Proctology practice Munich, Germany

Private Institute for Laser Proctology

Dr. Bernhard Hofer and Florian Liebl, specialists in visceral surgery, proctology


State-of-the-art diagnostics as the basis for individual, precise treatment

Diseases of the rectum can appear in many different ways. Most people have heard of haemorrhoids. Coccygeal fistulas, anal fistulas or anal thromboses, on the other hand, are not as well known. They all cause discomfort around the anus and can be very uncomfortable for patients. The good news is that these conditions can usually be treated quite quickly and easily. In our proctology practice we have a lot of experience with these complaints and can usually treat them on an outpatient basis.

If surgery is unavoidable, we have all the options for outpatient surgery, whether with local or tumescent anaesthesia in the practice or with general or regional anaesthesia in the outpatient surgery centre.

anal fissure

The anal fissure is an elongated tear in the mucous membrane of the anal canal and is therefore also called anal fissure. An acute anal fissure usually heals by itself. If there is a chronic anal fissure, times without symptoms alternate with times when the symptoms recur.

anal fistula

The term fistula is generally used to describe a tubular duct that has developed as a result of a disease process. An anal fistula has an inner opening in the rectum or anal canal and usually also an outer opening in the area of the skin around the anus. It is therefore a kind of tunnel from the inside to the outside.

anal thrombosis

In contrast to deep vein thrombosis (DVT), vascular blockage in analthrombosis is not life-threatening because the clotted blood is not washed into other vessels (embolism). In many cases a treatment is not necessary at all and waiting and observing can already be the best therapy.


Haemorrhoids (Greek = blood flow) are erectile tissues and are located on the outer part of the intestine, near the anus. Every human being has this well supplied with blood, ring-shaped tissue cushion - also called haemorrhoidal network. It has a very important task: the sealing of the intestine to the outside.

Unwanted hairiness

Tailbone cysts (Pilonidal sinuses) are often caused by ingrown hairs, or hairs that fall off the body and pierce into the tissue in by the movements of the buttocks. A preventive measure to prevent the condition from developing in the first place is permanent hair removal in the buttock area with the diode laser.