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Proctologist / Coloproctologist

A coloproctologist (proctologist) is a physician who specializes in the diagnosis and treatment of diseases of the large intestine, the pararectal (perirectal) region and the sacrococcygeal zone.

Proctologist / Coloproctologist

If you suffer from constipation,hemorrhoids or anal fissures, we suggest you contact us for a consultation with a proctologist in Moscow. The highly qualified proctologists at GMS have extensive clinical experience, and our clinic has one of the highest ratings in this field of medicine.

What does the proctologist treat?

The proctologist diagnoses and treats the following pathological conditions:

  • damage to the rectal mucosa;
  • hemorrhoids (external, internal);
  • fecal incontinence in conjunction with neurological diseases or rectal injuries;
  • ulcerative lesions of the intestinal mucosa (UC);
  • rectal polyps (of any location and size);
  • colitis;
  • Crohn's disease;
  • congenital anomalies - coccyx cyst, coccygeal epithelial processes;
  • paraproctitis;
  • anal fissures;
  • Hirschsprung disease (agangliosis, HSCR);
  • neoplasms of the large intestine, anus, perineum and pelvic region (malignant and benign);
  • fistula of the rectum;
  • foreign bodies in the rectum (extraction);
  • impaired stool;
  • anal itching;
  • prolapse of the rectum;
  • strictures of the anus;
  • colon diverticula.

Only a specialist can correctly diagnose the condition and prescribe the necessary treatment for complicated conditions like anal fissures or paraproctitis. Diseases such as Crohn's disease or ulcerative colitis need regular medical supervision as well as long-term treatment.

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.

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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.

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