Proctology

Consultation Hours: Mondays by appointment

Appointment booking

When and for what symptoms should you see a proctologist?

  • Depending on their stage, hemorrhoids may initially cause painless, fresh, dripping rectal bleeding, and later, as they protrude from the rectum, they may lead to discharge, itching, and skin irritation. In the final stage, when they become trapped outside the anus, they cause unbearable pain that requires immediate surgical intervention.
  • Anal fissures are accompanied by sharp, stabbing, burning pain during bowel movements, often followed by fresh bleeding.
  • Rectal discharge may be caused by tumors, inflammatory bowel diseases, polyps, or, in some cases, sexually transmitted infections (STIs), which can also lead to such symptoms.
  • A sudden, rapidly growing anal swelling, causing tension and pressure-like discomfort, can often be diagnosed as an abscess or blood clot.

Despite being a sensitive and intimate area, it is essential to emphasize the importance of timely specialist examination and accurate diagnosis. This allows for a personalized treatment plan to be developed, ensuring the best possible care.

Neglecting anorectal conditions can lead to unforeseen complications and discomfort, not to mention the anxiety caused by fear and uncertainty.

Who performs the treatments?

Dr. Ádám Leprán

Proctologist

Dr. Leprán Ádám

I am Dr. Ádám Leprán, a surgeon and proctologist. In addition to surgical procedures, I place great emphasis on pre-operative examinations, proper preparation, post-operative follow-up, and care to achieve the best healing results. I welcome my patients to my clinic with attention, patience, and a lot of love, whether in Hungarian or English.

Meet our colleague

Book an appointment

We explain everything in advance

At our private clinic, you can easily schedule an appointment by phone, in person, or even online, and we are flexible when it comes to planning.

What will happen?

1. Data confirmation.

2. During the conversation, we will identify the problem.

3. Appointment booking with the appropriate specialist.

Appointment booking: +36-20 / 408-4584 Online appointment booking

Proctology

Our Highlighted Treatments

Specialist examination

Proctology is a specialized branch of general surgery that deals with the examination and treatment of diseases of the rectum. During a specialist examination, the diagnosis and treatment of these diseases take place.

The price includes:

  • specialist consultation
  • Physical examination
  • the establishment of a diagnosis
  • the determination of a treatment plan
  • the prescription of medication if necessary

22.000 HUF

Phone appointment scheduling

Hemorrhoid banding

There are several procedures available for the relief of hemorrhoidal symptoms. If lifestyle changes and over-the-counter medications do not provide relief, surgical interventions may be considered. Among these, hemorrhoid banding, also known as Barron's rubber band ligation (or simply Barron ligation), is the most commonly performed procedure.

The price includes:

  • specialist consultation
  • anoscopy (rectal examination)
  • the placement of the hemorrhoid banding
  • the prescription of medication if necessary
  • lifestyle change counseling

44.000 Huf

Phone appointment scheduling

Treatment of rectal abscess

A rectal abscess is an inflammatory process that develops in the soft tissues surrounding the rectum, caused by a bacterial infection of the rectal glands. The inflammation spreads to the connective tissue around the rectum and appears as a painful, red lump next to the anus. The treatment involves addressing this condition.

The price includes:
  • specialist consultation
  • the establishment of a diagnosis
  • treatment of a rectal abscess
  • the prescription of medication if necessary

It depends on the type of procedure, see: price list Aesthetic treatments

45.000 HUF

Phone appointment scheduling

Our complete price list

Proctology servicePrice
Specialist examination22.000 HUF
Specialist follow-up examination18.000 HUF
Specialist follow-up examination
with an anoscope (rectal examination)
20.000 HUF
Specialist examination
with an anoscope (rectal examination)
28.000 HUF
Hemorrhoid banding40.000 HUF
Minor surgery: external hemorrhoid
excision under local anesthesia
60.000 HUF
Treatment of anal abscess45.000 HUF

More about rectal diseases

Hemorrhoid

Hemorrhoids can develop due to hereditary factors, a sedentary lifestyle, excessive stool retention, constipation resulting from suppressing the urge to defecate, hard stools due to diarrhea, a low-fiber and low-fluid diet, as well as being overweight, pregnancy, and diseases such as liver disease, rectal inflammation, and tumors (cancer), which can also promote the development of hemorrhoids.

Symptoms of hemorrhoids:
The expansion of hemorrhoids can lead to protrusion, mucus or slimy stool due to discharge, itching, inflammation, and bloody stool, as well as pain caused by hemorrhoids. In more advanced stages, hemorrhoids can protrude from the rectum, potentially becoming trapped, leading to ulceration, or, as a result of inflammation or infection, polyp-like growths may develop on them.

Hemorrhoid treatment and healing:
During examinations, we often find that the inadequate coordination of the diaphragm, abdominal, pelvic floor, and sphincter muscles can significantly increase intra-abdominal and pelvic pressure, whether during defecation or even while breathing improperly. This, in the long term, can lead to the development of hemorrhoids.

The ideal treatment and follow-up care depend not only on the type of hemorrhoids but also on other issues, life circumstances, lifestyle, expectations, and possibilities.

Rectal Fissure

A rectal fissure is a longitudinal tear in the anal ring that is difficult to heal or may not heal at all. The formation of a fissure is significantly influenced by hard stools, recurrent diarrhea, certain food intolerances (primarily lactose intolerance), or possibly an unknown inflammatory bowel disease. Stress is also an important contributing factor.

The condition characterized by intense, constant, stabbing pain and bleeding is significantly influenced by the increased tone and tension of the anal sphincter. As a result, the fissure tears open again and again with each bowel movement. Prolonged existence of the fissure can lead to narrowing, scarring, deformation, and permanent damage to the anal sphincter.

Treatment:
The essence of the therapy is to first determine the cause of the fissure. In cases of chronic, non-healing fissures, we remove the growths on the external and internal edges of the fissure with an electric scalpel under local anesthesia in an outpatient setting, providing a chance for healing. We have achieved excellent results in the treatment of rectal fissures at our clinic.

Rectal fistula (fistula):

In the case of a rectal fistula, this tube represents an abnormal connection between the rectum and generally the external surface, the skin.
A végbélsipoly kialakulásáért általában a bélfal izomrétegei között, ritkábban még ennél is mélyebben elhelyezkedő a végbél üregébe nyíló mirigyek gyulladása a felelős.

Symptoms of Rectal Fistula:
Constant itching in the perianal area, skin irritation, burning, painful sensation, inflammation, discharge, and the accompanying unpleasant odor.

Examination of Anal Fistula:
Anal fistulas can be diagnosed using various examination methods.
The type of examination and the tools used depend on the location and current condition of the fistula.

Rectal Abscess

A rectal abscess is the result of an inflammatory process caused by pus-forming bacteria that originate from the glands of the rectum. The inflammation spreads to the connective tissue around the rectum and manifests as a painful, red lump next to the anal opening. The development of a rectal abscess is accompanied by chills and high fever (40-42°C). Contributing factors include poor hygiene, diabetes, immunocompromised states, and injuries around the rectum.

Treatment options:
The inflammation can initially be treated with medication to encourage regression. Fever, chills, increasing pain, and redness in the area indicate that a purulent process has already developed, and in such cases, urgent surgical intervention is necessary. If the surgery is delayed, the rectal abscess can lead to a septic condition affecting the entire body.

Colorectal Surgery

In Hungary, the incidence of colorectal cancers has shown a steep increase. A significant portion of general surgical activity involves the management of benign and malignant diseases of the digestive tract, particularly the small and large intestines.

 

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