Proctology

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Haemorrhoids

Although the causes of haemorrhoids have not been fully elucidated, haemorrhoids are thought to be a lifestyle disease. Its development is affected by constipation due to an unbalanced diet, excess weight, low mobility, prolonged sedentary or standing work, pregnancy, lifting heavy objects, heredity and weakness of connective tissues.
Haemorrhoids are dense cushions (piles) of vascular tissue formed in the anal canal that help to close the anus tightly. For a variety of reasons that increase pressure in the abdomen, these cushions can become enlarged, causing bleeding, pain and itching in the anus or other unpleasant symptoms. These are the main symptoms of haemorrhoids. Pain and the sudden appearance of a hard lump in the rectum is a symptom of an acute haemorrhoid or an inflammation of the haemorrhoid. In the later stages, the enlarged piles may prolapse out of the anal canal.
If you notice any of these symptoms, contact your proctologist immediately. Experienced professionals usually only need an interview with the patient, a description of the symptoms and a brief examination to determine the duration and nature of the disease and prescribe appropriate treatment.
Without medical attention and timely treatment, the disease progresses, causing more frequent and excessive bleeding due to growing piles, increased discomfort and pain. When haemorrhoids are neglected, the only treatment available is surgery.
Haemorrhoid therapy depends on how far the disease has progressed. With the rapid development of medical technologies, new, minimally invasive methods that do not cause discomfort to the patient have been introduced for the treatment of proctological diseases
One of the most effective low-invasive treatments for haemorrhoids is the ligation of piles using rubber bands. This painless, outpatient procedure, which takes just a few minutes, is suitable for the treatment of internal piles. After the procedure, you may experience temporary heaviness in your lower body or mild pain. However, these unpleasant sensations can be easily suppressed with painkillers. Immediately after the procedure, the patient can return to work or engage in other regular activities. The ligated piles will resolve on their own in a few days, because after the blood supply is interrupted behind the rubber band, the affected tissue will die.
Infrared laser coagulation is currently recognised by specialists as one of the most modern and effective methods of haemorrhoid removal due to its fast performance and excellent results. This non-invasive procedure involves the coagulation of pathologically-altered rectal tissues using infrared radiation. Light waves are delivered directly to the target structure, causing it to shrink and completely recede. Infrared coagulation does not cause any discomfort to the patient. Because the laser energy is used to coagulate piles from the inside, the mucous membrane and skin in the anal area remain undamaged, making the procedure pain-free.
In the early stages, when the piles are small, a sclerotherapy can be recommended to treat haemorrhoids. It is a non-surgical procedure during which a sclerosing agent (sclerosant) is injected into a pile. This causes a local inflammation and sclerosis of the blood vessels, resulting in a shrinkage of the pile. Haemorrhoid sclerotherapy is performed under local anaesthesia. During the procedure, the patient will not experience any discomfort, and may return to normal activities immediately thereafter.
The HAL-RAR treatment of haemorrhoids is an innovative way to effectively treat haemorrhoids and prevent a future recurrence. The efficiency of the procedure is as high as 96 per cent! Therefore, this method is currently recognised throughout the world as more effective than radio wave surgery, latex ligation and infrared coagulation. When treating haemorrhoids using the HAL-RAR method, an ultrasound sensor is used to locate the problematic formation and perform an artery ligation, thus stopping the blood supply to the haemorrhoid. Subsequently, the haemorrhoid tissues are stitched using dissolving sutures and flaccid areas of the rectum are tightened. 10-14 days after the blood supply is lost, the piles will dry out and will be sucked into the rectum, then gradually excreted from the body along with the faeces. A HAL-RAR haemorrhoid treatment procedure is pain-free and takes about 20-30 minutes. This innovative surgery is not associated with any complications. After treatment using this method, the patient can return to work and engage in normal activities after just couple of days.

