Colon & Rectal Surgical Medical Services Include

• Screening and diagnostic exams including sigmoidoscopy, colonoscopy and anal ultrasound. Colonoscopies are performed in CRS's state-of-the-art office facilities , as well as in hospital and ambulatory surgical settings.
• Treatment of diseases of the anus including hemorrhoids, fissures, infections, fistulas, anal warts, pruritis ani and Pilondial Disease.
• Treatment of bowel incontinence (sphincteroplasty).
• Surgical treatment of benign and malignant colon and rectal polyps, colon and rectal cancer, diverticulitis, Crohn's Disease, ulcerative colitis and rectal prolapse.
• Ostomy care and teaching.
• Laparoscopic approach to bowel surgery.
• Specialist care for women's colorectal issues.

A consultation with a CRS physician is the first step on your way to optimal treatment of any colon or rectal condition you may experience.

CRS Procedures

Diagnostic

• Anoscopy - provides rapid, painless visualization of the anal canal and distal rectum. Vital in the evaluation of hemorrhoids and tumors of the anus and rectum.
• Proctosigmoidoscopy - provides rapid, painless visualization of the rectum.
• Colonoscopy - flexible fiberoptic scope provides visualization of the entire colon, rectum and terminal ileum (small intestine). Vital in the early detection of colorectal cancer and removal of precancerous growths (polyps). Tissue biopsies can be obtained.
• Anal/Rectal Ultrasound - evaluates the layers of the anus and rectum as well as surrounding tissues without radiation exposure. Vital for treatment planning (incontinence, fistulae and tumors) and follow up.

• Rubber Band Ligation - minimally invasive, rapid treatment of internal hemorrhoids.
• Infrared Coagulation - minimally invasive, rapid treatment of internal hemorrhoids.
• Injection Sclerotherapy - rapid, effective treatment for hemorrhoidal bleeding. Safe for patients on anticoagulants (blood thinners).
• Hemorrhoidectomy - surgical removal of hemorrhoids.
• Harmonic Scalpel Hemorrhoidectomy - surgical removal of hemorrhoids utilizing minimally traumatic cutting technology resulting in reduced post-operative pain and faster recovery.
• Procedure for Prolapsing Hemorrhoids (PPH, aka. Stapled Hemorrhoidectomy) - minimally invasive technology for the treatment of protruding, bleeding internal hemorrhoids. Surgery is performed internally sparing the sensitive anal skin, resulting in the least painful, most rapid recovery from hemorrhoid surgery.
• Excision of Painful (Thrombosed) Hemorrhoids - rapid technique to relieve the pain and swelling associated with severely painful hemorrhoids. Most effective when performed within the first 72 hours of onset. When necessary, thrombosed hemorrhoids are excised under local anesthesia, during the first visit for pain.

Infections

• Perianal/Perirectal Abscess Drainage - opening of infected pockets to provide immediate pain relief from anal infections.
• Pilonidal Cyst Surgery - sometimes necessary to relieve sudden or recurrent pain caused by infections of pilonidal (over the tailbone) cysts. Surgery for pilonidal cysts is tailored to the patient's situation and may involve outpatient procedures and specialized wound care.
• Removal of anal warts (condyloma).

Anal Fistula

• Fistulotomy - traditional surgical method of removing anal fistula.
• Endorectal Advancement Flap - technique for repairing complex fistulas utilizing healthy rectal tissue to cover and seal the fistula source.
• Fistula Plug - latest technology which utilizes a biologically engineered material to support the patient's own healing and new tissue formation to close anal fistulae. This minimizes tissue trauma and results in rapid recovery with minimal discomfort.

Anal Sphincter

• Sphincterotomy - effective, durable treatment for anal pain and fissures.
• Sphincteroplasty - repair of damaged anal sphincter for fecal incontinence.

Benign and Malignant Diseases of the Colon and Rectum

• Endoscopic Polypectomy - polyp removal.
• Transanal Excision of Rectal Lesions - minimally invasive technique to remove rectal lesions in select individuals.
• Open and Laparoscopic Surgery - for colon and rectal cancer.
• Open and Laparoscopic Surgery - for benign colorectal diseases (e.g., Ulcerative Colitis, Crohn's Disease, diverticulitis, rectal prolapse).
• Altemeir Procedures for Rectal Prolapse (Perineal Proctosigmoidectomy).

With two convenient locations on Long Island, New York, Colon & Rectal Surgical provides care for patients from Queens, Nassau and Suffolk Counties. To make an appointment with a CRS physician, please call our Lake Success office at (516) 608-6848 or our Huntington office at (631) 423-5070.