Interview with Dr. Sabine Raschke-Brodda

Early Action at Signs of Hemorrhoidal Disease 

Even though patients often conceal their symptoms out of embarrassment, diseases of the rectum and anal region are widespread. The head of the proctology specialist practice at St. Joseph-Stift Hospital in Bremen, Dr. Sabine Raschke-Brodda, advises going to the doctor in a timely manner.

Dr. Raschke-Brodda, what symptoms do your patients present with in the consultation?

The symptoms are varied: from itching, burning, oozing, pain, a feeling of pressure in the rectum, bleeding, and stool smearing to incontinence.

What types of “hemorrhoidal disease” exist? Are there symptoms that are often mistaken for hemorrhoids?

Combined, but also separate from hemorrhoids, there can be an anal eczema, anal fissure, anal fistula, rectal prolapse, or in the worst case, anal or colorectal cancer.

When should patients see a doctor?

Clearly, early on. Firstly, to rule out serious diseases with similar symptoms. Secondly, enlarged hemorrhoids, anal fissures, and anal fistulas can be treated well and effectively. The therapy is oriented to the extent of the change.

What is important for stage-appropriate treatment?

Most importantly, a targeted proctological history and examination. Therefore, patients with symptoms should definitely consult a doctor who is comprehensively qualified as a specialist in surgery with the additional designation of proctology and offers all outpatient and inpatient treatment methods.

Does surgery usually need to be performed immediately?

No. In a calm atmosphere, patients are questioned, examined, and informed about the therapy options after diagnosis. If surgery is indicated, the guiding principle is: “As little as possible, as much as necessary.”

Are there pain-reduced therapy options?

Yes! For 2nd to 3rd degree hemorrhoidal disease, the minimally invasive LHP® laser therapy is an option. The hemorrhoids are irradiated from the inside using a centrally emitting laser fiber and thereby controlled shrunk. The sensitive anal mucosa is preserved and the sphincter muscle tissue remains undamaged. Especially the postoperative pain reduction is praised by patients. The LHP® laser treatment is a valuable surgical alternative in the treatment spectrum of advanced hemorrhoidal disease.

Can anal fistulas also be treated with the laser procedure?

Yes! The innovative FiLaC® laser procedure offers new, gentle healing perspectives for anal fistulas. The heat-emitting laser probe seals the fistula tract in a short time. By avoiding cuts into muscle tissue and preserving the sphincter, continence is less at risk compared to other procedures.