Proctologist / Coloproctologist

Symptoms that require medical attention

Often a person suffers from painful symptoms for a long time, but does not seek professional medical help. This can lead to further progression of the disease and the development of serious complications, and pathologies which could be quickly cured by conservative treatment will require surgical intervention. A consultation with a proctologist is highly advised should any of the following symptoms appear:

the presence of blood on toilet paper, underwear, in the toilet;
blood, mucus, or pus in the feces;
pain during bowel movements;
itching, burning in the anus;
feeling of a foreign body in the anus;

regular constipation or diarrhea;
anal bleeding;
tension leading to hemorrhoids or rectal prolapse;
anemia of obscure nature;
feeling of incomplete bowel movement;
changes in stool.

A timely visit to a proctologist is the key to completely eradicating unpleasant symptoms, restoring health, and returning to an active life without pain, discomfort or restrictions. Appointments must be arranged in advance.

Make an appointment Will be glad to answer any of
your questions Coordinator Oksana

Preparation, diagnosis, initial consultation

A consultation with a coloproctologist begins with the patient’s medical history. The doctor will listen to the patient’s complaints, ask clarifying questions, and conduct an examination of the perianal area with a digital rectal examination. This is a commonly performed procedure in coloproctology, and necessary to make a preliminary diagnosis.

If the patient is female, then the examination by the male proctologist is always carried out in the presence of a female nurse.

Further, to obtain a complete picture of the disease, the doctor will order additional tests and examinations:

blood and urine tests;
stool tests (occult blood, enterobiosis, coprogram, etc.);
anoscopy;
colonoscopy with biopsy (endoscopy under sedation or general anesthesia);
virtual colonoscopy (CT scan);
irrigoscopy with contrast;

rectoromanoscopy;
radiography of the large intestine;
ultrasound, CT, MRI of the colon.

The specific lab tests and analyses required in each clinical case are selected by the doctor based on the results of the examinations. For the consultation to be as effective as possible, it is necessary for the patient to prepare in advance:

several before the consultation, exclude products that contribute to gas formation and constipation (slag-free diet);
the night before and in the morning 4 hours before the medical examination, clean the intestines with using laxatives or an enema;
a light breakfast is recommended (yoghurt, fruit, cereal, tea).

For repeated appointments, this preparation is usually not needed (unless the doctor specifies otherwise). The doctor will study and interpret the test results, determine all indications and contraindications for surgery, consider possible conservative methods of treatment, and agree with patient on a follow-up consultation.

Treatment methods

In modern proctology, a wide range of conservative and surgical treatment methods are used. GMS specialists in Moscow use the latest non-surgical and minimally invasive techniques.

different types of sclerotherapy;
infrared and radio wave coagulation;
ligation with latex rings;
bipolar coagulation of hemorrhoids using LigaSure apparatus;
desarterization of hemorrhoids, with monitoring of procedure using ultrasonic doplerometry (operation HAL-RAR).

What operations are carried out by the proctologist?

The coloproctologists at GMS Hospital are proficient in performing all types of elective and emergency surgery on the large intestine, in the rectal (rectum) region, and in the sacrococcygeal zone. We welcome patients whose treatment requires reconstructive, extended and/or combined services:

removal of perianal warts;
polypectomy;
hemorrhoidectomy;
excision of rectal fistula;
colostomy;
resection of the colon (total and segmental);
removal of perianal formations;
extirpation of the rectum;

segmental proctoplasty;
sphincterolevatoroplasty;
excision of anal fringe;
opening of paraproctitis;
excision of anal fissures;
other reconstructive surgery.

At the Center for Operative Proctology, GMS surgeons successfully treat paraproctitis, hemorrhoids, fistulas and large intestine abscesses, anal fissures, diverticulitis and its complications, anal sphincter weakness, and tumors of all parts of the large intestine. Many operations are performed as outpatient procedures, and the patient is discharged the same evening. If necessary, after the operation the patient may continue treatment in our inpatient facility.

Conservative treatment or surgery

If the disease can not be effectively treated using a conservative approach, the coloproctologist will create a surgical plan, oversee the necessary preoperative preparation, draw up a rehabilitation program for the patient, perform the surgery, and ensure competent medical observation in the postoperative period for a speedy recovery.

