Compassionate Care for Ano-rectal Health
You don't have to live with pain or discomfort. We provide expert, discreet treatment for hemorrhoids, fissures, and fistulas using the latest minimally invasive techniques.
Expert Solutions for Common Problems
Ano-rectal conditions are among the most common health issues adults face, yet many suffer in silence due to embarrassment. At California Surgical Specialists, we understand the impact these conditions have on your daily life.
Dr. Sana Qureshi is Double-Board Certified in General and Colorectal Surgery, meaning she has attained the highest level of specialized training specifically for these conditions. We offer a private, comfortable environment to diagnose your issue and find a lasting solution.

Conditions We Treat
We provide expert, compassionate care for the most common ano-rectal conditions.
Hemorrhoids
What they are:
Swollen veins in the lower rectum. They can be internal (painless but bleeding) or external (painful and swollen).
Symptoms:
Bright red bleeding during bowel movements, itching, or a painful lump near the anus.
Our Approach:
We offer a range of treatments from office-based banding (rubber band ligation) to THD (Transanal Hemorrhoidal Dearterialization)—a minimally invasive surgical option that treats hemorrhoids without cutting tissue, resulting in significantly less pain than traditional surgery.
Anal Fissures
What they are:
Small tears in the thin lining of the anus.
Symptoms:
Severe, sharp pain during bowel movements and lasting ache afterward.
Our Approach:
Most fissures heal with specialized compounded ointments or Botox® injections to relax the muscle. For chronic cases, we perform a minor procedure (sphincterotomy) that offers permanent relief with high success rates.
Anal Fistulas
What they are:
An infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract. They often form after an abscess (infection).
Symptoms:
Constant drainage, pain, and swelling.
Our Approach:
Fistulas rarely heal on their own. We use advanced techniques like the LIFT procedure or seton placement to eliminate the tunnel while protecting the delicate sphincter muscles to ensure bowel control is preserved.
Don't Ignore Bleeding
Rectal bleeding is a common symptom of hemorrhoids, but it can also be a sign of more serious conditions like colorectal cancer or inflammatory bowel disease (IBD).
You should schedule an evaluation if:
- You see blood in the toilet or on tissue paper.
- You have persistent pain or itching that doesn't improve with home care.
- You experience a change in bowel habits (chronic diarrhea or constipation).
- You feel a lump or swelling.
We perform thorough evaluations, often including high-resolution anoscopy or colonoscopy, to rule out serious pathology and give you peace of mind.
Faster Recovery, Less Pain
Historic treatments for ano-rectal issues were known for being painful. Modern surgery has changed that.
No "Cutting" Options
Procedures like rubber band ligation or infrared coagulation can be done quickly with little downtime.
Sphincter-Sparing Techniques
For fistulas and complex issues, Dr. Qureshi utilizes techniques designed specifically to preserve muscle function and prevent incontinence.
Enhanced Recovery
We use long-acting local anesthetics (EXPAREL®) that provide pain relief for days after the procedure, reducing the need for narcotic pain medication.
The Value of a Board-Certified Colorectal Surgeon
General surgeons can treat these issues, but a Board-Certified Colorectal Surgeon like Dr. Qureshi has completed specialized fellowship training focused exclusively on the colon, rectum, and anus. This expertise is crucial for distinguishing between simple conditions and complex diseases, ensuring you get the correct diagnosis and the most effective treatment plan.