Anal fissures

Anal fissures are tears in the skin of the anal area, which are usually caused by an inflammation of the gastrointestinal tract, constipation or mechanical injuries. Although this is one of the most common proctological disorders, an untreated anal fissure can lead to an inflammatory ulcer or fistula.
The main symptom of anal fissure is pain during and after a bowel movement and the associated constipation. Itching, swelling, discharge or blood may also appear in the anal area. Anal fissures can be acute and chronic. The rectal fissures can often be treated with medication, but if this treatment is ineffective or the effect is only temporary, a surgical method should be used.
Medical proctologists recommend timely consultation with specialists for the treatment of acute fissures, before the problem becomes chronic and its treatment becomes longer and more complicated.
Anal fissures are diagnosed based on patient complaints and examination. They can be treated with medications, botulinum toxin injections into the internal or external sphincter. However, if the fissures becomes chronic and the tone of the internal sphincter increases, specific treatment may be required.
Anal fissures can be safely and effectively treated using a minimally invasive method – laser coagulation. This practice involves the use of a local analgesia, while the postoperative period is short and does not cause the patient discomfort. The laser energy is directed precisely to the treated area, spot action causes little trauma to the tissues, without damages to the mucous membrane and skin of the anal area. With the help of the device, an incision and coagulation of blood vessels are performed simultaneously, which allows to perform the necessary manipulations completely without loss of blood. This minimally invasive method is recognised as one of the most comfortable and effective anal fissure treatments. This treatment allows for a scar-free procedure or only minimal post-operative scaring.

Inn Med Proctology Center

Haemorrhoid therapy methods

Haemorrhoids (dense cushions of vascular tissue in the anal canal) work in the human body to help close the rectum. However, for a variety of reasons that increase pressure in the abdomen, haemorrhoids can become enlarged, causing bleeding, pain, itching and tension in the anus, as well as unpleasant symptoms. These symptoms are due to enlarged piles.

Although haemorrhoids are a common disorder, many people hide this problem and delay seeing a medical specialist. The most common symptom of a haemorrhoid is bleeding during a bowel movement. Blood on the toilet paper is a signal that you need to consult a proctologist.

According to the proctologists at InnMed Clinic, a timely diagnosis of haemorrhoids can make the treatment much easier, so they urge patients not to be scared of seeing a doctor. In order to determine the duration and nature of the problem and prescribe the appropriate treatment, it is usually sufficient for our experienced specialists to listen to the patient’s complaints and perform a short examination. If necessary, an endoscope examination of the anal canal or other more informative examinations can then be performed. By using effective modern methods, this tiresome problem can often be resolved permanently in a single day.

The haemorrhoid therapy will depend on the stage of the disease. InnMed Clinic typically uses advanced low-invasive methods for the treatment of haemorrhoids – latex ligation of piles, infrared coagulation, haemorrhoid sclerotherapy and the HAL-RAR treatment of haemorrhoids. These are painless and discomfort-free procedures with no complications during the postoperative period.

The InnMed Clinic proctologists have many years of experience in the treatment of proctological diseases. Nonetheless, they would like to warn patients that without timely treatment, the disease will progress until surgery becomes the only available treatment option. Failure to see a doctor in time can also lead to an unnoticed malignancy, as bleeding is a sign of haemorrhoids but is also one of the most common symptoms of colorectal cancer.

Do you have some unpleasant symptoms? Make an appointment by telephone: +370 661 10011.

Our attentive and highly qualified proctologists will offer a quick and effective solution to your delicate problem.

Latex ligation of piles

Latex ligation of piles, or rubber banding of piles, is one of the most effective low-invasive treatments for haemorrhoids.

This procedure takes only a few minutes, during which the internal piles are ligated using rubber bands. The ligated piles will then resolve on their own without any pain, because after the blood supply is interrupted behind the rubber band, the affected tissue will die. Once the pile falls off, a small wound is left in its place, which will soon heal completely.

