General surgery and colorectal surgery / proctology

Abdominal disorders

Stefan Mühlbauer is available to assist you with regard to general and visceral surgery (surgery of the abdominal organs, abdominal wall and thyroid gland) as well as coloproctology (diagnosis and treatment of colon and rectal diseases, conservative and operative pelvic floor treatment for faecal incontinence and acquired constipation).

Gentle and minimally invasive procedures, such as laparoscopy, are used by this experienced surgeon during surgical interventions, even for diseases of the small or large intestine. If possible, the cosmetically preferable single-incision laparoscopic surgery (SILS) technique is used. This operation is performed through a single-entry point in the navel. Very gentle procedures are also used in the treatment of rectal diseases, such as hemorrhoidal disease.

Diagnostic and conservative range of services

endoscopy
proctologic diagnostics
non-surgical haemorrhoid treatment
diagnostics and treatment of chronic constipation and incontinence
second opinion / counselling prior to abdominal surgery

Surgical range of services

hernia surgery (inguinal hernia, umbilical hernia, abdominal wall hernia and incisional hernia)
gallbladder and appendix removal (for example, using the SILS technique)
thyroid gland surgery
surgical treatment of haemorrhoids, anal fissures, anal abscesses and fistulae, minimally invasive and plastic treatment of coccyx fistulae (pit picking / Bascom technique)
operations for inflammatory and tumorous diseases of the small and large intestines (for example, sigmoid diverticulitis), rectoceles, internal and external rectal prolapses
sacral nerve stimulation
port implantation (for example, for chemotherapy)

Don’t fear the proctologist!

The very idea of submitting oneself to a rectal examination is enough to make one feel uncomfortable. Problems in the pelvic area and rectum are common. An in-depth talk with a proctologist helps clarify symptoms, relieve fear and prevent serious illnesses from developing. Stefan Mühlbauer takes the time to talk and advise you thoroughly so that you have nothing to worry about before any examinations.

The visit to the proctologist – a thorough discussion and a gentle examination

It can burn, itch or weep. Some have the feeling of a sensation of a foreign body in the anus or experience pain when going to the toilet. All these complaints point to a proctological condition. These are problems which an experienced proctologist such as Stefan Mühlbauer will deal with in an intensive anamnesis and diagnosis, and together with the patient, develop the most suitable treatment for them.

Detailed questions relating to going to the toilet, the regularity and consistency give important information about the health status of the rectum. Even blood in the stool is an important indicator of rectum health and must be asked about. During the in-depth discussion, Stefan Mühlbauer gently checks all the details needed for a first diagnosis. He takes up to an hour with the patient to thoroughly answer all the questions.

Only after this does the gentle physical examination then follow. Patients are almost fully clothed and placed on their more comfortable side. The doctor prioritizes discretion and takes care that the patient does not feel uncomfortable during the examination. Only the lower body area is unclothed when Stefan Mühlbauer carries out the examination.

The examination can include:

Scanning of the anal passage
Measuring the sphincter muscle pressure with a pencil-thick probe
Colonoscopy, endoscopy of the rectum – fearful patients will be given a local anaesthetic
Proctoscopy, endoscopy of the rectum – fearful patients will be given a local anaesthetic

Based on the discussion and examination, the experienced surgeon makes a first diagnosis, one which is often the result of many different symptoms. In addition to his many years of treating diseases of the pelvic area, he also counts on the know-how of his colleagues in the related disciplines of urology and gynaecology. The interdisciplinary discussions help in the case of a diagnosis which is not immediately clear and the ensuing appropriate form of treatment to obtain a clear differential diagnosis. Should further diagnostic procedures be necessary, Stefan Mühlbauer thoroughly clarifies the course of treatment in a final conversation, answers all questions and supervises the examination.

Diseases/illnesses general surgery and colorectal surgery / proctology

Dr. med. Hubert Lausberg’s team is at your disposal with regard to questions concerning general and abdominal surgery (surgery of the abdominal organs, the abdominal wall and the thyroid gland) as well as coloproctology (diagnostics and treatment of diseases and disorders of the colon and rectum).

His medical areas of focus are hernia surgery (inguinal, umbilical and abdominal wall surgeries as well as incisional hernia repair), gallbladder surgery and appendectomies (minimally invasive) as well as thyroid surgery. Special expertise is available in the field of diagnostics as well as the conservative (non-operative) and operative treatment of diseases and disorders of the colon and rectum.

We focus mainly on the following conditions:

Treatment general surgery and colorectal surgery / proctology

We mainly focus on the following treatment options:

Coccygeal Fistula Treatment:

FiLaC – minimal-invasive Laser therapy

The modern laser procedure FiLaC is a form of therapy carried out in The Beta Klinik. It is straightforward and used in cases of acute infections of the coccygeal fistula. The treatment only takes a few minutes and allows patients to be symptom free in their everyday life within a very short time.

Whilst under anaesthetic, a laser probe is introduced into the infected opening of the fistula right through to the abscess cavity. Only a small incision in the skin is necessary to position the probe as large incisions in the buttocks area are not needed. The low number of cuts is cosmetically attractive and the rapid healing of the wound greatly enhanced. Long periods of lying down and complicated caring of the wound are done away with as the minimally invasive laser therapy allows for absolute precision in the interior of the fistula.

Once the strobe has been placed, the surgeon releases the laser energy which obliterates the infected tissue from the inside. Diseased tissue and remnant hair are destroyed. The probability of fresh infection is extremely rare. While the energy is still activated, the surgeon slowly extracts the flexible probe and at the same time destroys the fistula tract.

The minimal-invasive laser therapy can take place as same day surgery, and is both painless and cosmetically very interesting. There are no unpleasant scars afterwards and the healing period is very quick lasting only a few days.

Pit-Picking according to Bascom

The Pit-Picking method involves the fistula tract being cut in the anal fold. Here, two to three millimetres of the tissue in and around the tract is removed. Through the healing and growing together of the small wound, the fistula tract closes automatically and grows together as normal scar tissue. The previously infected fistula cavity heals and closes after the healing of the drainage canal.

The Pit-Picking according to Bascom takes places under a local anaesthetic and can be carried out as day surgery.

Karydakis Flap Surgery

With Karydakis flap surgery for coccygeal fistula treatment, the patient is under a general anaesthetic. The surgeon removes the diseased tissue in and around the fistula and perform Karydakis flap surgery in order to close the wound. This operation involves the buttocks being flattened and the scar of the wound transposed slightly laterally. This way it can better and more quickly heal. The chances of a new coccygeal fistula forming after this procedure is greatly reduced.