Colorectal Surgery

Carolina Surgical Associates offers a full range of screening and treatment options, including colonoscopy and laparoscopic surgical options, to diagnose and treat a variety of colon and rectal ailments. Conditions treated include:




    Our Colorectal Surgeon



    Dr. Brian Sadowski


    Diagnostic and Screening Tests

    Carolina Surgical Associates offers several diagnostic and screening tests, including:



    Colonoscopy is a test that allows the physician to see inside the colon to look for polyps or other abnormal growths that could lead to cancer. When polyps are discovered, they are retrieved to be tested for cancer.

    Everyone age 50 and older should have a colonoscopy to screen for colorectal cancer. Colorectal cancer can be treated successfully if caught early, and screening tests like colonoscopy are the best way to catch colorectal cancer at its early stages.

    To schedule a colonoscopy, call 864-675-4730 (check with your insurance company to see if your plan requires a physician referral.)

    Colonoscopy Prep Instructions


    Endoanal and Endorectal Ultrasound

    An ultrasound test is an exam used to look at the anatomy of the tissues in the rectum and anus. Anal ultrasound provides useful information in patients who have fecal incontinence (leakage) or who have sphincter injuries with childbirth. The images obtained help determine the best treatments and plan for potential operative intervention. Ultrasound can also be used to help study anal fistulas and plan for their surgical treatment. Rectal ultrasounds are useful in evaluating rectal tumors, determining if there is cancer and if it has spread, and helping define the best treatment plan. Finally, ultrasound exams are useful in evaluating pelvic organ prolapse and can help define anatomy and guide surgical treatments of these conditions.


    Anal Manometry

    Patients with severe constipation and/or fecal incontinence can be evaluated with tests including anal manometry, defacography, and transit studies. Anal manometry measures pressure and electrical activity of the anal sphincter muscles and the sensation in the rectum. Defacography and transit studies are radiologic tests that evaluate for colon, rectal and anal function during transit through the colon and stool elimination.


    Treatment Options

    While there are several non-surgical ways to treat many colon and rectal problems, surgical intervention is sometimes needed. We offer the latest techniques, and nearly all of our procedures are performed laparoscopically. Surgical treatments can include:


    Patient Downloadables


    Additional Resources

    Remember, if you're over age 50, you should schedule your first colonoscopy to screen for colon cancer. Colon cancer affects approximately 150,000 Americans each year and is the #3 most common non-skin cancer for both men and women, however, early detection can significantly improve recovery rates. Consider the following resources for more information: