At the beginning of every successful therapy there is a correct and detailed diagnosis. For this reason, treatment with a specialist is particularly important. The basic diagnosis includes the detailed anamnesis with the help of globally recognized scores, followed by diagnostic equipment, which at least from the digital rectal exam, the proctoscopy and possibly. the rectoscopy consists. If there are special questions, further investigations will be added, such as. Ultrasonic, MRT, Manometry or defecography.

Many years of experience in the field of proctology enables us to take away the fear of taboo problems during the proctological anamnesis and to make the examination and treatment as pleasant as possible.

A trusting doctor-patient relationship is a prerequisite for successful treatment!

A coccyx fistula is a chronic gait in the area of ​​the gluteal fold, usually as a result of penetrated hair. Men are affected twice as often as women and are mostly between at diagnosis 20 and 30 year old.

A distinction is made between an acute and a chronic form of the coccyx fistula.

In the chronic form, there are few complaints such as pain or discharge of blood or pus. Often the fistula is only noticeable because of an intense odor due to bacterial colonization.

The acute form is in turn with acute complaints such as pain that develop within a few days, fever.

therapy

In our proctology center we offer all common therapy options. The time of diagnosis also has a major influence on therapy and the success of healing, therefore do not hesitate: Ask us, if you suspect, having a coccyx fistula.

In the initial stage, the coccyx fistula can still be treated minimally invasively and thus large scars or. avoid open wounds.

Pit-Picking

Minimally invasive removal of hair follicles and cleaning of fistula tracts

Fistulektomie

Removal of the complete fistula through the hair follicle opening

Various Lappan sculptures (Karydakis, Limberg)

Removal of the complete fistula with wound closure using a sliding flap, Success rate over 80% but increased rate of wound healing disorders or wound dehiscences.

Open wound treatment

Removal of the complete fistula without closing the wound. This technique is mostly used in acute situations. The gratifying success rate of over 90% is clouded by the relatively long wound healing time

Laser treatment with FilaC (Fistula Laser Closure)

We use this method as a combination method for pit picking and fistulectomy. The inflamed tissue can be gently scabbed and removed with a laser

In the acute stage, we advise against definitive treatment, as the hair follicles may be overlooked due to the severe swelling. In the acute stage, the abscess is opened sparingly and is only given minimally invasive and painless treatment after the acute inflammation has healed.

How can you prevent the development and relapse??

Because the coccyx fistula is caused by ingrown hairs, Permanent hair removal can help.

Make an appointment now and let us advise you on the therapy options.

Hemorrhoids are arteriovenous vascular cushions in the anal canal. These vascular cushions are present in every person and normally have no disease value.

But when it comes to hemorrhoids, one usually means the pathological enlargement or the stepping deeper of the vascular cushions mentioned above. This leads to excruciating symptoms such as stool smear, Bleeding, Oozing or itching. Sometimes there is also pain.

What can you do about it?

Special ointments and creams can be used for mild complaints and a correct diagnosis. These alleviate the discomfort. However, it does not cure or stop the disease.

Overall, the hemorrhoid disease should be treated appropriately. One distinguishes 4 Stages of pathologically enlarged hemorrhoids: City I to IV.

The range of treatments we offer ranges from conservative treatment with sclerotherapy / sclerotherapy and rubber band ligation to surgical removal of hemorrhoids, e.g.. Milligan-Morgan.

Timely diagnosis and treatment are very important, modern methods such as hemorrhoidal artery ligation can be painless to painless (THING), Stapled hemorrhoidectomy after Longo or laser hemorrhoidoplasty may be applied.

The anal marisks are soft, painless skin flaps at the anus. The origin is mostly unclear, Skin tags often arise after peranal thrombosis or as a secondary form in chronic anal fissures.

The skin tags usually have no disease value, but can impair anal hygiene and thus lead to itching and anal eczema.

We remove the skin tags painlessly and in most cases under local anesthesia.