In our Proctology department, physicians who are specialists in the field of intestine and anal region health serve by means of novel diagnostic and therapeutic methods. In addition to medical treatment options and conventional surgeries, successful outcomes are obtained with non-surgical treatment options in selected patients, including without limitation treatment of hemorrhoid/anal fistula with laser, botox therapy in anal fissure and pilonidal sinus. Please present proctology outpatient clinic in order to learn which treatment will help your complaints.

Hemorrhoid

Hemorrhoid implies dilatation of veins in distal segment of colon and anus. Obesity, pregnancy, long-term sitting or standing and conditions that can increase intra-abdominal pressure (such as constipation, straining, staying in bathroom for a long time, chronic cough) are some examples of factors that lead to hemorrhoid. Most common complaints are bleeding, loss of ability to clean oneself after going to bathroom, itching and pain. Treatment varies depending on stage of disease and resultant complaints.
Medical treatment It includes medications and life style changes, which aim to help complaints of early stage (1 or 2) hemorrhoid and to stop progression of the disease.

Surgical treatment: Surgical treatment can be required in advanced stage (Stage 3 or 4) hemorrhoids, if complaints do not regress despite medical treatment. Laser therapy is also performed in our clinic alongside the conventional surgery methods in surgical treatment.

Anal fissure

Anal fissure is a crack that extends into colon from anal orifice. Most frequent complaints include painful defecation and bleeding. Etiology is spasm of perianal muscles, which regulate defecation process. Pain secondary to the fissure causes avoiding defecation and changes in bowel habits. Muscle spasm will progress and worsen constipation, if it cannot be eliminated with medical or surgical methods. Medication therapy, surgery or botox can be preferred depending on age and bowel habits of the patient and structure of fissure. Botox therapy is reserved for eligible patients in our Proctology division.

Anal Fistula

It is a disease that is characterized with chronic inflammatory tracts between anal skin and lumen of bowel. These tracts can lead to discharge, pain and abscess formation and they can involve perianal muscles, which regulate defecation process. In this case, total excision of fistula may cause decrease/loss of defecation control. Many surgical and non-surgical options are available according to the location of fistula and its relation with muscles. In Proctology Division, fistula tract can be occluded with laser or LIFT surgery is carried out.

Pilonidal Sinus

Pilonidal sinus is a chronic inflammatory disease, which is caused by foreign body reaction due to hairs in the cleft or neighboring areas burrowing back under the skin. Although pilonidal sinus was considered as a congenital disease in the past, it is known that it is an acquired condition. Recognized risk factors of pilonidal sinus disease include but not limited to a hairy body and high amount of daily hair loss, a narrow and deep cleft between hips, skin being moisturized for a long time, regional trauma secondary to sitting for a long time and obesity. Disease may remain as a simple cyst or several small holes while it can also progress into abscess and sinuses with chronic discharge. If it is left untreated, inflammation can deepen and forms tracts to hips, low back, anus and bone tissue.

There is no consensus on curative treatment method. While extraction of hairs or phenol injection is sufficient in some patients, surgery or repair with flap can be required in advanced conditions. Non-surgical treatments are also available in our Proctology Division. The more the disease progresses, the more complicated the treatment choices become. You may receive help from our Proctology Division for early diagnosis and treatment.