Contact us at GMS Hospital any time, online or by phone, to arrange an appointment with a proctologist. You can read reviews of our work on our website.

Greetings from South Africa

Dr Alexey Rykunov, MD
Head of Trauma and Orthopedics department
Global Medical Systems
Moscow, Russia

Greetings from South Africa,

This is a follow up to our recent stay at GMS where my wife Merle Step had a complete Hip replacement by you recently.

She stood up to the return trip to South Africa very well and is able move around with the aid of a walker without difficulty. I took her to our local General Practitioner on Friday, with all your reports and X-Ray plates. He commented that he was very happy with the excellent procedures that you carried out and felt that she was in excellent professional hands while at GMS. He has referred her to an orthopedic surgeon for a final checkup and stitch removal. Also she is to go to Physo for further manipulation.

From both of us we cannot express our gratitude enough for the professional service, helpful administrative as well as nursing staff that attended to our needs while at GMS. We will always look back and always remember the Russian people for their friendly assistance to two complete strangers from another part of the world. In turn Russia will always be in our hearts and we will be good Ambassadors for your great country and federation.

Please pass on our greetings and thanks to a few that I remember by names, if I have left anyone out I apologies.

Irina Boeva Chief Medical Coordinator
Denis Sidorchuk Medical Coordinator
Ronnie Pangilinan Physo

We would like to take this opportunity to wish you every success in your chosen profession and GMS does get global worldwide recognition as an intuition of repute.

Best of luck

Anthony and Merle Step

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Alexey Rykunov

Orthopedic traumatologist, podiatr

Thanks to Dr. Oleg Sergeevich Abramov

Many thanks to Dr. Oleg Sergeevich Abramov, who performed a surgery and helped me cure a severe case of odontogenic sinusitis.

Dr. Abramov is extremely competent and polite, a true professional with a rare set of skills. I have already recommended him to a colleague of mine and will recommend again.

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Oleg Abramov

Top expert. Otolaryngology, surgeon

Please pass my thanks and best regards to the team

Dear Irina,

I want to thank you all so much for making my stay in hospital so bearable. You are all so professional and dedicated and it was a pleasure to spend time with you all even under those unusual circumstances.

I am now home and being cared for by my family as well as my own doctor so all is as well. Hopefully I will be up and about soon.

Once again, many thanks and suffice to say, I will never forget you and your staff did for me.

Best wishes always.

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Irina Boeva

Chief medical coordinator

Many, many thanks to you all

Dear Irina

I am writing to you, on behalf of my wife Helen and myself, to thank all the staff of GMS clinic for the help and support you gave us during our stay in Moscow.

Since, I am ashamed that admit that I speak no Russian, I hope that you will be willing to translate this for the members of the GMS staff who do not speak English.

My own doctor seems pleased with the progress I am making. I still have a dressing on one of the wounds where the stitches may have been removed prematurely before I left the clinic but the others are fine and healing well.

Being ill and requiring surgery in another country will always be something of an ordeal, but the calm reassuring atmosphere in the GMS clinic did much to make us feel better about the experience. The administrative staff at reception was kind as well as efficient and their efforts on our behalf are something that we will never forget. We would also like to thank the cooks for the excellent food they prepared. We regret that we did not get the opportunity to meet them but we greatly appreciated their efforts and, after almost a week without normal food, I particularly enjoyed being able to choose from their extensive menu. Please forgive me for not always doing justice to the meals served but it has taken some time for my appetite to return to normal. We would also like to thank the room attendants for serving our meals so well and keeping our room so clean and tidy. Just as important for us, when so far from home, was that they always did so with a gracious smile. We looked forward to their visits and would like to thank them for being so remarkably patient when we tried to talk to them. We would also like to thank the several kind nurses who cared for me so diligently. I do not believe that I could not have enjoyed more attentive nursing anywhere else in the world and will never forget you. The several doctors who attended me at various stages also need to be thanked. I am grateful to them all but hope that they will forgive me for singling out Dr Constantin Dimitri for a particular mention. His patience, as he explained to me so well in English both what was happening to my body following the operation, and what he and the rest of the medical team were doing - and why – was particularly appreciated and helpful to me during my recovery.

Many, many thanks to you all.

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Irina Boeva

Chief medical coordinator