bleeding, no stitches, and less pain. It’s a daycare procedure, and most patients recover quickly with very little downtime.
Anal Fissures
What it is:
An anal fissure is a small tear or cut in the lining of the anus, often caused by passing hard stools or chronic constipation. It results in sharp pain during bowel movements, sometimes accompanied by bleeding or itching.
How it's diagnosed:
A fissure can usually be seen during a simple visual examination. It appears as a crack or sore near the anal opening. If needed, a digital rectal exam may be done to assess the severity.
How it’s treated:
In chronic cases where ointments or dietary changes don’t help, laser sphincterotomy is performed. This minimally invasive laser procedure helps relax the anal muscles, reduces spasms, and promotes natural healing — without cuts or stitches, leading to fast and long-lasting relief.
Anal Fistulas
What it is:
An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus. It’s often caused by an infection or abscess and may result in pain, pus drainage, swelling, or fever.
How it's diagnosed:
Diagnosis begins with a physical exam to check for external openings or pus. Further evaluation with a digital rectal exam or imaging (if needed) may help map the tract of the fistula.
How it’s treated:
Laser treatment for anal fistulas involves using a high-precision laser fiber to close the fistula tract from within. This technique avoids cutting muscles, meaning less pain, reduced risk of incontinence, and faster healing. It also significantly lowers the chance of recurrence compared to traditional surgery.
If you're experiencing symptoms like bleeding, pain during bowel movements, or discharge, don’t ignore them. With modern techniques and compassionate care, treatment is easier, faster, and more comfortable than ever before.
Book your consultation today and take the first step toward lasting relief.
Pilonidal Sinus
What is a Pilonidal Sinus?
A pilonidal sinus is a small tunnel or tract under the skin near the tailbone, typically containing hair and skin debris. It often causes pain, swelling, and may get infected if left untreated.
Dr. Sirisha, with her expertise in surgical care and compassionate approach, offers comprehensive diagnosis and advanced treatment options for pilonidal sinus, ensuring both relief and long-term prevention.
- Pain or tenderness near the tailbone
- Swelling, redness, or warm skin in the lower back area
- Pus or blood drainage from the skin
- Foul odor from the site
- Fever or recurrent skin infections
How Dr. Sirisha Diagnoses Pilonidal Sinus
Dr. Sirisha conducts a thorough physical examination of the affected area and reviews your symptoms and medical history. In complex or recurrent cases, ultrasound or MRI may be recommended to assess the depth and extent of the sinus tract.
Treatment Options
Non-Surgical Management (for mild cases)
- Prescription of antibiotics if infection is present
- Advice on warm compresses and maintaining hygiene
- Hair removal guidance to prevent recurrence
Drainage Procedure (for painful abscess)
- Performed under local anaesthesia
- A small incision made to drain pus and reduce pressure
- Regular dressings and wound care follow-up
Surgical Removal (for chronic or recurrent cases)
Complete excision of the sinus tract under anesthesia
- Complete excision of the sinus tract under anesthesia
- Depending on the case, the wound may be closed with sutures or left open to heal naturally
- Minimally invasive options, like laser treatment or chemical cauterization, may be offered where appropriate
Post-Treatment Support
Dr. Sirisha provides detailed guidance on:
- Wound care and hygiene
- Preventing recurrence with hair removal techniques
- Activity modification and follow-up care
When to consult a doctor?
If you’re experiencing symptoms of pilonidal sinus, don’t delay care. Early treatment can prevent complications and ensure a smoother recovery.
Book an appointment today for safe, effective, and personalized treatment for pilonidal sinus.
Why Laser?
Modern Problems Deserve Modern Solutions
Gone are the days when surgery meant large cuts, long hospital stays, and painful recoveries. Thanks to advances in medical technology, laser-assisted surgeries have transformed the way we treat proctological conditions like piles, fissures, and fistulas.
Laser treatments are minimally invasive, precise, and patient-friendly—designed to heal, not hurt.
What is Laser Surgery in Proctology?
Laser surgery involves using a focused beam of light (laser) to either shrink, remove, or seal the affected tissue. Unlike traditional surgical tools, lasers offer high precision with minimal damage to surrounding areas, making the procedure cleaner, quicker, and more effective.
Top Benefits of Laser Surgery
Minimal Pain
Laser energy causes very little trauma to tissues, which means less post-operative pain and discomfort.
Less Bleeding
The laser seals blood vessels as it cuts, so there’s significantly less bleeding during and after the procedure.
No Stitches, No Scars
Most laser procedures are suture-free, meaning no cuts, no stitches, and almost scarless healing.
Quick Recovery
Laser procedures are often done as day-care surgeries, allowing patients to go home the same day and resume normal activities within a few days.
Reduced Risk of Infection
Because the laser sterilizes the area as it works, the chances of post-surgical infection are much lower.
Precision and Control
The laser targets only the problem tissue, leaving healthy areas untouched. This ensures faster healing and better results.
Lower Recurrence Rates
Especially for chronic conditions like anal fistulas, laser treatment significantly reduces the chance of recurrence compared to traditional surgery.