Dr. Palomo Torrero, Daniel
MD, PhD, FRCSI, FACS
Consultant UpperGi, HPB & Obesity Surgery
Proctologic diseases affect the rectum and anus and may cause symptoms such as pain, bleeding, itching, lumps, or discharge. While some are mild and manageable with medical measures, others may require specialized or surgical treatment if not diagnosed early.
The most common are hemorrhoids, anal fissures, fistulas, pilonidal cysts, anal condylomas, and rectal prolapse. Each of these can significantly affect quality of life, so it is important to obtain an accurate diagnosis and a personalized treatment plan.
Our unit’s objective is to provide comprehensive, patient-centered care, combining medical expertise, technological innovation, and compassionate support to treat every condition safely and effectively.
Hemorrhoids are dilated veins in the rectum and anus. They may be internal (inside the anal canal) or external (under the skin around the anus).
Symptoms: bleeding during bowel movements, pain, itching, mucus discharge, or a palpable lump.
Treatment:
In initial stages, treatment is usually based on a fiber-rich diet, specific ointments, and hygienic-dietary measures.
Nowadays, we also have treatment with diode laser, an innovative and minimally invasive technique that eliminates hemorrhoids precisely and with little pain, without the need to remove tissue.
It consists of a small wound or tear in the mucosa of the anus, usually caused by constipation and the passage of hard stools.
Symptoms intense pain during and after evacuation, bright red bleeding, and sometimes spasm :of the anal sphincter.
Treatment:
Initial management includes relaxing ointments, analgesics, and dietary changes. When the fissure does not improve, more advanced treatments may be considered such as:
It is an abnormal tract that communicates the inside of the anal canal with the surrounding skin, generally after an abscess.
Symptoms persistent discharge, recurrent pain, inflammation, and in some cases fever.
Treatment:
The only definitive solution is surgical. Depending on the case, fistulotomy, fistulectomy, or sphincter-preserving techniques (seton, LIFT, biological adhesives) can be performed.
The diode laser with the FiLaC technique closes the fistulous tract from within, preserving the sphincter, reducing the risk of incontinence, and allowing long tracts to be treated without cutting muscle.
They occur when an anal gland becomes infected and forms a collection of pus.
Symptoms acute pain, redness, inflammation, and sometimes fever
Treatment:
The only definitive solution is surgical. Depending on the case, fistulotomy, fistulectomy, or sphincter-preserving techniques (seton, LIFT, biological adhesives) can be performed.
The diode laser with the FiLaC technique closes the fistulous tract from within, preserving the sphincter, reducing the risk of incontinence, and allowing long tracts to be treated without cutting muscle.
They form in the sacral area, near the coccyx, due to the accumulation of hair and skin debris under the skin. They are more common in young men.
Symptoms pain, swelling, redness, discharge, or formation of recurrent abscesses.
Treatment:
In initial cases they are drained, but to avoid recurrences surgery is usually recommended to remove the cyst and the affected tissue.
LThe SiLaC technique with diode laser seals the cyst cavity from the inside, avoiding wide resections, reducing pain, and promoting a fast and aesthetic recovery.
It occurs when the rectum loses its normal fixation and slides outward through the anus. It can be partial or complete.
Symptoms tissue protruding through the anus during defecation, incontinence, bleeding, mucus, and local irritation.
Treatment:
In initial stages, pelvic floor rehabilitation is recommended, but most cases require surgery to correct the anatomy and avoid complications.
They are warts in the anal region caused by the human papillomavirus.
Symptoms: appearance of small wart-like lesions, sometimes accompanied by itching, irritation, or bleeding. In some cases they may be imperceptible at the beginning.
Treatment:
Elimination through cryotherapy, laser, or surgery, and regular medical follow-up, since there is a risk of recurrence and, in certain types of HPV, of precancerous lesions.
The diode laser removes condylomas precisely, preserving healthy skin, reducing bleeding, and promoting quick and safe healing.
Consult a specialist if you present any of these symptoms:
These symptoms should not be ignored. In some cases, they may be signs of more serious diseases that need early diagnosis and treatment.
Dr. Palomo Torrero, Daniel
MD, PhD, FRCSI, FACS
Consultant UpperGi, HPB & Obesity Surgery
Dr. Martínez Santos, Cristina
Specialist in Cervical Endocrine Surgery
Dr. Antequera Pérez, Alfonso
MD, PhD, FRCSI, FACS
Consultant UpperGi, HPB & Obesity Surgery
Dr. González Chamorro, Antonio
Specialist in General Surgery and digestive system
Dr. Molina Navarro, Carlos
Especialista en Cirugía General y Digestiva en HC Marbella
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