{"id":24,"date":"2022-09-20T01:27:15","date_gmt":"2022-09-20T01:27:15","guid":{"rendered":"http:\/\/ocra.msitss.com\/?page_id=24"},"modified":"2023-01-23T20:32:13","modified_gmt":"2023-01-24T01:32:13","slug":"our-services","status":"publish","type":"page","link":"http:\/\/ocra.msitss.com\/index.php\/our-services\/","title":{"rendered":"Our Services"},"content":{"rendered":"\n
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Our Services<\/h2>\n\n
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\n ABSCESSES & FISTULAS\n <\/h3>\n\n\n

\n\t\tA peri-rectal abscess is a bacterial infection arising in an anal gland. \n\t\tThey typically produce symptoms of progressively worsening pain, swelling and sometimes drainage in the anal area. \n\t\tOnce the infection drains either spontaneously or surgically, a persistent opening from the external drainage site to the internal gland is called an anal fistula. \n\t\tAbscesses are best treated with surgical drainage, as antibiotic therapy alone is not effective. \n\t\tIf an anal fistula develops, there are a number of options for treatment.\n <\/p>\n\n\n\n\n\t

\n\t\tANAL MANOMETRY\n <\/h3>\n\n\n

\n\t\tAnal manometry measures pressures in the anal canal at various levels under different conditions such as rest straining and squeezing.\n\t\tSensation in the rectum and anal area can also be evaluated during this painless outpatient test.\n\t\tThe information gained during manometry is helpful in evaluating incontinence and measuring response to therapy.\n\t<\/p>\n\t\n\n\t

\n\t\tCOLITIS\n <\/h3>\n\n\n

\n\t\tUlcerative colitis is a disorder of the large intestine resulting in inflammation, ulceration and bleeding.\n\t\tSymptoms can include diarrhea, increased stool frequency and urgency, abdominal and pelvic pain\/cramping, and weight loss. \n\t\tIt most commonly occurs in young adults or later in life and tends to be hereditary. \n\t\tThe exact cause is unknown. \n\t\tThere is a broad spectrum of the disease from mild to severe rapidly progressive forms. \n\t\tThe initial treatment is medications to reduce the inflammation and symptoms. \n\t\tAlthough this is often successful, some patients have chronic or refractory disease and may need to be considered for surgical referral. \n\t\tChronic colitis also increases the risk of colon cancer and close surveillance of the colon is indicated.\n\t<\/p>\n\n\n\n\t

\n\t\tCOLON CANCER\n <\/h3>\n\n\n

\n\t\tColon cancer is the second leading cause of cancer death in the U.S. for men and women combined. \n\t\tAlthough it can occur at almost any age, the incidence of colon cancer increases with age and average risk people over 50 should be considered for screening.\n\t\tIt is believed that 90% of colon cancers begin as benign polyps in the colon.\n\t\tTherefore, detection of polyps and their removal with screening colonoscopy is an effective way to prevent colon cancer.\n\t<\/p>\n\n\n\n\t

\n\t\tCOLON POLYPS\n <\/h3>\n\n\n

\n\t\tColon polyps are considered to be pre-cancerous growths inside the lining of the colon.\n\t\tMost polyps can be removed endoscopically at the time of a colonoscopy. \n\t\tHowever, some are located where endoscopic removal is not possible, or they may be too large for this procedure and will require surgical resection.\n\t<\/p>\n\n\n\n\t

\n\t\tCOLONOSCOPY\n <\/h3>\n\n\n

\n\t\tThe most thorough and effective means of screening the colon for polyps and cancer is with colonoscopy. \n\t\tA colonoscope is a flexible optic scope which can be used to comfortably examine the length of the colon.\n\t\tThis is usually performed as an outpatient procedure with sedation and is painless and safe for most people.\n\t\tPatients at average risk for colon cancer should begin screening at age SO and if normal every 10 years.\n\t<\/p>\n\n\n\n\n\n\n\n\n\n\t

\n\t\tDIVERTICULAR DISEASE\n <\/h3>\n\n\n

\n\t\tThe most thorough and effective means of screening the colon for polyps and cancer is with colonoscopy. \n\t\tA colonoscope is a flexible optic scope which can be used to comfortably examine the length of the colon.\n\t\tThis is usually performed as an outpatient procedure with sedation and is painless and safe for most people. \n\t\tPatients at average risk for colon cancer should begin screening at age SO and if normal every 10 years.\n\t<\/p>\n\t\n\t\n\t\n\t\n\t\n\t

\n\t\tFECAL INCONTINENCE\n <\/h3>\n\n

\n\t\tFecal incontinence is the loss of voluntary control of stool, liquid or gas or loss of the ability to defer defecation until a socially acceptable time. \n\t\tThis can result in significant social embarrassment and limitations in lifestyle. \n\t\tIncontinence varies greatly in severity and frequency.\n\t\tOur multi-modality approach to evaluation and treatment of fecal incontinence offers the best chance of success.\n\t<\/p>\n\t\n\n\n\t

