Proctologist deals with the prevention, diagnostics, and treatment of disorders of the last section of the gastrointestinal tract. Moreover, our specialists offer comprehensive care, not only in terms of pharmacological treatment but also in proctological surgery.
All of the diagnostic and therapeutic methods used by us are based on facts and scientific research (Evidence-Based Medicine).
Proctologist is a specialist, whom you should visit if you observe such symptoms as:
We know that for our patients, problems regarding the lower part of the gastrointestinal tract are among the most embarrassing issues, but please remember that such ailments are as natural as any other disease. The only thing is they are located in an unfortunate place. Our staff is aware of this fact and cares about discretion and makes sure that the atmosphere of the visits is as comfortable and professional as possible.
Before you visit a proctologist for the first time, it is a good idea to complete the full medical documentation on the problem that requires consultation and results of the current laboratory testing, if held by the patient.
There is no need to perform an enema or other specialized preparation before a proctological examination. If possible, it is worth considering going to the toilet before the visit (if needed) and taking care of the hygiene of the anal area.
In the event of such ailments as diarrhea or bleeding during defecation, it is worth taking a stool sample with you for the first visit to the proctologist. At our facility, after a full interview and physical examination, it is a common practice to order further diagnostics, including quick tests such as a test for Clostridium difficile or fecal calprotectin determination. Taking a sample with you greatly shortens the time required to make a correct diagnosis and enables making a decision concerning the correct treatment.
Since the Melita Medical Center is a private facility, you can arrange a visit without having a referral to a proctologist.
Proctological examination, or per rectal examination, is the basic element of the physical examination carried out in the proctologist's office. It involves the doctor examining the anal canal and a fragment of the rectum with a finger (in a glove)
In order to perform the examination, the patient is asked to take off his underwear and lie down on the couch (behind a curtain) on his side with his knees bent. After putting on gloves, the doctor will first examine the anal area, then use his finger to apply a small amount of anesthetic gel and examine the inside of the anal canal and the accessible part of the rectum. The duration of examination is as short as possible and is carried out in the most gentle manner possible so as not to damage the structures of the final section of the intestine and not to expose the patient to unnecessary discomfort. Typically, the examination is painless, except for the presence of severe lesions in the examined area. If the patient reports significant pain during the examination, it is immediately stopped.
As a standard procedure, for each patient, the per rectal examination is followed by an anoscopy - that is, the doctor looks at the inside of the anus and rectum with a short speculum. During the examination, the doctor may also take a swab from these organs for microbiological examination or for cytology. During the anoscopy, the patient is laid in the same position as mentioned above, and before inserting the speculum, the doctor also uses a topical anesthetic gel to minimize the discomfort associated with the examination.
There is no need for enemas or other special preparation prior to per rectal examination and anoscopy. If possible, however, it is worth defecating before the visit (if you feel the need) and, for your own comfort, taking care of the hygiene of the anal area.
The Melita Medical Center offers you full diagnostics of proctological diseases in one place.
During the basic visit, a standard proctological examination is performed, and if indications are present, we make appointments for high-resolution anoscopy, colonoscopy, anal manometry, or 3D transrectal ultrasound and we perform anal canal cytology. It is also possible to sign up for defecography under the supervision of Professor Leszczyszyn in a fellow hospital.
