Proctology of excellence in Dubai - Pain free

There is a part of Medicine that, often ignored by most, deals exclusively with a specific area of the human body, which is the end of the long gastrodigestive tube, i.e. the rectum and anus.

Proctology (from the Greek πρωκτός, anus, and λογία, study, discourse) is therefore that particular branch of medicine that specialises exclusively in anorectal pathologies.

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Often, since the large intestine is a single organ anyway and shares many functions (and diseases) with the rectum, Proctology broadens its scope and study to include the entire colon, thus calling itself Colon-Proctology.

The development and advancement of Proctology have been and often still are an enormous step forward in Medicine, as the instruments, techniques and hyper-specialised therapies that must be used to operate in a place that is not exactly as easy as the anus and rectum, necessarily entail a great technological development, the advantages of which have since been assimilated by other medical specialities (think of laparoscopy, for example).

Read this page to find out what the specialities of proctology are, to find out exactly what the figure of the Proctologist does and how a proctological examination is generally carried out.

WHAT IS PROCTOLOGY, AND WHAT DOES IT TREAT?

Proctology is that part of Medicine that treats and studies the last part of the colon, namely the rectum and theanal orifice.

At the general academic level, these anatomical parts fall under the more general Colon-Proctology, which in turn is framed under the all-encompassing Gastroenterology.

A PERI-ANAL FISSURE

In Italy, since there is not yet a specialty school dedicated exclusively to Proctology, a Physician who wants to specialize in Proctology is usually trained in a Surgical specialty (General Surgery, Vascular Surgery, Emergency Surgery, etc.), or in Gastroenterology, and then hyper-perfects, in the field and/or through special courses and masters, in theanus and rectum.

However, as already understood very well by Doctors of the past, the ano-rectal area is a very special part of the human body, where direct experience and knowing how to intervene in the least invasive way possible for the patient is the true skill of the Doctor, which is learned exclusively through long years of practice.

Proctology studies and treats a wide variety of disorders of the anorectal canal, including:

• Pathological hemorrhoids and hemorrhoidal prolapse;
  
• Peri-anal abscesses;
  
• Anal fistulas;
  
• Rectocele;
  
• The descending perineum syndrome;
  
• Irritable bowel syndrome;
  
• Intestinal parasitoses;
  
• The inflammations and irritations of the anorectal canal (anitis and proctitis);
  
• Anal fissures;
  
• Chronic constipation;
  
• Fecal incontinence;
  
• Cancer of the anus and rectum.
  

Also included in Colon-Proctology are autoimmune disorders of the intestine, such as ulcerative rectocholitis, Crohn's disease, and celiac disease.

Neoplasms of the intestine, diverticulitis, and intestinal bleeding are also the responsibility of the Colon-Proctology Surgeon.

Proctology is a very ancient branch of Medicine.

Already Hippocrates of Coo, the Greek medical historian considered the father of modern scientific Medicine, had turned his attention to proctological and intestinal problems, especially hemorrhoidal prolapse.

Although without the modern scientific information available today, Hippocrates had already understood that prolapse of hemorrhoids occurred because of their weight, which in turn was caused by a problem of blood stagnation.

Proctology suffered a heavy setback in the Middle Ages, and was mostly associated with bizarre semi-pagan rites, with actual propitiatory rites in which those suffering from hemorrhoids or other proctological problems offered their... Feces and their farts to Belfagor in exchange for healing.

Only a few Cerusicians (the Surgeons of the past) of absolute worth, such as the Englishman John of Arderne(considered the founder of modern proctological surgery) were capable of true effective medical cures.

It would be necessary to wait until the famous Sun King, namely Louis XIV, fell ill with a painful anal fistula, cured by the Court Physician Elix De Tassy (using John of Arderne's method) for the sovereign, grateful to the Physician for being cured by him, not to establish the first, true Unversity of Modern Surgery, namely theRoyal Academy of Surgeons.

WHO IS THE PROCTOLOGIST PHYSICIAN?

The Proctologist Physician is the health care specialist perfected in Proctology, able to intervene (including surgically) to resolve anorectal affections.

This required surgical manual dexterity means that the Proctologist is almost always a Surgeon, trained in the specialty schools of General Surgery, Vascular Surgery, Emergency Surgery, et similia.

