Hemorrhoids & Fissures Specialist

Timothy W. Teslow, M.D., P.C.


Constipation is a common problem that may lead to anorectal conditions like hemorrhoids or anal fissures. In most cases, medical treatment and diet modifications improve hemorrhoids and fissures. However, when conservative measures fail to alleviate your anorectal condition, the team at Timothy W. Teslow, M.D., P.C. in Fairbanks, Alaska, can help. The board-certified general surgeon, Timothy Teslow, MD, and his team specialize in the surgical management of hemorrhoids and fissures. Call the office today.

Hemorrhoids & Fissures Q & A

What are hemorrhoids and anal fissures?

Hemorrhoids and anal fissures are anorectal disorders. Your rectum and anus make up the last section of your large intestine, and their function is to store and eliminate stool. 


Hemorrhoids are enlarged, swollen veins that form in your anus (external hemorrhoids) or rectum (internal hemorrhoids). Depending on their location, your hemorrhoids may itch or cause painless bleeding after a bowel movement.

Hemorrhoids are very common and often improve with lifestyle changes.

Anal fissures

Anal fissures are tears in the lining of your anus. These tears most often occur when you pass hard stool from constipation. Anal fissures may cause rectal bleeding and severe pain during and immediately following a bowel movement. 

For most people, anal fissures improve on their own with the addition of fiber supplements and stool softeners to improve bowel movements.

When do I need surgery for hemorrhoids and anal fissures?

The team at Timothy W. Teslow, M.D., P.C. conducts an evaluation to determine if you need surgery for your hemorrhoids or anal fissures.

They may recommend surgery for hemorrhoids if you have persistent bleeding and pain. 

For anal fissures, surgery is recommended for chronic conditions that fail to improve with medical interventions, or if your symptoms are severe. 

To rule out other causes of your symptoms, the team may recommend a colonoscopy before going ahead with surgery. 

What are the surgical procedures for hemorrhoids?

The team may treat your hemorrhoids using rubber band ligation or a hemorrhoidectomy.

Rubber band ligation

A rubber band ligation is an outpatient procedure that involves placing a rubber band around the base of your hemorrhoid, cutting off its blood supply. Within a few days, your hemorrhoid shrinks and falls off on its own during a bowel movement. 


A hemorrhoidectomy is the surgical removal of your hemorrhoid. The team may use various techniques to remove your internal or external hemorrhoid to alleviate your symptoms. 

What is the surgical procedure for anal fissures?

Your surgeon at Timothy W. Teslow, M.D., P.C. performs a lateral internal sphincterotomy for chronic or painful anal fissures. During the procedure, they cut a portion of your anal sphincter to stop muscle spasms and promote healing of the tear.

Surgery is one of the most effective treatments for chronic anal fissures.

To schedule a surgical consultation for your hemorrhoids or fissures, call the office of Timothy W. Teslow, M.D., P.C.