Carolina RHI
600 New Waverly Place
Suite203
Cary, NC 27518
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Welcome to Carolina RHI, where your comfort and health are our top priorities. We strive to provide comprehensive care ensuring you feel informed and supported throughout your journey with us.
Our team is dedicated to creating a welcoming and compassionate environment for all our patients. We believe in open communication and are here to address your concerns and provide the best possible care for your needs.
What We Treat
Services
Services
At Carolina RHI, we are dedicated to office based minimally invasive treatment. Our goal is to combine gentle and compassionate treatment with a quick and painless recovery so you can put the problem behind you.
Hemorrhoid
Hemorrhoids are one of the most common—and often most frustrating—conditions, causing pain, bleeding, itching, or embarrassment. While many patients improve with diet changes, fiber, or other medical management, sometimes these measures aren’t enough. You can learn more about medical management from the American Society of Colon and Rectal Surgeons (ASCRS).
At Carolina RHI, we are here when medical management fails. We specialize in advanced, office-based treatments designed to provide rapid relief without the need for painful surgery or lengthy recovery.
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Our approach is focused on compassion, comfort, and efficiency, so you can get back to normal life quickly and confidently.
Colonoscopy
Rectal bleeding should never be ignored—it can sometimes be a sign of serious conditions such as colorectal cancer. At Carolina RHI, we provide expert screening and therapeutic colonoscopy to protect your health and give you peace of mind.
For patients with hemorrhoids, we can often treat them during the same procedure, saving you from an extra visit. This means fewer appointments, less time away from work or family, and lower overall costs—while ensuring you receive complete, compassionate care in one setting.
Learn more about screening colonoscopy and what to expect from the American Society of Colon & Rectal Surgeons (ASCRS).
Anal Fissure
An anal fissure is a small tear in the lining of the anus. It can cause sharp pain during or after a bowel movement, as well as bleeding or spasm of the anal muscles.
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The good news is that most fissures heal without surgery using medications, stool softeners, fiber, and topical treatments. You can learn more about medical management from the American Society of Colon & Rectal Surgeons (ASCRS).
At Carolina RHI, we provide advanced care when medications aren’t enough. Botox injection is an effective treatment which can performed comfortably in the office. Botox helps prevent the painful spasms from the fissure and promotes healing — allowing you to avoid painful surgery.
Fecal Incontinence
Fecal incontinence is more common than many realize—and now there’s an effective, minimally invasive treatment. Sacral Nerve Stimulation (SNS) uses gentle electrical pulses to help the nerves that control your bowel function work more normally.
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Simple trial first: A short test (often done in the office) lets you see if the therapy works for you.
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Lasting relief: If the trial is successful, a small device can be placed with a quick outpatient procedure. Most patients return to normal activities within a day.
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Covered by insurance: Medicare and most private insurance plans cover SNS for fecal incontinence.
Learn more from Medtronic InterStim and Axonics Therapy.
Services
Anal Fistula
An anal fistula is an abnormal tunnel that forms between the inside of the anal canal and the skin near the anus. It often begins as an infected gland, which can lead to an abscess. After the abscess drains, a small passage may remain, causing persistent drainage, irritation, pain, or recurrent swelling. Some patients notice bleeding, a small opening on the skin, or repeated “flare-ups” that seem like new infections.
Anal fistulas vary in depth and complexity. Some are located close to the skin and are relatively straightforward to treat, while others may pass through the sphincter muscles and require more specialized procedures to protect continence. A full evaluation helps determine which treatment offers the highest chance of healing while minimizing risks.
Treatment is tailored to the individual fistula and may include simple procedures, seton placement, or staged surgical repair. Most fistulas cannot heal without proper treatment, but outcomes are generally very good with the right approach.
For more detailed patient information, visit the American Society of Colon & Rectal Surgeons (ASCRS):
https://fascrs.org/patients/diseases-and-conditions/a-z/anal-fistula
Pilonidal Cyst
A pilonidal cyst is an infection that forms in the crease at the top of the buttocks, usually caused by hair and debris becoming trapped beneath the skin. This can lead to pain, swelling, drainage, or repeated flare-ups that resemble small abscesses. Some patients experience chronic drainage or tenderness that interferes with sitting or daily activities.
Pilonidal disease ranges from a single small opening to multiple interconnected tracts. While minor cases may settle temporarily with drainage and antibiotics, the condition often returns if the underlying tract remains. Evaluation helps determine whether non-operative management, minimally invasive care, or a definitive procedure is the best option.
At Carolina Rectal Health Institute, we offer comprehensive treatment, including the cleft-lift procedure—a modern surgical approach designed to flatten the natal cleft, reduce recurrence, speed healing, and minimize wound problems. Many patients achieve excellent long-term outcomes with this technique. For more information on pilonidal disease, visit the American Society of Colon & Rectal Surgeons (ASCRS):
https://fascrs.org/patients/diseases-and-conditions/a-z/pilonidal-disease
Condyloma
A pilonidal cyst is an infection that forms in the crease at the top of the buttocks, usually caused by hair and debris becoming trapped beneath the skin. This can lead to pain, swelling, drainage, or repeated flare-ups that resemble small abscesses. Some patients experience chronic drainage or tenderness that interferes with sitting or daily activities.
Pilonidal disease ranges from a single small opening to multiple interconnected tracts. While minor cases may settle temporarily with drainage and antibiotics, the condition often returns if the underlying tract remains. Evaluation helps determine whether non-operative management, minimally invasive care, or a definitive procedure is the best option.
At Carolina Rectal Health Institute, we offer comprehensive treatment, including the cleft-lift procedure—a modern surgical approach designed to flatten the natal cleft, reduce recurrence, speed healing, and minimize wound problems. Many patients achieve excellent long-term outcomes with this technique. For more information on pilonidal disease, visit the American Society of Colon & Rectal Surgeons (ASCRS):
https://fascrs.org/patients/diseases-and-conditions/a-z/pilonidal-disease
Anal Dysplasia
Anal dysplasia refers to abnormal cell changes in the lining of the anal canal, often caused by certain strains of the human papillomavirus (HPV). Although dysplasia itself is not cancer, some high-grade changes have the potential to progress if untreated. Many patients have no symptoms, while others may experience itching, bleeding, or small lesions similar to condyloma. Screening is especially important for individuals with a history of anal warts, HPV, or immunosuppression.
Diagnosis and monitoring of anal dysplasia are performed with high-resolution anoscopy (HRA)—a specialized procedure that allows close examination of the anal canal using magnification and targeted application of medical stains. This technique helps identify abnormal areas that may require biopsy or treatment. HRA is minimally uncomfortable, performed in the office, and is considered the gold standard for accurate detection.
At Carolina Rectal Health Institute, we offer comprehensive evaluation and ongoing surveillance for anal dysplasia, including HRA-guided biopsies and treatment of precancerous lesions when needed. Our goal is early detection, prevention of progression, and personalized follow-up for long-term health. For more information, visit the American Society of Colon & Rectal Surgeons (ASCRS):
https://fascrs.org/patients/diseases-and-conditions/a-z/anal-dysplasia