THE PROCTOLOGIST IS THE HEALTH SPECIALIST WITH EXTENSIVE EXPERIENCE IN THE RECTUM AND ANUS.

Thus, it is often more correct to call the Proctologist Colon-Proctology Surgeon, a term that brings together all of his medical expertise.

The Colon-Proctologist Surgeon is the professional to whom one should turn whenever one needs a diagnosis, or specific treatment, for problems pertaining to the rectum, anus, and, in general, the intestines.

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HOW IS THE PROCTOLOGICAL EXAMINATION PERFORMED?

The proctologic examination consists, like any other specialized medical examination, of four acts: history, diagnosis, treatment, and prognosis.

In the anamnesis phase, the proctology physician collects all information from the patient 's medical history, not only inherent to proctologic problems, but to all previous conditions in general, even any surgeries performed.

The purpose of the anamnesis is to provide the Proctologic Physician with all the information necessary to reconstruct the patient's medical history, since, very often, it is already in it that there is the possibileradiceof the proctologic problem.

The medical history is then followed by the clinical examination, which is essential to arrive at the diagnosis.

This clinical examination consists of three stages:

Abdominal examination

The patient'sabdomen is palpated with specific movements designed to establish the presence of air or inflammation known as colic chord.

The palpability of the bowel is an important signal, directing the physician to the right diagnosis;

Proctologic examination

The patient'sanal orifice and peri-anal area are evaluated clinically, either byvisual inspection or by digitalinspectionin which, gently and without any kind of pain, the Physician inspects the anus and the first part of the rectum with his finger, looking for lesions, malformations, any atypical or considered pathological features (such as, for example, failure of the sphincters to tighten in a resting condition);

Videoproctoscopy

The patient's rectum and anal canal are inspected using a special proctoscopic tube to which a high-definition video camera is attached, as well as the appropriate light source.

The examination is essential to assess the entire condition of the anus and rectum with extreme precision, making use of a magnification of about 20X, which is sufficient to inspect in detail even very small lesions (less than a millimeter).

The examination, which is noninvasive and painless, is performed without any preparation, and the patient can return to regular activities immediately, without waiting periods.

These three stages of the proctological examination, combined with the information retrieved in the medical history, lead the Proctology Physician to the diagnosis, which is followed by the appropriate treatment and prognosis.

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IS THE PROCTOLOGICAL EXAMINATION PAINFUL?

Absolutely not: the proctological examination, if well performed by an experienced Proctology Physician, is not painful at all.

Even special cases, such as in the presence of prolapsed hemorrhoids or anal fissures, can be treated without pain for the patient, with appropriate and specific maneuvers (e.g., sphincter stretching).

Both digital exploration and videoproctoscopy are painless procedures and, contrary to what is commonly thought, not embarrassing.

Therefore, the patient should be calm and serene during the examination, and not delay it because of senseless fears or shameful conditions.

Delaying the proctologic examination out of fear or shame often only worsens the clinical course of many worsening conditions, such as hemorrhoidal prolapse.

It is therefore never a good idea, which moreover is even more foolish considering that the proctologic examination is absolutely painless when performed by an experienced Proctologist Surgeon.

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CAN OTHER TESTS BE PRESCRIBED AT THE VISIT?

Of course: the Proctology Surgeon may often prescribe additional examinations if he or she feels there is a need for further investigation.

For example, an anorectal manometry may be prescribed to assess sphincter tone (useful in cases of suspected sphincter hypertone with a fissure ascertained by videoproctoscopy), or, for example, an endoanal ultrasound with a rotating probe, which is essential to establish the path of an anal fistula.

In general, any examination that the proctology physician deems indicated to reinforce or confirm the diagnosis may be prescribed.

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DO YOU HAVE PROCTOLOGIC PROBLEMS IN dubai? DR. LUISELLA TROYER CAN HELP YOU

Dr. Luisella Troyer is a Proctologist Surgeon, perfected for years in the study and treatment of major vascular and anorectal pathologies.

In her clinic in Dubai Dr. Troyer can help you solve all your anorectal problems, using modern Electronic Endoscopic Videoproctoscopy.

This is a modern examination of very high precision, which isan excellent complement to the proctological examination and which will be able to let you see, in real time, your clinical condition, so that you can better understand and comprehend it before the necessary therapy.

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