Proctology

Proctology is the field of general surgery that specialises in the investigation and treatment of diseases of the rectum. A proctologist performs a variety of tests, from manual inspection to colonoscopy. These tests are uncomfortable but actually painless – especially if the patient is relaxed, not fidgety and tries to calm their feelings of shame.

The sooner patients with rectal complaints see a doctor, the easier it is to treat their condition, so that in the vast majority of cases painful major surgery can be avoided and long-term recovery is almost always easily achieved using conservative or semi-conservative methods.

These procedures are uncomfortable, but actually painless – especially if the patient relaxes, doesn’t fidget and tries to calm their feelings of shame.
The sooner patients with rectal complaints see a doctor, the easier it is to treat their condition, so that in the vast majority of cases painful major surgery can be avoided and long-term recovery is almost always easily achieved using conservative or semi-conservative methods.

Diseases of the rectum and their treatment

Treatment of haemorrhoids
Traditional hemorrhoid nodule
HAL-RAR surgery
Rectal inflammation (proctitis)
Rectal fissure (fissura ani)
Rectal abscess

Benign rectal lesions

Rectal skin tag (caruncula)
Polyp, adenoma
Wart (condiloma)
Surgical treatment

Proctological screening tests

Targeted, detailed anamnesis recording
Rectal digital examination, finger palpation of the rectum. The examination is carried out with an anaesthetic ointment and is completely painless.
Anoscopy, an instrumented examination to view the lower 3-4 cm of the rectal canal. Anoscopy can be used to obtain information about the condition of the internal haemorrhoids, the presence of any tears, polyps or tumours.
Rectoscopy, a rigid instrumented examination of the rectum up to a height of about 20-25 cm The examination usually takes 1-2 minutes and, contrary to popular belief, is not painful and patients report minimal discomfort.
Rectal ultrasound (colonoscopy).

If the tests show no abnormalities, the appointment ends with an annual check-up.
If positive, a recommendation is made for further gastroenterological investigations and an appointment is made (laboratory tests, abdominal UH, abdominal CT, abdominal and pelvic MRI, possibly colonoscopy).

Interventions that can be performed in our clinic

Rubber band treatment of the arytenoids (Barron’s ligature).
Removal of haematomas or excision of external, clotted haemorrhoids.
Fistula excision (for fistulas not involving the anal sphincter).
Excision of benign lesions (polyps, skin adhesions, condyloma, papilloma).
Taking biopsies

These procedures are performed under local anaesthesia as outpatient procedures. If indicated, the sample is subjected to histopathological examination.