Proctology at the Sachsenhausen Clinic, Germany, Frankfurt

Proctology

At our clinic, the proctology department deals with diseases and dysfunctions of the entire large intestine and, in particular, of the rectum. The range of diseases in this area is wide and it includes benign and malignant tumors, chronic and acute inflammation of the intestinal lining, infectious diseases, intestinal motility and defecation disorders, as well as the sphincter dysfunction and damage.

Our Department of General and Visceral Surgery offers a comprehensive proctologic diagnosis and treatment of all proctological diseases. The main focus is on the treatment of malignant tumors of the rectum (rectal and anal carcinoma), surgical procedures to treat internal and external rectal prolapse, surgical repair of sphincter and perineal injuries. We offer conservative and surgical techniques for proctological treatment of rectal defecation disorders and chronic constipation. In order to identify and treat fecal incontinence, we provide a standardized functional assessment and offer conservative and surgical treatment options, in particular sacral neuromodulation.

Chronic inflammatory bowel diseases are another specialty of the clinic. We will be pleased to give advice to patients and medical colleagues.

General diagnostics:

  • Standardized case report with approved questionnaires
  • Proctoscopy
  • Rectoscopy
  • Anorectal endosonography (anal and rectal ultrasound)
  • Pelvic floor sonography
  • Anal manometry (sphincter pressure measurement)
  • Functional test of the rectum

Comprehensive diagnostics in cooperation with other departments:

  • Colonoscopy (interdisciplinary endoscopy)
  • MRI defecography (radiology department)

Consultations on the issues:

  • Incontinence
  • Advice on stomas (artificial bowel)
  • Second opinion

Surgical procedures:

  • Minimally invasive laparoscopic surgery
  • Transanal operations on the rectum and anus
  • Sphincter and perineum reconstruction
  • Sacral neuromodulation

Therapy for the following diseases (in alphabetical order):

  • abscesses in the anus and pelvis
  • anal carcinoma
  • anal venous thrombosis
  • colorectal cancer (colon cancer and rectal cancer)
  • diverticular disease
  • fistulas – anal fistulas, rectal fistulas, rectovaginal fistulas
  • hemorrhoids
  • defecation disorder
  • rectal prolapse
  • constipation
  • polyps
  • sphincter defect
  • pilonidal sinus (coccyx fistula)
  • fecal incontinence

Fecal incontinence

Fecal incontinence, an inability to consciously control emptying, is often a huge burden for the people affected. It can lead to significant restrictions in everyday life and, consequently, in the quality of life. It is common for people who experience this problem to avoid complaining, particularly because of shame and lack of knowledge of possible approaches to proctological treatment. There are numerous possible causes for this problem. Possible sphincter injuries, including birth injuries, accidents or even poorly performed surgeries in this area. Impairment or damage to the pelvic floor that supplies the nerve tract is another common cause. Nerve disorders can be caused by direct damage (e.g. birth, accident, spinal disc herniation, etc.) as well as by metabolic diseases (diabetes mellitus) and neurological disorders (e.g. Parkinson’s disease, multiple sclerosis). It should also be kept in mind that the pelvic floor muscles become weaker with age and fecal incontinence becomes even more obvious. As a result, fecal incontinence is also more likely to occur in a more advanced phase of the patient’s life. In addition, symptoms of fecal incontinence can be experienced with such proctological diseases as inflammation, hemorrhoids, rectal damage. Fecal incontinence caused by high frequency of stools and a predisposition to diarrhea are possible causes in the gastrointestinal tract, a link with medication intake and nutrition, as well as mental factors (stress).

In accordance with the variety of possible causes and symptoms of fecal incontinence, a thorough diagnosis is required to decide which treatment is right for the individual patient. There are often concomitant complaints of urinary incontinence and, especially in women, pelvic organ prolapses. In this case, interdisciplinary treatment by specialists in surgery, urology and gynaecology will make sense.

At our General and Visceral Surgery Clinic we offer the following diagnostics and treatment of fecal incontinence:

Diagnostics:

  • Standardized case report with approved questionnaires
  • Proctoscopy
  • Rectoscopy
  • Anorectal endosonography (anal and rectal ultrasound)
  • Pelvic floor sonography
  • Anal manometry (sphincter pressure measurement)
  • Functional test of the rectum

Options for conservative treatment:

  • Adjusting stools through diet changes
  • Adjusting stools with medication

Surgical proctological procedures:

  • Sphincter and perineum reconstruction
  • Sacral neuromodulation
  • Proctological operations
Prof., Dr. med. Plamen Staikov

Prof., Dr. med. Plamen Staikov

Medical Director, Head physician

Holger Bahn

Holger Bahn

Senior physician

Callback Service
Phone
Whatsapp
Email
Call Back Service