This completely painless procedure is performed on an outpatient basis. Since the mucosa does not have pain receptors, no anaesthesia is required during a latex ligation procedure. There is also no post-operative pain, so no analgesics are needed and the patient can usually return to daily activities and a normal rhythm of life immediately after the procedure.

Do you wish to solve an unpleasant problem without undue delay? Make an appointment by telephone: +370 661 10011.

The professional approach and the extensive practical experience of the InnMed Clinic proctologists allows them to choose the most appropriate treatment for each patient and achieve the best results.

Infrared coagulation

Infrared coagulation is a non-invasive procedure that involves the coagulation of pathologically-altered rectal tissues using infrared radiation. Light waves are delivered directly to the target structure, which cause it to shrink and completely recede.

During this procedure, InnMed Clinic uses a laser with extremely powerful water-absorption properties, allowing for the precise and safe removal of tissue formations with minimal thermal damage to the skin.

Infrared coagulation does not cause any discomfort to the patient. Because the laser energy is used to coagulate piles from the inside, the mucous membrane and skin in the anal area remain undamaged, making the procedure pain-free.

The infrared coagulation procedure is currently recognised as the most advanced and effective, as well as minimally invasive, haemorrhoid removal method. As it is based on the vaporisation of water in the tissues, this method avoids a surgical incision, reducing the risk of scarring while offering an excellent result.

Make an appointment by telephone: +370 661 10011.

The highly-qualified InnMed Clinic proctologists will solve your troublesome health problem using modern methods, to help you regain a carefree life.

Haemorrhoid sclerotherapy

Haemorrhoid sclerotherapy is a non-surgical procedure during which a sclerosing agent (sclerosant) is injected into a pile. This causes a local inflammation and sclerosis of the blood vessels, resulting in a shrinkage of the pile.

The procedure does not require special preparations and it is performed on an outpatient basis using local anaesthesia. During the procedure, the patient will not experience any pain or discomfort, and may return to normal activities immediately thereafter.

Haemorrhoid sclerotherapy is most commonly used in the early stages of haemorrhoids, when the piles are small. In the advanced (3-4) stages, or simply in the presence of large piles, a sclerotherapy can be used as a preparatory procedure before surgery to help stop the bleeding. It is often a recommended treatment for elderly patients.

Several piles can be removed during a haemorrhoid sclerotherapy procedure.

Make an appointment by telephone: +370 661 10011.

Using the world’s most advanced treatment methods, our professional proctologists at InnMed Clinic will help to resolve delicate health problems quickly and easily.

HAL-RAR treatment of haemorrhoids

The HAL-RAR treatment of haemorrhoids is an innovative way to effectively treat haemorrhoids and prevent a future recurrence. This method is currently recognised throughout the world as more effective than radio wave surgery, latex ligation and infrared coagulation, and is also very effective in treating fistulas and anal fissures. The efficiency of the procedure is as high as 96 per cent!

When treating haemorrhoids using the HAL-RAR method, the proctologist will use an ultrasound sensor to locate the problematic formation and perform an artery ligation, thus stopping the blood supply to the haemorrhoid. Subsequently, the haemorrhoid tissues are stitched using dissolving sutures and flaccid areas of the rectum are tightened. 10-14 days after the blood supply is lost, the piles will dry out and will be sucked into the rectum, then gradually excreted from the body along with the faeces.

A HAL-RAR haemorrhoid procedure takes about 20-30 minutes. Because the mucosa does not have pain receptors, the procedure is completely painless and an analgesia is used only to insert the anoscope. This innovative surgery is not associated with any complications. After treatment using this method, the patient can return to work and engage in normal activities after just a couples of days.

Make an appointment by telephone: +370 661 10011.

The experienced proctologists at InnMed Clinic will offer you the most advanced and effective methods for a quick and comfortable solution to any unpleasant health problems.

