Understanding Endoscopic Anorectal Procedures

The anorectal region includes the anus and rectum, which play a vital role in digestion and bowel movements. Conditions such as hemorrhoids, fistulas, fissures, and rectal polyps can cause discomfort, bleeding, and pain, requiring medical intervention. Endoscopic procedures allow for effective diagnosis and treatment with minimal disruption to daily life.

Who Needs Endoscopic Anorectal Treatment?

Endoscopic anorectal procedures are recommended for patients with:

• Chronic constipation or rectal bleeding.
  
  
• Hemorrhoids (piles), anal fissures, or anal fistulas.
  
  
• Polyps, tumors, or inflammatory bowel conditions.
  
  
• Rectal prolapse or difficulty in bowel movements.
  
  
• Unexplained anorectal pain requiring diagnosis.
  
  

Common Endoscopic Anorectal Procedures

1. Colonoscopy (Diagnostic & Therapeutic)

• Detects colorectal diseases, polyps, and tumors using a flexible endoscope.
  
  
• Biopsies and polyp removal can be performed during the procedure.
  
  

2. Endoscopic Hemorrhoid Ligation (Banding Therapy)

• For Grade 1 & 2 hemorrhoids, where small rubber bands are placed to cut off blood supply, causing hemorrhoids to shrink.
  
  

3. Endoscopic Fistula Treatment (VAAFT – Video-Assisted Anal Fistula Treatment)

• Minimally invasive procedure for anal fistulas using an endoscope to close the abnormal tract.
  
  
• Less pain, no external wounds, and faster recovery.
  
  

4. Endoscopic Rectal Polypectomy

• For the removal of precancerous or benign rectal polyps.
  
  
• Helps prevent colorectal cancer with minimal discomfort.
  
  

5. Endoscopic Management of Anal Fissures

• Uses laser or botulinum toxin (Botox) injections to relax the anal sphincter and promote healing.
  
  

Advantages of Endoscopic Anorectal Procedures

• Minimally invasive with no large incisions.
  
  
• Reduced pain and faster recovery.
  
  
• Lower risk of infection and complications.
  
  
• Outpatient procedure with same-day discharge.
  
  
• Highly effective with minimal recurrence.
  
  

Step-by-Step Endoscopic Anorectal Procedure

1. Anesthesia or Local Sedation – Ensures a pain-free experience.
   
   
2. Insertion of Endoscope – A thin, flexible camera is inserted through the anus.
   
   
3. Diagnosis or Treatment – Depending on the condition, polyps are removed, hemorrhoids are treated, or fistulas are sealed.
   
   
4. Post-Procedural Monitoring – Patients are observed for a short time before discharge.
   
   

Recovery After Endoscopic Anorectal Procedures

• Most patients resume normal activities within 24-48 hours.
  
  
• Mild discomfort or bloating is common but subsides quickly.
  
  
• Avoid heavy lifting and prolonged sitting for a few days.
  
  
• Increase fiber and fluid intake for smooth bowel movements.
  
  
• Follow-up visits ensure complete healing and prevent recurrence.
  
  

Potential Risks and Side Effects

Endoscopic anorectal procedures are safe, but minor risks include:

• Mild rectal bleeding (temporary).
  
  
• Temporary gas or bloating post-procedure.
  
  
• Rare risk of infection (preventable with proper hygiene).
  
  

Preventing Anorectal Conditions

• Maintain a high-fiber diet to prevent constipation.
  
  
• Drink plenty of water to keep stools soft.
  
  
• Avoid prolonged sitting to reduce pressure on the rectal area.
  
  

Exercise regularly to improve digestion and bowel function.

Get expert endoscopic anorectal treatment in Agra with Dr. Shwetank Prakash, specializing in hemorrhoid ligation, fistula surgery, and rectal polyp removal. Minimally invasive, painless, and quick recovery. Book your consultation today!