No. Some anorectal conditions can be managed without surgery, particularly when diagnosed early.

Treatment may include dietary changes, medications, topical therapies, in-clinic procedures, or minimally invasive techniques. Surgery is only recommended when it is likely to provide a meaningful benefit or when less invasive treatments have been unsuccessful.

You should consider specialist assessment if your symptoms are persistent, recurring, worsening, or affecting your quality of life. Symptoms such as rectal bleeding, pain, lumps, itching, discharge, or changes in bowel function can have a variety of causes and should not be automatically assumed to be haemorrhoids.

Early assessment can help identify the underlying cause and ensure appropriate treatment.

For some patients, anorectal conditions can noticeably affect sexual health and well‑being, especially in gay and bisexual patients. In these patients, we prioritise conservative treatments or the least invasive surgery possible. Anal scarring may subtly change the appearance of the anus and, rarely, cause narrowing. When procedures that produce scars are unavoidable, we aim to minimise tissue damage and choose the least invasive option.

Preserving continence and normal bowel function is a key consideration when planning treatment.

Where possible, Dr Marino uses sphincter-preserving and minimally invasive techniques designed to achieve healing while protecting bowel control and long-term function

Yes. Conditions such as fissures, fistulas, scarring, muscle spasm, and chronic pain can affect confidence, intimacy, and sexual function. Some patients have real difficulty engaging in receptive anal intercourse, and this can be assessed in the rooms using anal manometry.

Dr Marino has a particular interest in managing conditions that impact sexual wellbeing and incorporates these considerations into treatment planning where relevant.

Yes. Some treatments can be performed in the clinic, while others may require day surgery or hospital-based procedures.

During your consultation, Dr Marino will discuss the most appropriate treatment approach for your condition and whether it can be managed in the clinic or requires surgery.