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Rectal Procedures


The term hemorrhoids refer to a condition in which the veins around the anus or lower rectum are swollen and inflamed. According to the American Society of Colon and Rectal Surgeons, millions of Americans suffer with hemorrhoids (ASCRS).

There are two types of hemorrhoids, internal and external. Internal hemorrhoids develop within the anus; external hemorrhoids develop outside of the anus. Hemorrhoids are also called piles.

Several factors could be the reason to hemorrhoids.

  • straining during a bowel movement
  • complications from chronic constipation
  • sitting on the toilet for a long time
  • pregnancy (when the uterus enlarges it presses on the vein in the colon causing it to bulge)
  • If someone in your family had hemorrhoids, you are also more likely to develop them.

Symptoms of hemorrhoids include:

  • extreme itching around the anus
  • irritation and pain around the anus
  • itchy lump located near your anus
  • fecal leakage
  • painful bowel movement
  • blood on your tissue after having a bowel movement

Procedures used include:

  • Endoscopic: Endoscopic methods include the use of freezing, electrical or laser heat, or infrared light to destroy the hemorrhoidal tissue.
  • Band ligation: The gastroenterologist or surgeon may use a technique in which a rubber band is put around the base of the hemorrhoid. The band cuts off circulation, and the hemorrhoid withers away within a few days. This technique is used only for internal hemorrhoids.
  • Incision and drainage: (I&D) for thrombosed hemorrhoids.
  • Hemorrhoidectomy: surgical removal of a hemorrhoid.

Pilonidal Cysts

A pilonidal cyst is a cyst that forms near the tailbone at the top of the cleft of the buttocks. These cysts typically occur when hair punctures the skin and then becomes infected and filled with pus. Pilonidal cysts also known as Pilonidal abscesses; look like a large pimple at the bottom of the tailbone. It is more common in men than in women. It usually happens in young people up into the fourth decade of life.

symptoms of a pilonidal cyst include:

  • Pain at the bottom of the spine
  • Swelling at the bottom of the spine
  • Redness at the bottom of the spine
  • Draining pus
  • Fever

The initial treatment for an infected pilonidal cyst is a procedure that can be performed at your doctor’s office. After numbing the area with an injection, your doctor makes a small incision to drain the cyst. If the cyst recurs, which often happens, you may need a more extensive surgical procedure that removes the cyst entirely.

Why Hillcrest General Surgery?

As a part of Hillcrest Baptist Medical Center, Scott & White Healthcare, Hillcrest General Surgery in Waco, Texas strives to provide excellence in patient care through providing comprehensive general surgery services in the Central Texas Area.