Treatment of anal fissures with an electrocoagulator

Anal fissures or sores are tears in the skin of the anal area, which are usually caused by an inflammation of the gastrointestinal tract, constipation or mechanical injuries. The size of these tears can range from a few millimetres to 2 cm. Although this is one of the most common proctological disorders, an untreated anal fissure can lead to an inflammatory ulcer or fistula.

The main symptom of anal fissure is pain during and after a bowel movement and the associated constipation. Itching, swelling, discharge or blood may also appear in the anal area. Anal fissures can be acute and chronic. They can often be treated with medication, but if this treatment is ineffective or the effect is only temporary, a surgical method should be used.

At InnMed Clinic, anal fissures or tears are safely and effectively treated using a minimally invasive method – laser coagulation. This practice involves the use of a local analgesia, while the postoperative period is short and does not cause the patient discomfort.

Medical proctologists recommend a timely consultation with specialists for the treatment of acute fissures, before the problem becomes chronic and its treatment becomes longer and more complicated.

To make an appointment call: + 37070050050. We will quickly resolve your unpleasant problem.

Polypectomy – removal of anal polyps

Anal or colon polyps are one of the common pathologies affecting the colon.

Polyps are benign tumours that usually do not result in symptoms. However, when a polyp is large, it can cause unpleasant sensations such as bleeding (fresh blood during a bowel movement), increased need to strain, etc. If the polyp appears near the rectum, the feeling of a protrusion or foreign body may occur during bowel movements.

Anal polyps are typically diagnosed during a colonoscopy examination. A larger polyp will pose a more serious threat to your health. However, any untreated polyp can become malignant in the long run, so it is important to locate and remove the polyp in a timely manner.

Polyps are usually removed endoscopically, while large polyps in an inconvenient location are removed using a laparoscopic-assisted polypectomy.

Polypectomy is the surgical removal of polyps that have formed in areas of the anus, rectum or other digestive organs. The removed anal polyps will then be sent to a pathology laboratory for a histological examination.

Polypectomy for the removal of an anal polyp is a safe, fast and reliable method of surgery when a polyp cannot be removed endoscopically. Typically, the duration of this minimally-invasive operation is only about 20 minutes and the results are immediately apparent, while the postoperative recovery is easy and smooth.

According to the experienced proctologists at InnMed Clinic, anal polyps are easy to remove, but it is only important at consult a specialist immediately if you notice unpleasant symptoms, especially if there is bleeding. Make an appointment by telephone: +370 661 10011.

Thrombectomy – removal of perianal thrombi

Perianal thrombosis is a dangerous complication of haemorrhoids. A haemorrhoidal thrombosis can develop due to diarrhoea, constipation and prolonged straining, or the physical activity of straining while squatting. It is thought that large piles slip out, but become stuck in the anus when the sphincter contracts. This results in a compression of the veins, disruption of the blood supply, thrombosis and inflammation. This complication is more common in patients with chronic prolapsed haemorrhoids.

The manifestations of perianal thrombosis include severe pain in the anus that is particularly intense during a bowel movement, resulting in a person being unable to sit and walk. Other signs are large and swollen piles in the anus and bloody discharge with an unpleasant smell, as well as possibly fever, chills, urinary retention and bleeding.

Perianal thrombi are very dangerous as inflammatory clots from the anus can enter the pulmonary arteries or other internal organs, causing serious complications such as sepsis, tissue necrosis or even death.

At InnMed Clinic, haemorrhoidal thrombi are removed by a thrombectomy. This is a modern method of treatment that is currently recognised as the most effective way of treating thrombosis. It allows for the quick and easy removal of thrombi without pain and other unpleasant symptoms, while avoiding a long and unpleasant postoperative recovery period.

Make an appointment by telephone: +370 661 10011.

The highly-qualified proctologists at InnMed Clinic will quickly and comfortably eliminate the causes of your health disorder and prevent the occurrence of dangerous complications.