Treatments
Treatment methods
Proctological diseases are treated at three levels: conservative treatment, non-surgical (office) procedures and surgical operations. The doctor chooses the method according to the type and stage of the disease and the patient's condition. In the early stage, surgery is often not needed. The aim of treatment is to preserve sphincter function, reduce the risk of recurrence and ensure the patient's quick return to daily life.
Three levels of treatment
- Level 1Conservative treatmentIt can be the first choice for early-stage symptoms and functional problems.
- Level 2Non-surgical (office) proceduresThese are short procedures that, in selected cases, are performed without anesthesia.
- Level 3Surgical operationsThe doctor chooses the method according to the type and stage of the disease and the patient's condition.
Conservative treatment
It can be the first choice for early-stage symptoms and functional problems.
- Diet and lifestyle: fiber-rich foods, enough fluids, resolving constipation and diarrhea, physical activity, giving up the habit of straining
- Medications (as prescribed by a doctor): venoactive (venotonic) and symptomatic drugs, topical ointments and suppositories, agents that reduce inflammation and pain, medications that regulate the rhythm of bowel movements
- Supportive measures: warm sitz baths, hygiene and skin care
- Herbal remedies (phytotherapy) can sometimes play a supporting role, but they do not replace the main treatment. Not every herbal remedy is safe, and its use should be agreed with a doctor.
Non-surgical (office) procedures
These are short procedures that, in selected cases, are performed without anesthesia. The patient returns to daily life quickly.
- SclerotherapyThe doctor's practice
- Rubber band ligationGeneral information
- Infrared coagulationGeneral information
Surgical treatment
Methods Dr. Hasanova uses
The doctor's practice
- Hemorrhoids
- LigaSure hemorrhoidectomy, conventional hemorrhoidectomy, thrombectomy
- Anal fissure
- Fissurectomy, lateral internal sphincterotomy (LIS)
- Perianal abscess (paraproctitis)
- Opening and drainage of the abscess
- Anal fistula
- Fistulectomy, staged treatment
- Pilonidal sinus
- Abscess drainage, excision (open method), Limberg flap
- Anal polyp, anal warts (condylomas)
- Anal polypectomy, cauterization and removal of the warts
- Rectocele
- Posterior colporrhaphy and levatorplasty, repeat (reconstructive) operations
Endoscopic interventions (polypectomy and biopsy during colonoscopy) are performed by an endoscopist at Modern Hospital.
Anesthesia
Dr. Hasanova performs most proctological operations under spinal or epidural anesthesia. With this type of anesthesia, the lower part of the body goes numb, while the patient stays awake and can talk with the doctor throughout the operation. If the patient wishes, they can also be put to sleep with a light sedative. In some cases, intravenous or general anesthesia is chosen. The type of anesthesia is determined together with the anesthesiologist, according to the patient's condition.
Preparing for surgery
- Before surgery, standard blood tests and infection tests (hepatitis B and C, syphilis, HIV) are performed.
- Tell the doctor and the anesthesiologist about all the medications you take, especially blood thinners.
- The type of anesthesia, the course of the operation and the possible risks are explained in detail before the operation.
- Disposable instrument sets are used in operations on patients with warts (condylomas) or HPV infection.