Dr Bernhard Hofer and Florian Liebl*

Specialists in visceral surgery and proctology

Proctology in Munich. And only proctology.

* Employed doctor

New: Laser for (almost) everyone! Many statutory health insurances now cover the costs of laser surgery.

Does your health insurance already participate?

Office hours

Monday till Thursday

Friday

08.00 -18.00

08.00 -13.00

The right therapy starts with the right doctor

Dedicated. Experienced. Authentic.

Pain, burning, itching? Bleeding, protrusions or growths in the area of the buttocks and anus? Home remedies or the haemorrhoid ointment from the pharmacy have not helped? Are you worried about a serious condition?

With Dr. Hofer and his team, you are at the right address. As proctologists, we have specialised exclusively in the treatment of diseases of the anus and tailbone cysts (pilonidal sinus).

With 29 years of clinical experience, personal attention and modern surgical techniques, we will find the best possible treatment for you.

What sets us apart

Treatment always by an experienced specialist
Competence Centre Proctology of the Professional Association of Coloproctologists (BCD)
Member of the German Society for Coloproctology
Experience in laser proctology since 2012
Full approval of all statutory and private health insurance funds including outpatient operations

Making informed decisions

Operation yes / no?

We are specialists in surgery. Consequently, surgical treatment and especially laser surgery are our core competence. Nevertheless, not every patient needs surgery. We also advise you on alternative treatment options without surgery.

We will give you a clear recommendation if an intervention seems to us to be the best treatment option. For some clinical pictures, we go new ways to be able to offer you the gentlest possible treatment. This concerns coccygeal fistula and laser treatment for haemorrhoids. In contrast, for anal f issure and anal fistula we only trust the tried and tested method of excision. Some promising developments have unfortunatelynot fulfilledthe hopes .

Just as important as a perfect surgical technique is the postoperative follow-up treatment. With this in mind, we offer LLLT (Low Level Laser Therapy, also known as soft laser treatment) for convalescence to stimulate the body's healing powers at the cellular level. Magnetic field therapy is a suitable, non-invasive procedure for rehabilitation of the sphincter muscle. Laser hair removal prevents recurrences after surgery of a pilonidal sinus.

See a proctologist if you experience …

The 5 most common symptoms in the proctologist's practice

Bleeding

If you notice blood in the stool or blood when wiping, you may be worried about bowel cancer. Much more often, haemorrhoids or an anal fissure are the cause of bleeding. The examination by the proctologist gives you certainty.

Protrusions and growths

Most often, we see harmless anal thromboses or skin folds (marisques). However, it can also be prolapsed haemorrhoids, polyps, virus-related warts (condylomas) or, rarely, anal cancer (anal carcinoma).

Pain

Pain at the anus is most common with anal vein thrombosis (also called "external haemorrhoid"), anal fissure or anal abscess.

Itching

Itching affects the quality of life when you wake up at night or can no longer sit still in a meeting. Itching can occur with haemorrhoids, anal vein thrombosis or anal fistulas, but also with skin diseases such as psoriasis, neurodermatitis or infection.

Moisture, secretion

Increased wetness can occur with haemorrhoids, rectal prolapse, anal fistulas or as a symptom of anal eczema, much less frequently with sphincter weakness and occasionally due to increased activity of the anal glands (proctodeal glands).

With incontinence, the way to the toilet becomes long

Weakness of posture (incontinence)

When the ability to control stool and bowel gas is disturbed, it is called incontinence. Treatment includes stool regulation, pelvic floor exercises, biofeedback and magnetic field stimulation.

Modern therapies from laser to magnetic field

Innovation in Proctology: New Forms of Energy

Einstein's ingenious idea of the laser allows for an unprecedented precision of treatment. Pulsating Magnetic Field (Signal) Therapy (PST) tightens connective tissue, strengthens muscle strength and sensitivity, and relieves pain.

Services

Our specialisations

Laser surgery

Use all the advantages of laser technology for haemorrhoids (LHP), anal fissure and anal fistula as well as coccygeal fistula (SiLaC, laser sinusectomy).

NOW INCLUDED WITH MANY HEALTH INSURANCE COMPANIES

Laser treatment

Hair removal, promotion of wound healing (LLLT), decongestant treatment for anal thrombosis and haemorrhoids

Your specialists in Pilonidal surgery

Avoiding major surgery with pit picking and lasers

To the Pilonidal Sinus Centre

SPECIAL SURGICAL TECHNIQUES

Magnetic field therapy pelvic floor

Effective strengthening of the pelvic floor and sphincter muscle

Video

Consultation and second opinion

Have you been advised to have an operation? We'll tell you if we see it the same way.

Conservative proctology

What can ointments, food supplements and medicines do?

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PATIENTS SINCE 2016

EXPERIENCED SPECIALISTS

YEARS OF CLINICAL EXPERIENCE

THIS IS HOW OUR PATIENTS RATE US ON JAMEDA, PROVEN EXPERT AND GOOGLE

Reviews

Finally, a few figures on our specialisation (as of quarter 4/2018, source: KVB kassenärztliche Vereinigung Bayerns): 49.5% of our patients were treated for haemorrhoids (compared to 4.8% in the specialist group of surgeons in general), 30.3% for another rectal disease (comparative value: 3.52%), 24.7% for a coccygeal fistula (comparative value: 2.8%). The average age of our patients was 39.5 years. In other words: coccygeal fistulas and haemorrhoids are by no means a symptom of old age. The gender distribution was relatively balanced with 41 % female and 59 % male patients.

HOFER, LIEBL* &AMP; COLLEAGUES

Specialists in visceral surgery, proctology

*employed doctor

Brienner Str. 13, D-80333 Munich, Germany

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