Transanal endoscopic microsurgical (TEM) excision is a procedure that enables a colorectal surgeon to remove a benign polyp or cancerous growth from the rectum without removing the rectum and without an abdominal incision.

During the TEM procedure, a proctoscope (an instrument used for dilating and visually inspecting the rectum) is placed through the anus, allowing the surgeon to visualize and remove the polyp or cancerous growth.

TEM is less invasive than traditional procedures used to remove benign polyps or cancerous rectal tumors, and it reduces complications and side effects associated with taking out the entire rectum. Most patients have minimal pain and are back to normal activities in two to three days.

The Colorectal Physicians & Surgeons of PA most often use TEM excision for removal of benign polyps and early cancers that would otherwise require an abdominal surgery and removal of the rectum. In addition, for elderly or infirm patients, the procedure may be considered to remove more advanced cancers in combination with radiation.

Although TEM excision is not a new technique, the cost of the equipment was originally very expensive and the technique was without a proven track record. However, in recent years, studies have supported use of the procedure, and it is being more widely used in the United States.

Philip D. Kondylis, MD, and Patrick J. Recio, DO, have been trained in this technique and have since performed numerous TEM excisions. To make an appointment with a doctor from Colorectal Physicians & Surgeons of PA, please call 814-453-2777.