From the Guidelines
A colorectal surgeon or proctologist typically treats perianal skin tags, as they are best equipped to safely perform the necessary procedures. If you have anal skin tags that are causing discomfort or hygiene issues, it is recommended to schedule an appointment with a colorectal surgeon 1. They will examine the area and determine if removal is necessary. The procedure is usually done in-office under local anesthesia and takes about 15-30 minutes. The surgeon will likely use one of these methods:
- Excision: Cutting off the tag with surgical scissors
- Cryotherapy: Freezing the tag with liquid nitrogen
- Electrocautery: Burning off the tag with an electric current After removal, you may experience mild discomfort for a few days. Keep the area clean and dry, and follow your doctor's instructions for wound care. Most patients can return to normal activities within a day or two. It's essential to note that while excision is a common method, it may not be recommended in certain cases, such as perianal Crohn's disease, due to a high rate of postoperative complications 1. Therefore, it is crucial to have a professional evaluate and treat anal skin tags to ensure proper diagnosis and reduce the risk of infection or complications.
From the Research
Medical Specialties Involved in Treating Perianal Skin Tags
- Dermatologists play a pivotal role in treating diseases of the perianal region, including inflammatory perianal disorders and perianal tumors 2
- Colorectal surgeons are also involved in treating conditions related to the colon, rectum, and anus, including perianal skin tags 3, 4, 5
- Primary care physicians may also evaluate and treat anorectal conditions, including perianal skin tags, and refer patients to specialists if necessary 4
Treatment and Diagnosis
- A thorough history and careful anorectal examination are necessary to diagnose perianal skin tags and differentiate them from other anorectal conditions 4, 6
- Treatment options for perianal skin tags may vary depending on the underlying cause and severity of the condition, and may involve surgical removal or other management strategies 6