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PROCTOLOGY

Proctology is about fixing the problems that make everyday life uncomfortable—bleeding piles, fissure pain, fistula discharge, or a pilonidal sinus that keeps flaring up. The plan here is simple: make the diagnosis clear, choose the least invasive procedure that will actually solve the problem, and guide you through recovery step by step. With Dr. Asif Umar, you’ll get plain language advice, steady hands in the operating room, and a plan you can follow at home.

What we treat

  1. Hemorrhoids that bleed, swell, hurt, or slip out during bowel movements
  2. Anal fissure that causes sharp pain and a streak of blood on the tissue
  3. Anal fistula with drainage or repeated abscesses
  4. Pilonidal sinus near the tailbone that’s tender or leaking
  5. Skin tags, sentinel piles, and other small but annoying anorectal growths

Our procedures

  • Hemorrhoidectomy
      • What it is: Surgical removal of swollen hemorrhoidal tissue.
      When we choose it: Large, mixed, or stubborn hemorrhoids that don’t respond to banding, injections, or creams.
      Recovery: Expect soreness for a few days. Warm sitz baths, a stool softener, and gentle topical care help a lot. Desk work usually resumes in about 7–10 days.

  • MIPH (Stapler Hemorrhoidopexy)
      • What it is: A circular stapler lifts internal hemorrhoids back into place and reduces their blood supply.
      Why it’s useful: Often less painful after surgery than a traditional hemorrhoidectomy in the right cases, with a fastbber return to routine.
      Recovery: Light activities in a few days for most people, with minimal wound care.

  • Laser Hemorrhoidoplasty
      • What it is: Laser energy shrinks hemorrhoidal cushions from the inside, without cutting external skin.
      Why it’s useful: Less irritation at the skin and quicker comfort for selected grade II–III hemorrhoids.
      Recovery: Typically a day care procedure with short downtime and simple aftercare.

Anal fistula care

    Laser Ablation of Fistula
    What it is: A laser fiber treats the fistula tract from the inside to promote closure while aiming to protect the sphincter muscle.
    Why it’s useful: Sphincter sparing for selected simple or mid level fistulas, lowering the risk of continence issues compared with cutting procedures.
    Recovery: Usually day care. Follow up checks confirm that the tract is closing as expected.

Fistulectomy & LIFT

  • Fistulectomy: Complete removal of a simple, low fistula tract when a straightforward cure is best.
  • LIFT (Ligation of Intersphincteric Fistula Tract): Closes the internal opening and divides the tract between muscle layers to protect continence in trans sphincteric fistulas.
  • Recovery: Regular dressings at first, walking from day one, and office work when comfortable.

Anal fissure

    Lateral Internal Sphincterotomy (LIS)
    What it is: A small cut in the internal sphincter that eases spasm and restores blood flow so the fissure can heal.
    Why it’s useful: The most reliable solution for chronic fissure when creams and dietary changes haven’t helped.
    Recovery:Home the same day for most patients. Fiber, fluids, a stool softener, and short walks speed healing.

Pilonidal sinus surgery

    Pilonidal Sinus Surgery (Laser and Open)
    Laser approach: Small openings and laser ablation of sinus tracts; often less pain and a faster return to routine in the right anatomy.
    Open approach: Excision with lay open or flap based repair for complex, branching, or recurrent disease; chosen for long term durability.
    Recovery: Hair control and hygiene matter. Many return to desk work in 1 week (laser often sooner). Activity increases after review in clinic.

How your care is planned

The right test at the right time: Most diagnoses are clinical. Ultrasound or MRI is added when tract mapping will change the operation (fistula or complex pilonidal).

  • Clear options: You’ll hear the pros and cons, the likely discomfort, and the recovery timeline before you decide.
  • Recovery by design: Day care when safe, early walking on the same day, and simple pain plans that work.

Your recovery roadmap

  • Pain control: Start simple—warm sitz baths and basic pain tablets if allowed. Step up only if needed.
  • Bowel routine: Fiber, fluids, and a stool softener prevent straining and protect the repair.
  • Wound care: Written, easy to follow steps. Call if pain spikes, fever appears, or drainage changes.
  • Activity: Short walks from day one. Desk work often within days for minimally invasive procedures, about a week after more extensive surgery.

Why patients choose us

  • Practical guidance that helps the same day.
  • Procedures matched to the problem, with continence protection built into the plan.
  • Careful technique to lower recurrence and downtime.
  • The same team before, during, and after surgery.

Preparing for your procedure

Share all medicines (especially blood thinners), allergies, and any prior anorectal operations. If you can, pause nicotine—it helps wounds close and scars settle. Stock the basics at home: fiber rich foods, plenty of water, a stool softener, clean dressings, and a sitz bath tub. Arrange a ride home for day care procedures.

Book a consultation!

If you’re dealing with bleeding piles, fissure pain, fistula discharge, or a stubborn pilonidal sinus, book a visit with Dr. Asif Umar. Bring old reports if you have them. You’ll leave with a diagnosis you understand, a procedure plan that fits your life, and clear steps to get back to normal.