Dr. Rocky Singh is a specialist in proctology, a branch of medicine that deals with the diagnosis and treatment of conditions affecting the rectum and anus. His proctology clinic, RS Surgical in Pompano Beach, FL, offers a wide range of services to patients suffering from gastrointestinal issues.
Dr. Singh’s office specializes in the office-based treatment of anorectal, skin, and pelvic disorders, providing superior care and exceptional treatment in a comfortable environment. The practice uses some of the most advanced equipment and techniques in the diagnosis and treatment of patients.
Some of the proctology services that Dr. Singh can provide include:
Anoscopy and Sigmoidoscopy
The procedure allows Dr. Singh to examine the inside of the colon, rectum, and anal canal. This is a common tool that helps rule out worrisome causes of bright red rectal bleeding and also helps diagnose rectal inflammation, hemorrhoids, polyps, warts, ulcers or anal fissures.
Unlike a Colonoscopy, the procedure is painless, safer, does not require a complete bowel prep, and does not require sedation anesthesia.
Hemorrhoids
These are swollen veins in the anus and lower rectum that can cause discomfort, itching, and pain. Treatment for hemorrhoids typically begins with over-the-counter creams, ointments, or suppositories that can help relieve symptoms. In more severe cases, Dr. Singh may recommend other non-surgical treatments such as warm baths or the use of a medicated foam.
When non-surgical treatments are not effective, the proctologist may recommend painless minimally invasive procedures such as rubber band ligation, infrared coagulation, or sclerotherapy. In more severe cases, surgery may be necessary to remove the hemorrhoids. If needed, the type of surgery performed will depend on the size and location of the hemorrhoids. Most often, a simple removal process in the office is effective and carries a minimal recovery time. This is usually our preference.
An excisional hemorrhoidectomy, which is the removal of multiple internal and external hemorrhoids at the same time, is the most effective surgical treatment but results in significant pain and a longer recovery period. Newer surgical techniques such as stapled hemorrhoidectomy have been developed to minimize post-operative pain and speed up recovery time, but these are less effective and sometimes have long-term side effects that can lead to a decreased quality of life. If needed, Dr. Rocky Singh will discuss all of these during the initial consultation.
Anal Fissures
An anal fissure is a small tear or crack in the skin lining the anus that can cause pain, bleeding, and discomfort during bowel movements. The first line of treatment for an anal fissure usually involves increasing fiber and fluid intake to soften stools and reduce strain during bowel movements. Dr. Singh may also prescribe a topical cream or ointment containing a smooth muscle relaxant to increase the blood flow to the tissue, promote healing, and relieve pain.
In some cases, conservative treatment may not be enough to relieve symptoms or promote healing. In these cases, Dr. Singh may recommend a minimally invasive procedure such as Botox injection to heal the anal fissure. Another option is lateral internal sphincterotomy, in which a small portion of the anal sphincter muscle is cut to reduce spasm and allow the fissure to heal. In severe cases, surgery to remove the fissure may be necessary. It is important to address an anal fissure promptly to prevent chronic symptoms and the development of related complications such as abscesses or anal fistulas.
Anal Abscess
An anal abscess is a painful condition that occurs when a pocket of infected material forms near the anus. Treatment for an anal abscess usually involves the draining of the infected material. This can be done using a small incision, which is made near the abscess, to allow the infected material to drain. This minor procedure performed with the aid of local anesthesia, provides immediate and sustained pain relief. Rarely, Dr. Singh may leave a drain in place for a few days to allow for continued drainage.
In some cases, the abscess may recur after draining, or the infection may spread to the surrounding tissues, requiring further treatment. In these cases, Dr. Singh may recommend surgery to remove the abscess and any surrounding infected tissue. The type of surgery will depend on the location and size of the abscess. After surgery, antibiotics may be prescribed by Dr. Singh to help prevent infection and promote healing. In severe cases, an anal abscess can be a serious condition that can quickly progress to sepsis or gangrene, so it is important to seek prompt medical attention if symptoms develop.
Rectal Prolapse
This is a condition in which the rectum falls out of its normal position and protrudes through the anus. Treatment for a rectal prolapse will depend on the severity of the condition and the underlying cause. In some cases, conservative treatments such as increased fiber intake, stool softeners, and pelvic floor exercises may be recommended to help relieve symptoms and improve bowel function.
If conservative treatments are not effective, Dr. Singh may recommend a surgical procedure to repair the rectal prolapse. The type of surgery will depend on the extent of the prolapse and the overall health of the patient. Common surgical options include rectopexy, in which the rectum is lifted back into its normal position and secured in place with sutures or mesh, and resection rectopexy, in which a portion of the rectum is removed and the remaining tissue is secured in place. In some cases, a combination of surgical and conservative treatments may be recommended to achieve the best outcomes.
Fecal Incontinence
Fecal incontinence is a condition in which an individual loses control over their bowel movements and experiences unwanted leakage of stool. The treatment for fecal incontinence will depend on the underlying cause and severity of the symptoms. In some cases, simple changes to diet and lifestyle, such as increasing fiber and fluid intake, may be recommended to help improve bowel function.
If dietary changes are not effective, our team may recommend other treatments such as pelvic floor muscle exercises to strengthen the muscles that control bowel movements, medications to regulate bowel function, or electrical stimulation of the pelvic floor muscles. In some cases, a minimally invasive procedure such as injection of bulking agents into the rectum or implantation of a neurostimulator may be recommended to help improve bowel control.
In severe cases, the proctologist may find it necessary to conduct surgery to repair damaged muscles or nerves. It is important to seek prompt medical attention if symptoms of fecal incontinence develop, as early treatment is key to achieving the best outcomes.
Schedule An Appointment
To schedule a proctology consultation with Dr. Singh, patients can contact the proctology clinic directly by calling (954) 807-9545 or emailing contact@rssurgicalmd.com. A member of our team will assist patients in scheduling a convenient appointment time. When patients come to the office for an initial consultation, they should bring any relevant medical records, including imaging results and lab reports.
Dr. Singh and his staff are dedicated to providing the highest quality care, and understand the sensitive nature of proctology conditions. We will work with patients to create a treatment plan that best fits their needs and preferences while providing patients with the information they need to make informed decisions about their care.
Call for an appointment today! We look forward to treating you and solving any gastrointestinal issues you might have.