Proctologist in Bratislava – Proctology Clinic

A proctologist diagnoses and treats diseases of the rectum and anal area. Book an appointment if you have blood in your stool, pain or itching around the anus, a lump or swelling in the anal area, difficulty emptying your bowels or long-lasting discomfort. We most often treat haemorrhoids, anal fissures, fistulas, abscesses and condylomas. An early examination helps distinguish common problems from conditions that require further diagnostics.

The proctological examination itself usually does not hurt; most patients feel only mild pressure. We start with inspection and gentle palpation, and during anoscopy or video proctoscopy we insert a thin instrument with lubricant, which you feel as brief pressure, not sharp pain. During a consultation without an instrumental examination you feel practically nothing. If you have an acute fissure or a painful haemorrhoid, tell the doctor in advance — he will proceed more gently and, if needed, use a numbing gel. Minor discomfort subsides shortly after the examination and you go home without restrictions.

Yes, the examination is discreet and there is nothing to be embarrassed about — for a proctologist it is a completely routine procedure. At the Dermarevolta clinic we receive you in the privacy of a separate consulting room; the doctor explains every step in advance, and only the necessary area is exposed and only for the time needed. Embarrassment is understandable, but postponing the examination because of it is often the reason problems get worse. We are happy to answer your questions calmly and without judgement; our goal is for you to feel safe.

Simple preparation is enough for a routine proctological examination — emptying the bowel on the day of the examination. You do not need to fast or take laxatives. We recommend:

• empty the bowel in the morning, or use a glycerine suppository or a small enema,
• the day before, avoid alcohol and foods that cause bloating,
• bring previous findings and a list of medications, if you have any.

If only a consultation and visual examination are planned, no special preparation is needed. In case of acute bleeding or severe pain, come even without preparation — we will adapt. You will receive precise instructions when booking your appointment.

The examination usually takes 15 to 20 minutes and is carried out discreetly. You lie on your left side with your knees bent; the doctor first inspects the perianal area, followed by palpation (a digital rectal examination) and, if needed, anoscopy or video proctoscopy, which displays the anal canal and rectum. You see the findings together with the doctor on the monitor. At the end you receive a diagnosis and a proposal for the next steps, whether it is conservative treatment, an outpatient procedure, or a referral for further examination. The examination at the Dermarevolta clinic is led by proctologist Gergely Kremeshnyy.

No, you do not need a referral from a GP or any recommendation — Dermarevolta is a private clinic. You can book directly, by phone at +421 917 080 080 or via the form on the website, usually for an appointment within a few days, without long waiting times. For acute problems such as bleeding or severe pain, we look for the earliest possible appointment. You pay for the examination and the procedure at the clinic according to the price list, as the services are not covered by public health insurance.

These are the basic instrument examinations of the rectum. With an anoscope, a short speculum-like instrument, the doctor inspects the anal canal to a depth of about 10 cm and assesses haemorrhoids, fissures or polyps. Video proctoscopy sends the image to a monitor, so you can see the findings too and they can be documented. Both examinations are outpatient, usually take 5 to 15 minutes and are performed with lubricant for maximum comfort. Depending on the situation we carry them out with or without local anaesthesia; a general anaesthetic is not needed. If necessary, we take a sample for histology during the examination or perform a minor therapeutic step. Unlike a colonoscopy they show only the final section of the bowel, so if a condition higher in the large intestine is suspected we refer you for a colonoscopy.

Yes, some anorectal conditions can be managed conservatively, without surgery. For early haemorrhoids and acute fissures, a change of diet, enough fibre and fluids, sitz baths and topical ointments or suppositories, or treatment with the Surgitron, can help. The goal is to ease the problems and support healing. However, if the condition progresses, recurs or bleeds repeatedly, we will suggest an outpatient procedure, such as laser treatment or rubber band ligation. We always determine the appropriate approach only after an in-person examination, according to the stage and your symptoms.

A consultation with a proctology examination costs €60 at the Dermarevolta clinic and is deducted from the price of the procedure if you go ahead with one. The cost of the procedures themselves depends on the diagnosis and the chosen method. More demanding laser procedures, such as surgery for a perianal fistula, are more expensive. The doctor will confirm the exact amount after examining you in person. The full price list is on the rectal surgery page.