What is Anorectal Surgery?
Anorectal surgery refers to surgical procedures performed to treat conditions affecting the anus and rectum. These conditions often cause pain, bleeding, discomfort, or difficulties in daily life. Surgery is recommended when medical treatments are not effective, or when complications develop.

Why is Anorectal Surgery Needed?
Common reasons include:
-
Hemorrhoids (piles): swollen veins in the rectum or anus
-
Anal fissures: small painful tears in the anal lining
-
Anal fistulas: abnormal connections between the anal canal and skin
-
Rectal prolapse: rectum protruding outside the body
- Pilonidal sinus: chronic infection near the tailbone
These procedures help relieve symptoms, prevent recurrence, and improve the patient’s quality of life.
Types of Anorectal Surgery
Hemorrhoidectomy
The removal of hemorrhoids is a surgical procedure that eliminates swollen veins in the anus and rectum. It is typically performed for advanced cases of hemorrhoids. The surgery aims to relieve pain, bleeding, and itching. Modern surgical methods allow for quick recovery and a low risk of recurrence.
Fistulotomy / Seton Placement
A fistulotomy is a surgical procedure that involves opening an abnormal tunnel (anal fistula) near the anus to remove infection and promote natural healing.
In some cases, instead of complete opening, a special thread called a seton is placed inside the fistula. The seton helps drain the infection and allows the tissues to heal gradually while minimizing muscle damage and reducing the risk of recurrence.
Sphincterotomy
Sphincterotomy is a surgical procedure performed to relax the anal sphincter muscles, typically in cases of anal fissure. The goal is to reduce muscle tension, relieve pain, and promote natural healing of the fissure. This procedure is most often used for chronic anal fissures and has a high success rate.
Rectal Prolapse Repair
Rectal prolapse repair is a surgical procedure performed to correct the condition where the rectum (the lower part of the large intestine) protrudes outside the body. The aim of the surgery is to reposition the rectum and strengthen the surrounding muscles and tissues. It can be performed through the abdomen (abdominal approach) or through the anus (perineal approach). The appropriate method depends on the patient’s age, overall health, and the severity of the prolapse. After surgery, most patients regain normal bowel function within a short time.
Pilonidal Sinus Surgery
Pilonidal sinus surgery is a procedure performed to remove a chronic infection that develops near the tailbone due to trapped hair and skin debris. The condition often causes pain, swelling, discharge, and recurrent infections. During surgery, all infected tissue is removed, and the area is left to heal either by open or closed techniques. Postoperative care, including hygiene, shaving, and keeping the area dry, is essential to prevent recurrence.
How is Anorectal Surgery Performed?
Usually performed under regional or general anesthesia.
Minimally invasive options are preferred whenever possible.
Duration: 30 minutes – 2 hours depending on the procedure.
Hospital stay: 1–2 nights (some procedures may be outpatient).
Advanced pain management ensures a more comfortable recovery.
