Treatment Spectrum

Proctology.
Discreet and on equal terms.

Proctology deals with disorders of the rectum and anal canal. Complaints in this area are common — and yet taboo. Many patients wait too long before seeking medical help. Yet most of these conditions can be treated gently today, usually on an outpatient basis.

Dr. med. Michael Scherer holds the additional qualification in proctology, awarded in 2006 by the Bavarian State Medical Chamber. In our consultations we take time, listen and explain every step — because trust matters especially here.

Additional qualification in proctology A sensitive subject —
handled with respect.
Treatment process

Trusting
and transparent

We know this subject takes courage. That's why we allow particular time for the first appointment.

First consultation

Your history, taken in a protected atmosphere. You set the pace of the conversation.

Examination

Inspection, digital examination, proctoscopy — gentle and respectful.

Diagnosis

We explain the findings in plain language and discuss the treatment options.

Treatment

Ointment, rubber band ligation, outpatient procedure or surgery — matched to the findings.

Follow-up care

Sitz baths, dietary advice, regular check-ups until everything has fully healed.

What we treat

Disorders
of the rectum and anus

From haemorrhoidal disease to complex fistulas — we offer the full spectrum of conservative and surgical proctology.

Anal abscess · Anal fistula

A purulent infection of the anal glands — acutely painful.

Cause
Infection of an anal gland. An acute abscess can develop into a chronic fistula.
Symptoms
Acute abscess: rapidly worsening pain, swelling, fever. Fistula: persistent discharge, recurring infections.
Treatment
An acute abscess is drained as an emergency. We treat fistulas in a tissue-sparing way — with different techniques depending on the course.

Anal fissure

A painful tear in the anal skin.

Cause
Mechanical overstretching of the anal skin, often related to hard stools or constipation.
Symptoms
Stabbing pain during and after bowel movements, bright red blood on the toilet paper, often cramp-like episodes of pain.
Treatment
Conservative treatment with special ointments, sitz baths and stool regulation. For chronic fissures, surgical sphincterotomy.

Anal skin tags

Small skin flaps at the anal margin — usually harmless.

Cause
Remnants of past haemorrhoidal disease, or congenital.
Symptoms
Visible skin flaps, sometimes hygiene problems or itching.
Treatment
If symptomatic, outpatient removal under local anaesthesia.

Faecal incontinence

Uncontrolled loss of stool — usually with a complex cause.

Cause
Sphincter weakness or injury, neurological disorders, post-operative consequences.
Symptoms
Uncontrolled loss of mucus, stool or gas. Severe psychological strain.
Treatment
Diagnostics with endosonography, pelvic floor training, biofeedback. For sphincter injuries, surgical reconstruction.

Haemorrhoidal disease

Enlarged vascular cushions — with bleeding, itching or prolapse.

Cause
Enlargement of the natural vascular cushions at the anus, promoted by constipation, pregnancy, prolonged sitting or straining.
Symptoms
Bright red blood on the toilet paper, itching, a feeling of pressure, and over time prolapse of the cushions.
Treatment
Stage-dependent: sclerotherapy, rubber band ligation or surgery. We choose the gentlest effective technique.

Pilonidal sinus (tailbone fistula)

An inflammatory fistula in the cleft between the buttocks.

Cause
Ingrown hairs in the cleft between the buttocks lead to chronic inflammation.
Symptoms
Redness, swelling, purulent discharge over the tailbone.
Treatment
Surgical removal — usually with plastic reconstruction and a high healing rate.
Frequently asked questions

What you
should know

Answers to the questions our patients ask most often. Can't find your question? Write to us via medflex.

As a rule, no. Inspection and the brief proctoscopy are uncomfortable but not painful. With an acute fissure, we work particularly carefully and use local anaesthesia.
Haemorrhoids themselves are harmless. But: blood in the stool always warrants investigation — it can also have other causes. A specialist examination gives you certainty.
The wound heals by secondary intention in 4–6 weeks. Sitz baths and consistent hygiene are crucial — we give you precise guidance.
Yes. We have separate consultation hours, a dedicated examination unit, and the entire team is trained in discreet care.
A specialist referral is helpful but not essential. With acute complaints, come to us directly.

Contact & Directions

Write to us

Secure and without an app — via our medflex channel.

For urgent matters, you can reach us by phone on 09661 80336, weekdays 07:30–18:00.

Enquiry via medflex

Our consultation hours

Mon · Tue · Thu08:00 – 13:00 / 15:00 – 18:00 Wed08:00 – 13:00 Fri07:30 – 13:00 / 15:00 – 17:00 Sat09:00 – 11:00

Emergencies are seen throughout the day on weekdays — please give us a quick call so we can fit you in.

Where to find us

MVZ Sulzbach-Rosenberg
Obere Gartenstraße 13 A
92237 Sulzbach-Rosenberg

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