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Diagnosis: What should be treated?
Would you like to get rid of your stubborn haemorrhoids? At the Proctology Practice of Dr. Bernhard Hofer in Munich, we specialise in outpatient haemorrhoid surgery. Our doctors have years of experience and offer an excellent service. Here we describe in detail the course of treatment in our surgery centre Iatros Clinic and mention everything that is important for the patient on the day of the operation. Only when you can answer all the coming questions with yes, you are well prepared for the operation. These general explanations apply equally to the surgery for anal fissure and anal fistula.
Why operate?
Treatment begins with a personal examination and consultation in the practice. In this way, the doctor can get to know the patient better and find out about the patient's expectations. The intake consultation is followed by a proctological examination. Your doctor will discuss the results of this examination with you and discuss conservative and surgical options with you.
The decision for an operation is always a weighing up of the expected benefits and possible risks. Clear reasons for an operation are
for haemorrhoidal disease:
in anal fissure:
in anal fistula:
for all diagnoses:
Clarify cost absorption
Post follows
Plan the operation in such a way, unless significant complaints force you to operate at short notice, that the expected restrictions and the inability to work for 2-3 weeks do not become a problem. So if you have a holiday, a wedding or a sporting event coming up, you'd better plan the time generously.
Perhaps there are times of the year at work when your boss can more easily do without you. Then you will be under less emotional pressure to return to work early. Of course, the employer does not have to be informed about the illness and type of treatment. As a self-employed person, consider how you might be able to delegate some of your work from home or use holidays for convalescence to minimise the loss of earnings.
On the day of the operation, you can leave the outpatient surgery centre again after the procedure and the subsequent monitoring in the recovery room. The prerequisite for this - apart from you being well, of course - is an adult collector who will meet you at the Iatros Clinic.
Healthy patients up to 60 years of age do not need any special preliminary examinations. In individual cases, the anaesthetist may order necessary examinations. Healthy patients over 60 years of age should bring their existing examination results, ECG and laboratory with them. In the case of chronic illnesses with performance limitations as well as cardiovascular events in the last 12 months (heart attack, stroke), we advise against outpatient surgery and would organise surgery for you in an appropriately equipped acute clinic.
Anaesthesia is also a medical measure for which you must have an explanatory talk with the anaesthetist at least 48 hours before the planned operation. You will receive the corresponding information sheet, on which you also confirm your consent to the anaesthesia by signing it, in our practice. The interview will be conducted by telephone, unless medical reasons require a personal presentation.
As of 14.09.21, the 3 G regulation applies until further notice, a PCR test is no longer obligatory. For convalescents whose infection occurred more than 6 months ago and unvaccinated persons, a PCR test no older than 72 hours with subsequent quarantine at home is still mandatory.
We ask patients from abroad to also check the current, legal regulations on entry with the Federal and State Ministry of Health in Bavaria.
On the day of surgery
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What if...
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Specialists in visceral surgery, proctology
Brienner Str. 13, D-80333 Munich, Germany
© 2023 Proctology Practice Munich
Dr. Bernhard Hofer and Florian Liebl - Specialists in Visceral Surgery and Proctology - PartG mbB