\n\t\tFISSURE & ANAL ULCERS\n <\/h3>\n\n\n

\n\t\tAnal fissures or ulcers are superficial tears in the skin of the anal canal.\n\t\tThey produce symptoms of severe pain and bleeding which can commonly be mistaken for hemorrhoids. \n\t\tOnce identified, they are treated primarily with local and dietary therapy.\n\t\tCompounded ointments may be used to heal fissures, surgical treatment is reserved for chronic or recurrent fissures.\n\t\tAll of these treatment modalities are available with our office.\n\t<\/p>\n\t\n\t\n\t\n\t

\n\t\tHEMORRHOIDS\n <\/h3>\n\n\n

\n\t\tHemorrhoids are cushions of vascular tissue located both externally under the perianal skin and internally under the lower rectal mucosa. \n\t\tAlthough they are normally present, when enlarged or irritated, hemorrhoids may become symptomatic with bleeding, pain, protrusion or discharge.\n\t<\/p>\n\t\n\n\n\n\t

\n\t\tHEMORRHOID BANDING\n <\/h3>\n\n\n

\n\t\tBanding or rubber band ligation of internal hemorrhoids is usually an office-based procedure which can be effective for isolated symptomatic internal hemorrhoids. \n\t\tIt is not always appropriate for more extensive hemorrhoids and may not provide long-lasting symptom relief.\n\t<\/p>\n\t\t\n\n\n\t

\n\t\tPILONIDAL DISEASE\n <\/h3>\n\n\n

\n\t\tPilonidal disease is a common disease in younger men and women occurring in the intergluteal cleft, just on top of the sacrum or upper part of the tail bone.\n\t\tIt occurs due to an accumulation of hair in a skin\u00ad lined cavity. \n\t\tIt can become infected, leading to significant pain and drainage. \n\t\tSurgical excision can solve this problem.\n\t<\/p>\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t

\n\t\tPRURITIS\n <\/h3>\n\n\n

\n\t\tPruritis ani, or anal itching, is a common complaint seen in the office and is frequently misdiagnosed as hemorrhoids. \n\t\tThe etiology is usually diet related and can be resolved with counseling and moderate lifestyle changed.\n\t<\/p>\n\t\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t

\n\t\tRECTAL PROLAPSE\n <\/h3>\n\n\n

\n\t\tRectal prolapse is a full thickness protrusion of the rectum which can be present only intermittently or continuously.\n\t\tThis often results in discomfort, bleeding, difficulty with hygiene or incontinence.\n\t\tSurgical repair is required to eliminate rectal prolapse.\n\t<\/p>\n\t\n\t\n\n\n\n\t

\n\t\tROBOTIC COLORECTAL SURGERY\n <\/h3>\n\n\n

\n\t\tRobotic colorectal surgery is minimally invasive and requires just a few small incisions. \n\t\tThe combination of a skilled surgeon and advanced technology yields a long list of potential benefits. \n\t\tPatients often experience less pain, have a faster recovery and quickly r3turn to regular diet and bowel function. \n\t\tIn addition, robotic surgeries reduce the length of hospital stays and the risk of major complications.\n\t<\/p>\n\t\t\n\t\n\n\n\n\n\t\n\t

\n\t\tSACRAL NERVE STIMULATION\n <\/h3>\n\n\n

\n\t\tDuring sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate rectal function (sacral nerves). \n\t\tThe unit is placed beneath the skin of the buttocks, near the tailbone.\n\t<\/p>\n\t\n\t\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<\/div>\n<\/div>\n\n\n\n

\n Colonoscopy\n <\/h3>\n\n

\n A colonoscopy is a visual examination of the large intestine (colon) using a lighted, flexible fiber optic or video endoscope.\n It is usually performed on an outpatient basis, and it usually takes 15-30 minutes.\n <\/p>\n\n

\n You will be mildly sedated while the endoscopy is inserted through the anus and moved gently around the bends of the colon.\n If a polyp is encountered, it will be removed.\n <\/p>\n\n\n

\n After the procedure, your vital signs are monitored until you are fully awake.\n Normal mild cramping and abdominal pressure usually subside within an hour or so.\n Due to the mild sedation, you should not drive or operate machinery for the remainder of the day.\n Somebody needs to accompany you to the hospital and drive you home after the procedure.\n <\/p>\n\n\n

\n More information about the colonoscopy procedure is available\n \n here.\n <\/a>\n <\/p>\n\n\n\n

\n Colonoscopy Preparation\n <\/h3>\n\n

\n Prior to the colonoscopy, your colon must be clean and free of stool.\n You will drink a solution that flushes the colon clean, or take laxatives and enemas.\n Drink only clear liquids and eat no food for the day prior to the exam.\n The physician will adivse you regarding the use of regular medications during that time.\n <\/p>\n\n

\n There are several colon preparations available for bowel cleansing.\n Your physician will recommend the prep you should use, with any modifications (if necessary).\n The three major preps used by our office are listed below.\n Click on the name of the prep type to see more information. You can print these instructions for easy reference.\n <\/p>\n\n

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\n Miralax \/ Gatorade Colonoscopy Preparation\n <\/h4>\n\n <\/a>\n\n