Brian Chandler
Brian Chandler
Early Signs of Anal Fistula: When to Refer for Treatment
Anal fistulas can be easy to underestimate in the beginning. A patient may describe a sore spot near the anus, a “boil” that drained, intermittent swelling, or irritation that keeps coming back. In a busy primary care, GI, or colorectal setting, these symptoms may initially resemble hemorrhoids, fissures, folliculitis, or routine skin irritation. However, recognizing […]
Continue readingBenefits of Outpatient Colorectal Procedures for Patients and Providers
Outpatient care has become an increasingly important part of modern colorectal treatment. For the right patient and the right condition, many anorectal procedures no longer require a traditional hospital admission. This shift can create a better experience for patients while also helping colorectal surgeons use time, staff and clinical resources more efficiently. The benefits of […]
Continue readingHemorrhoid Banding Side Effects: What Patients and Doctors Need to Know
Hemorrhoid banding is one of the most common minimally invasive treatments for symptomatic internal hemorrhoids. Also known as rubber band ligation, the procedure involves placing a small band at the base of the hemorrhoid tissue to restrict blood flow. Over time, the treated tissue shrinks, separates, and passes naturally. For many patients, banding offers meaningful […]
Continue readingSigmoidoscopy vs Colonoscopy: Key Differences for Diagnosis and Patient Care
When patients hear that they may need a lower GI endoscopic procedure, two terms often come up: sigmoidoscopy and colonoscopy. While both procedures allow clinicians to examine part of the lower digestive tract, they are not the same. Understanding sigmoidoscopy vs colonoscopy is important for colorectal surgeons, GI providers, and patients because each procedure serves […]
Continue readingHow Long Does Rubber Band Ligation Last? What Patients Should Expect
Hemorrhoids are a common condition that can cause discomfort, bleeding, and disruption to daily life. For patients seeking a minimally invasive solution, rubber band ligation (RBL) is often recommended. But one of the most important questions patients ask is: how long does rubber band ligation last? Understanding both the short-term recovery and long-term effectiveness of […]
Continue readingRectal Exam Tools: What Clinicians Use and Why It Matters
Rectal exams are a fundamental component of colorectal care, playing a critical role in diagnosing and monitoring a wide range of conditions. From identifying hemorrhoids and fissures to detecting early signs of colorectal cancer, these exams provide valuable clinical insights. At the center of every effective exam are the rectal exam tools clinicians rely on […]
Continue readingHemorrhoid Pain Relief After Surgery: Techniques for Faster Patient Comfort
Understanding Post-Surgical Hemorrhoid PainWhy Pain Occurs After Hemorrhoid ProceduresPost-operative discomfort is a common concern following hemorrhoid surgery, largely due to the sensitive nature of the anal canal. The anoderm contains a high concentration of nerve endings, making even minor trauma noticeable. Inflammation and swelling following surgery can intensify this discomfort, especially when combined with internal […]
Continue readingRecurrent Anal Condylomas Treatment: When to Consider Laser Therapy
Understanding Recurrent Anal CondylomasWhat Are Anal Condylomas?Anal condylomas, commonly referred to as anal warts, are caused by the human papillomavirus (HPV), most often subtypes 6 and 11. These lesions can appear externally around the anus or internally within the anal canal, often presenting as soft, raised, cauliflower-like growths.Why Do Condylomas Recur?Recurrent disease is one of […]
Continue readingMinimally Invasive Laser Treatment for Perianal Condylomas
Understanding Perianal CondylomasPerianal condylomas are benign epithelial proliferations caused primarily by low-risk human papillomavirus (HPV), most commonly types 6 and 11. Although histologically benign, these lesions can be locally aggressive, recurrent, and psychologically distressing for patients.Clinically, condylomas often appear as exophytic, cauliflower-like lesions around the anal verge. Intra-anal disease may present as flat plaques only […]
Continue readingPerianal Condyloma Removal with Laser: A Precision-Based Approach
Understanding Perianal Condyloma in Clinical PracticePerianal condyloma, commonly caused by low-risk human papillomavirus (HPV) subtypes 6 and 11, presents a frequent and sometimes frustrating challenge in colorectal practice. These exophytic lesions can range from small, isolated growths to extensive plaques involving perianal skin and extending intra-anally.Patients often report pruritus, irritation, minor bleeding during hygiene, or […]
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