Proctological surgery

What are proctological operations and what are their objectives?

Proctological operations are surgical procedures for treating diseases of the rectum, anus and anorectal area. Proctology is a field of medicine that deals with the diagnosis and surgical treatment of pathologies of the rectum and colorectal area.

During such operations, medically important problems are addressed, such as:

• Surgery to remove haemorrhoids (using various surgical methods);
• Surgical treatment of anal fissures or tears;
• Surgery and excision of rectal fistulas;
• Removal of polyps in the rectum;
• Other functional or anatomical disorders in the anorectal area.

The aim of these operations is to relieve the patient of pain, bleeding, and discomfort, and to prevent deterioration in quality of life, as well as to prevent long-term complications.

Advantages of proctological operations and when they are recommended

Modern proctological surgeries offer patients a number of significant advantages:

• Accurate diagnosis and effective treatment of diseases;
• Reduced postoperative discomfort and faster recovery;
• Improved quality of daily life without the risk of chronic pain or bleeding;
• Functional rectum after treatment.

This decision is made after an individual consultation with a proctologist, a detailed diagnosis, and an assessment of the patient's health.

Proctological surgery is recommended for patients who have:

• Progressive haemorrhoids or rectal bleeding;
• Chronic anal fissures;
• Rectal fistulas;
• Suspicious or symptomatic colon polyps.

Preparation for proctological surgery

Proper preparation is essential for successful proctological surgery and a smooth recovery. Before surgery, patients typically receive an individual consultation with a proctologist or surgeon, during which they discuss what to expect before, during, and after proctological surgery to ensure it is safe and comfortable.

• Preliminary medical examinations (medical history, proctoscopy, or other diagnostic methods);
• Diet and bowel preparation on the day of surgery;
• Consultation with an anaesthesiologist, anaesthesia and the type to be used during surgery;
• Instructions for taking medications and medicines before the procedure.

Types of surgeries performed at the FORTEMED Medical Centre

At FORTEMED Medical Centre, we offer a comprehensive range of proctological procedures for conditions affecting the rectum and the anorectal region. Our specialists treat haemorrhoids, anal fissures, fistulas, polyps, rectocele, and other functional or structural disorders.

Given the sensitive nature of these conditions, we place strong emphasis on respectful care, accurate diagnostics, and personalised treatment planning. Before surgery, each patient undergoes a specialist consultation and the necessary examinations to determine the most appropriate approach and minimise potential risks.

We use both traditional surgical techniques and modern minimally invasive methods, including laser, radiofrequency, and endoscopic procedures. These approaches help reduce postoperative discomfort and support faster recovery. The FORTEMED team provides continuous care from the initial consultation through postoperative follow-up.

Types of procedures performed:

• Excision of anal fissure with or without sphincterotomy;
• Electroablation of anal condylomas;
• Conventional excision of pilonidal sinus (Karydakis method);
• Resection/excision of external haemorrhoids;
• Hemorrhoidectomy (Milligan–Morgan / Ferguson methods);
• Laser haemorrhoid surgery;
• Laparoscopic rectopexy;
• Excision of perianal lesions;
• Polyp ablation;
• Rafaelo radiofrequency haemorrhoid procedure;
• Sphincteroplasty;
• Circular stapled hemorrhoidopexy PPH 34 mm / PPH 36 mm (Longo procedure);
• Stapled transanal rectal resection using two circular PPH staplers (STARR);
• Excision of rectal fistulas (various techniques);
• THD or HAL-RAR haemorrhoid surgery;
• Transanal endoscopic rectal resection (TRREMS);
• Transanal polypectomy;
• Transrectal rectocele repair and circular rectal mucosectomy using a single PPH 34 mm / PPH 36 mm stapler.

For additional information or to book an appointment, please call 2 330 4440.

All our doctors speak English, thereby facilitating diagnosis and treatment.