Proctology – Outpatient Treatments
Proctological conditions are common and can significantly affect quality of life.
In our practice, we offer modern, gentle, and discreet treatment concepts – performed on an outpatient basis and individually tailored.
👉 Our goal is effective treatment with minimal discomfort, reduced pain, and fast recovery.
Many proctological conditions can be treated without hospitalization.
With the use of modern minimally invasive techniques, symptoms can often be relieved quickly while keeping downtime short.
👉 Treatment is always adapted individually based on symptoms and severity.
Indication
Treatment may be beneficial in cases of:
Hemorrhoids
Skin tags (mariscae)
Anal fissures
Anal fistulas
Perianal abscesses
Condylomas
Pilonidal sinus
Functional pelvic floor disorders
Fecal incontinence
Procedure
detailed medical history
clinical examination
additional diagnostics if required
individualized treatment planning
outpatient procedure (local anesthesia or sedation)
follow-up care
👉 All procedures are performed discreetly, gently, and under sterile conditions.
Prices
Initial consultation: €100
(fully credited if a procedure is performed)
Included in the price:
✔ Procedure
✔ Local anesthesia
✔ First follow-up
✔ Dressing material
Additional follow-ups: from €50 depending on effort
Costs vary depending on size, location, and complexity.
👉 In many cases, a significant portion of the costs – in some cases up to approximately 80% – may be reimbursed by health insurance.
📌 The exact reimbursement depends on your diagnosis, the type of procedure, and your individual insurance plan.
Dauer
conservative treatment: approx. 15–30 minutes
minimally invasive procedures: approx. 30–60 minutes
surgical procedures: approx. 45–90 minutes
👉 In most cases, patients can return quickly to their daily activities.
Advantages
✔ discreet treatment
✔ outpatient procedures
✔ minimally invasive techniques
✔ individualized therapy
✔ stepwise treatment approach
✔ fast recovery
✔ transparent pricing
Hemorrhoids (💎 Gentle & modern treatment approach)
Modern techniques allow effective treatment with relatively low discomfort.
👉 The goal is significant symptom relief with minimal downtime.
Hemorrhoids Grade I–II (rubber band ligation)
from €350
✔ short procedure
✔ generally well tolerated
✔ quick return to daily life
Hemorrhoids Grade III (HAL-RAR technique)
from €900
✔ tissue-preserving technique
✔ often associated with less postoperative discomfort compared to traditional surgery
✔ faster recovery in many cases
🔹 Anal Conditions
Skin tags (removal)
from €250
✔ short procedure
✔ usually rapid symptom improvement
Anal fissure
surgical: from €350
conservative (botulinum toxin): from €250
✔ goal: pain reduction and improved healing
Condylomas (surgical)
from €250
✔ targeted removal
✔ usually well manageable in an outpatient setting
🔹 Infections & Inflammatory Conditions
Perianal abscess
from €250
✔ rapid pressure relief
✔ often immediate reduction of pain after drainage
Simple anal fistula
from €750
✔ individualized treatment approach
✔ aim: long-term symptom control
Pilonidal sinus
from €700
✔ established technique
✔ good healing potential
🔹 Botulinum Toxin (Functional Proctology)
Chronic anal fissure
from €250
Anismus
from €250
Levator ani syndrome
from €250
Vaginismus
from €250
👉 goal: muscle relaxation and reduction of painful spasms
🔹 Fecal Incontinence – Modern Treatment Concept
Fecal incontinence is a sensitive but treatable condition.
In many cases, targeted non-surgical therapy can significantly improve symptoms.
👉 The goal is an individualized, stepwise treatment approach tailored to each patient.
🔸 Treatment
1️⃣ Conservative Therapy
dietary adjustments
stool regulation
medical therapy
👉 often sufficient to improve symptoms
2️⃣ Additional Conservative Measures
👉 if needed, specialized pelvic floor therapy
(e.g. physiotherapy or biofeedback) can be organized externally
3️⃣ Minimally Invasive Therapy
If no sufficient improvement is achieved:
Injection therapy (e.g. bulking agents / Solesta)
from 1000 €
✔ outpatient procedure
✔ minimally invasive
✔ may improve continence
4️⃣ Advanced Treatment Options
Neuromodulation (PNE / SNS) in selected cases
📌 Note:
👉 Most patients benefit from conservative or minimally invasive treatment and do not require surgery.
🔹 Pain & Functional Therapy
Injection therapy for anal pain
from €150
Pelvic floor injections / muscle relaxation
from €150
