Proctology in Kiev

Proctology is a medical subspecialty that encompasses diseases of the perianal region, anal canal, and rectum. Dermatologists play a pivotal role in this realm, as inflammatory perianal disorders, infectious and sexually transmitted diseases, as well as perianal tumors and their precursor lesions fall within the core competency of dermatology. In a concise manner, the present article highlights all relevant disease groups in the field of proctology. With a particular focus on aspects pertinent to dermatologists, this includes inflammatory disorders, "classic" proctologic diseases, sexually transmitted diseases, malignancies of the anal region, as well as pathogen-induced diseases. Despite the wide variety of disorders, there are only five key symptoms prompting patients to consult a proctologist, including anal pruritus and burning, discharge, bleeding, pain, and foreign body sensation. A simple algorithm, which incorporates these symptoms as well as key clinical features, may assist in quickly establishing the correct diagnosis in everyday clinical practice.

 

The symptoms of  many diseases from rectum and colon are similar, but may appear diverse. Among the main features of lesions of the colon or rectum may be called constipation, discharge of blood from the anus during bowel movements, diarrhea. According to statistics, the most common disease of the anus is a hemorrhoid. In proctologyit  is very important to conduct a comprehensive survey, which includes:

  • External examination

  • Rectal examination

  • Colonoscopy

  • Sigmoidoscopy

  • Ultrasound diagnosis of abdominal cavity

  • X-ray and endoscopic examination.

Modern methods of diagnosis allowed proctology to move far ahead. Endoscopic – colonoscopy, anuscopy and sigmoidoscopy – allow the doctor to see the condition of the mucous rectum and colon. Nowadays, modern proctology uses non-surgical methods for the treatment of many diseases. These procedures can be performed on an outpatient basis. Endoscopic studies can diagnose many diseases of the rectum and colon, in particular, polyps, cancer. This method allows the doctor to see the tumor, as well as to take it a little bit – a biopsy for further cytological study. An important issue is the treatment of inflammatory diseases of the colon (ulcerative colitis, Crohn’s disease). Common pathology, especially in the elderly, is diverticular disease of the colon, which threatens the development of serious complications that can lead not only to a disabling operations, but also in death. You will be relaxed and comfortable at the doctor, proctologist, if you know and understand the characteristics and objectives held by or appointed by them for diagnostic examinations.

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Surgery

 

Surgeons of the network of clinics in Kiev apply modern techniques of minimally invasive surgeries for the effective treatment of patients with proctologic diseases.

 

Hemorrhoid treatment

  • Removal (excision) of the external hemorrhoid by the recommended method (radio wave method, surgically)
  • Combined hemorrhoidectomy (Milligan-Morgan operation using the Patonomed power plant)
  • Removal (excision) of the external hemorrhoid by the recommended method (radio wave method, surgically)

 

Anal Fissure Treatment

  • Treatment of paraproctitis and fistulas
  • Deep paraproctitis dissection 
  • Opening of paraproctitis 
  • Excision of superficial adrectal fistula 
  • Excision of deep adrectal fistula 

 

Removal of tumors

  • Removal of benign formations of the anal canal by the radio wave method (polyps, papillomas, candilomas, anal nipples
  • Removal of the fibrous anal polyp of the anal canal up to 1 cm in diameter / 1 polyp 
  • Removal of the fibrous anal polyp of the anal canal from 1 to 1.5 cm in diameter / 1 polyp 
  • Removal of the fibrous anal polyp of the anal canal more than 1.5 cm in diameter / 1 polyp
  • Endoscopic removal of the choanal polyp 

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