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Diagnosis & Treatment

Advanced treatments delivered with compassionate care.

We understand that dealing with a colorectal condition can be debilitating, and the possibility of colorectal cancer can be even more overwhelming. Our team of colorectal surgeons works together to treat your condition using the most modern diagnostic tests and procedures in a compassionate, respectful environment.

Conditions We Treat

We specialize in the diagnosis and treatment of the following colorectal conditions:  

Colorectal and Anal Cancer

What are Symptoms of Colorectal Cancer?

  • Rectal bleeding
  • Changes in bowel habits
  • Change in stool appearance
  • Weight loss
  • Abdominal or rectal pain
  • Loss of appetite
  • Fatigue
 What are Symptoms of Anal Cancer?
  • Bleeding from the rectum or anus
  • Pain or the feeling of a lump or mass at the anal opening
  • Persistent or recurrent itching
  • Change in bowel habits (having more or fewer bowel movements) or increased straining during a bowel movement
  • Narrowing of the stools
  • Discharge (mucous or pus) from the anus
  • Swollen lymph nodes (glands) in the anal or groin areas

Treatment for Colorectal and Anal Cancer
If you have been diagnosed with colorectal or anal cancer, it's important to understand there's hope. If cancer is detected in its early stage, 80% to 90% of people have restoration to normal health following treatment. Your unique treatment will depend on factors such as your general health, the site of your tumor and the stage the cancer has reached, which we will determine based on the following questions:

1)   How extensive was the growth of the tumor?

2)   Has the tumor spread through the colon wall?

3)   Were any lymph nodes near the tumor involved?

4)   Has the cancer spread to other parts of the body (i.e., the liver)?

In almost all cases of colorectal cancer, surgery is required to remove the portion of the colon that contains the tumor, as well as any nearby tissue. We may also recommend radiation and chemotherapy, or a combination of both, in addition to surgery.

Most anal cancers, however, can be treated with a combination of chemotherapy and radiation alone. We often reserve surgery for advanced cancers or anal cancers that have not responded to chemo and radiation therapy.

If your condition requires surgery, our team uses the most advanced laparoscopic (minimally invasive) and robotic-assisted laparoscopic surgical techniques to treat you whenever possible. Robotic surgery allows us to perform precise, minimally invasive surgery (MIS) in a manner never before experienced to improve your healing and promote well-being.

Procedures We Offer

Using the most advanced medical technology, we provide the following unique surgical and non-surgical procedures:

  • Anal Pap smear, digital rectal exam, barium enema and fecal occult blood tests to check for abnormal precancerous cells
  • Advanced endoscopy/colonoscopy and flexible sigmoidoscopy to screen for colorectal cancer
  • High-resolution anoscopy to screen for anal cancer, anal intraepithelial neoplasia (anal carcinoma in situ)
  • J-pouch surgery for conditions such as familial adenomatous polyposis (FAP) or ulcerative colitis
  • Sphincter-saving surgery for rectal cancer
  • Pouch procedures for various diseases and conditions
  • Colectomy and ostomy procedures, including colostomy, ileostomy and resections for various colorectal diseases
  • Anorectal reconstruction for anal fistula or fecal incontinence
  • Robotic colorectal surgery (using the da Vinci® Surgical System)
  • Laparoscopic surgery
  • Combined colorectal, gynecologic and urologic surgery

Robotic Colorectal Surgery

Rochester General Hospital is the first hospital in Upstate New York to implement the da Vinci Surgical System—the world’s first robotic surgical system with 3D HD vision—bringing our surgeons to the forefront of this rapidly evolving option for colorectal surgical care and offering patients the most advanced surgical procedures for the best possible outcomes.

This state-of-the-art robotic surgical equipment provides detailed views of the affected tissue at twice the regular resolution, through just a few small incisions, allowing our surgeons to perform complex colon and rectal operations with greater precision and control than ever before.

Robotic colorectal surgery also offers our patients significant advantages over traditional “open” surgeries, including:

  • Reduced pain and trauma to the body
  • Less blood loss and need for transfusions
  • Less postoperative pain and discomfort
  • Less risk of infection
  • Shorter hospital stay
  • Faster recovery and return to normal daily activities
  • Less scarring and improved cosmesis

Watch the video about Robotic Surgery to treat Colon Cancer

Conditions Treated with Robotic Surgery
The da Vinci Surgical System has excellent clinical outcomes and is used by our surgical team to effectively treat a variety of colorectal conditions, including: