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Proctology clinic

MUDr. Jiří Skořepa

Proctologist

Proctology focuses on treating benign diseases of the rectum. These problems are often related to a sedentary lifestyle, unhealthy habits, obesity, irregular bowel movements, insufficient intake of liquids, and sometimes also hereditary factors.

BOOK YOUR APPOINTMENT

Frequent difficulties encountered by patients include:

itching, burning, pressure around the anus;
a feeling of wetness after a bowel movement;
anal bleeding;
painful protrusions and fissures;
constipation.

These difficulties may be caused by:

anal fissures;
anal fistulas;
hemorrhoids;
abscesses.

It is important to rule out more serious conditions such as cancer.

How is the examination performed?

After an initial discussion and a description of your past and present difficulties, the proctologist will perform a basic rectal examination with his finger, or an anoscope, a retroscope. These tubular devices are inserted after application of a desensitizing gel. This allows up to 20 cm of the rectum to be examined to determine the type and extent of the problem. This examination is not painful.

Price list

Initial / General examination		CZK 3 000
Follow-up examination		CZK 2 400

What treatment options are there?

Based on the results, your doctor will recommend appropriate lifestyle measures and treatment, which can be conservative or surgical. A conservative approach includes diet, sufficient liquids, regular physical activity, use of local ointments or suppositories, medications to strengthen vascular walls, or pelvic floor rehabilitation.

Some surgery can be performed on an outpatient basis, such as Barron ligature of hemorrhoids (rubber band) or incision of perianal thromboses.

More demanding procedures are performed as part of one-day surgery:

removal of more advanced hemorrhoids;
treatment of larger anal fissures;
treatment of anal fistulas.