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Dr. Joseph Gharios

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SPECIALIST SURGICAL CARE

Proctology in Lebanon Diagnosis & Treatment of Anorectal Conditions

Dr. Gharios provides proctology care in Lebanon for conditions affecting the anal canal and surrounding region, including hemorrhoids, anal fissures, anal fistulas, and pilonidal disease.

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Anorectal anatomy model used during a proctology consultation

Symptoms such as pain, bleeding, swelling, itching, or drainage should be properly evaluated because different conditions can cause similar symptoms.

Hemorrhoids

Hemorrhoids are enlarged vascular structures that may cause bleeding, irritation, discomfort, or prolapse.

Treatment depends on the type and severity of symptoms and may range from conservative management to office-based procedures or surgery.

Anal Fissure

An anal fissure is a tear in the lining of the anal canal, commonly associated with significant pain during or after bowel movements and sometimes bleeding.

Initial treatment is often conservative. When a chronic anal fissure does not respond adequately, additional medical or surgical options may be considered after evaluation.

Anal Fistula

An anal fistula is an abnormal connection between the anal canal and surrounding skin, often developing after an infection or abscess.

Treatment is individualized according to the fistula's anatomy, with particular attention to treating the disease while preserving sphincter function.

Pilonidal Cyst

Pilonidal disease typically develops in the cleft near the tailbone and may cause recurrent inflammation, pain, abscesses, or drainage.

Treatment depends on the presentation and recurrence history. Minimally invasive laser treatment may be considered for selected cases as an alternative to conventional surgical approaches.

Illustration of minimally invasive laser treatment for pilonidal disease

Key Principles

  • Accurate diagnosis
  • Individualized treatment
  • Function-preserving techniques
  • Minimally invasive options when appropriate
  • Structured postoperative care

Frequently Asked Questions

Does rectal bleeding always mean hemorrhoids?

No. Several conditions can cause rectal bleeding, so persistent or unexplained bleeding should be medically evaluated.

Can an anal fissure heal without surgery?

Many acute fissures improve with conservative treatment. Chronic fissures may require additional treatment depending on symptoms and examination findings.

Can pilonidal disease be treated with laser surgery?

Minimally invasive laser techniques may be an option for selected patients, depending on the extent and characteristics of the disease.

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Whether you are seeking a second opinion or require specialized surgical treatment, Dr. Joseph Gharios provides comprehensive surgical care tailored to your condition.

Schedule a consultation to discuss your diagnosis, treatment options, and personalized surgical plan.