First & Only Speciality Center for Piles / Fistula treatment.

Out-patient clinics

The colorectal team runs the outpatient clinics on all Tuesdays and Fridays. The clinics can be attended by both appointments as well as open access to walk-in patients. Complete workup and investigations are offered to the patients based on the presentation. Patients with diagnosis of cancer are discussed in the Tumour Board meeting at 4.00pm.

Tumour Board Service

The Tumour Board is formed by the team of Consultant Colorectal surgeons, Oncologist (Dr. Akila), Radiologist (Dr. Srikanth), Pathologist (Dr. Aravind) and Specialist nurses. The meeting happens everyday at 4.00pm in the auditorium. Detailed discussion of the patient status, histopathology and imaging is done so that optimal management plans are made to suit the individual patients. Management plans are made in accordance with the NCCN American guidelines.

Out-patient procedures

Self-illuminating Proctoscope is used for the detailed assessment of anal canal problems such as anal fistula, hemorrhoids, and anal fissures. For patients with first and second-degree hemorrhoids with bleeding, rubber band ligation of hemorrhoids is performed. Banding of hemorrhoids is a well-tolerated procedure and the patient can return home within a few hours. Rigid sigmoidoscopy is performed in the outpatient clinic for selected patients and it offers the option of performing a biopsy as well if necessary.

Anal physiology services

Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.

Diagnostic services

Proctoscopy and Rigid Sigmoidoscopy are performed in the outpatient clinic as above. Flexible Sigmoidoscopy is offered to patients with anorectal symptoms. An enema is given to the patient following which sigmoidoscopy is performed. For patients with chronic altered bowels and anemia Colonoscopy is offered. We are able to perform a colonoscopy on the same day for patients presenting to outpatients before 9.00am. They are admitted to a room for bowel preparation following which colonoscopy is performed under sedation. We have a vastly experienced Radiology team helping us with Ultrasonography and CT scan.

Anal physiology services

Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.

Therapeutic services

Patients with colonic and rectal polyps are offered colonoscopy and polypectomy as a day case procedure. For selected patients presenting with obstructed colonic cancer, a same day stenting service is provided.

Chemotherapy services

A dedicated chemotherapy ward with well-trained staff nurses looks after the patients undergoing chemotherapy. Pre-printed protocols are used with individualised treatment offered to patients. All chemotherapy administration is closely monitored by Consultant Oncologist and Consultant Surgeons.