Proctological and minor pelvic surgeries
Proctological and minor pelvic surgeries are surgical procedures aimed at treating various diseases of the rectum, anus, and minor pelvic area, including inflammations, benign and malignant lesions, as well as functional disorders.
The surgical team at GASTRO CENTRS offers modern, minimally invasive, and gentle treatment methods that provide effective results with the shortest possible recovery time. We specialize in the following surgeries:
- Rubber band ligation of hemorrhoidal nodules
- Ablation of small lesions
- Thrombectomy of hemorrhoidal nodes
- Proctological surgery of the perianal area, anal canal, and rectum under general anesthesia
- Proctological surgery of the perianal area, anal canal, and rectum under general anesthesia
- Pararectal abscess incision (outpatient)
- Rectoscopy with polypectomy
- Excision of a thrombosed hemorrhoidal node with suturing
- Excision of benign perianal lesions (condylomas, papillomas)
- Drainage of rectal fistula with placement of a ligature (SETON)
- Excision of rectal fistula
- Excision of rectal fistula with muscle reconstruction
- Transrectal ablation of rectal polyp
- Rectal mucosectomy
- Rectal fistula surgery with mucosal advancement flap
- Bilateral excision of rectal fissure
- Correction of rectal prolapse (Thiersch procedure)
- Rectocele correction using the Salivano / Kubčandani modification
- Hemorrhoid surgery and fissure excision
- Hemorrhoid surgery and polyp ablation
- Hemorrhoid surgery and excision of external nodes
- Pararectal abscess incision and drainage in the operating room
- Botulinum injection in case of chronic anal mucosal fissure
- Internal sphincter sphincterotomy in case of chronic anal mucosal fissure
- Incision or excision of an isolated thrombosed or inflamed external hemorrhoidal node with infiltration anesthesia
- Anorectal examination under anesthesia with or without rectoscopy
- Laser hemorrhoidoplasty (LHP)
- Laser surgery of pararectal fistulas (FILAC)
- Laser surgery of pilonidal cysts
Before surgery, the patient undergoes a thorough examination, consultation with a proctologist, and additional tests if necessary to ensure an accurate diagnosis and safe surgical approach. We also provide postoperative care to ensure a complication-free recovery.
These surgeries are an important step toward a full quality of life, especially in cases where conservative treatment has not provided sufficient effect.

Dr. Guntis Ancāns

Dr. Anna Marija Leščinska
- RUBBER BAND LIGATION OF HEMORRHOIDAL NODULES (PRICE PER 1 BAND)90.00 EUR
- REMOVAL OF SMALL LESIONS47.00 EUR
- THROMBECTOMY OF HEMORRHOIDAL NODULES125.00 EUR
- PERIANAL, ANAL CANAL, AND RECTUM PROCTOLOGICAL SURGERY UNDER GENERAL ANESTHESIA300.00 EURMinor lesions, superficial drainage, etc.
- PERIANAL, ANAL CANAL, AND RECTUM PROCTOLOGICAL SURGERY UNDER GENERAL ANESTHESIA500.00 EURMedium-sized lesions, transsphincteric drainage, etc.
- PARARECTAL ABSCESS INCISION (OUTPATIENT)120.00 EUR
- RECTOSCOPY WITH POLYPECTOMY110.00 EUR
- EXCISION OF THROMBOSED HEMORRHOIDAL NODULE WITH SUTURE PLACEMENT165.00 EUR
- EXCISION OF BENIGN PERIANAL LESIONS (CONDYLOMAS, PAPILLOMAS)420.00 EUR
- DRAINAGE OF RECTAL FISTULA WITH PLACEMENT OF LIGATURE (SETON)650.00 EUR
- EXCISION OF RECTAL FISTULA650.00 EUR
- EXCISION OF RECTAL FISTULA WITH MUSCLE RECONSTRUCTION730.00 EUR
- TRANSRECTAL ABLATION OF RECTAL POLYP450.00 EUR
- RECTAL MUCOSECTOMY570.00 EUR
- RECTAL FISTULA SURGERY WITH MUCOSAL ADVANCEMENT FLAP960.00 EUR
- BILATERAL EXCISION OF RECTAL FISSURE450.00 EUR
- RECTAL PROLAPSE CORRECTION (THIERSCH OPERATION)320.00 EUR
- RECTOCELE CORRECTION SALIVANO / KUBČANDANI MODIFICATION850.00 EUR
- HEMORRHOID SURGERY AND FISSURE EXCISION750.00 EUR
- HEMORRHOID SURGERY AND POLYP ABLATION650.00 EUR
- HEMORRHOID SURGERY AND EXCISION OF EXTERNAL NODULE650.00 EUR
- PARARECTAL ABSCESS INCISION AND DRAINAGE UNDER ANESTHESIA150.00 EUR
- BOTULINUM INJECTION FOR CHRONIC ANAL MUCOSAL FISSURE390.00 EUR
- INTERNAL SPHINCTER SPHINCTEROTOMY FOR CHRONIC ANAL MUCOSAL FISSURE450.00 EUR
- INCISION OR EXCISION OF ISOLATED THROMBOSED OR INFLAMED EXTERNAL HEMORRHOIDAL NODE WITH INFILTRATION ANESTHESIA85.00 EUR
- INFILTRATION ANESTHESIA35.00 EUR
- ANORECTAL EXAMINATION UNDER ANESTHESIA WITH OR WITHOUT RECTOSCOPY120.00 EURFor patients with anal mucosal fissures, fistulas, or oncological conditions
Anesthesia not included
- LASER SURGERY OF HEMORRHOIDAL NODULES (LHP)565.00 EURAnesthesia not included
Includes 2 free postoperative consultations
- LASER SURGERY OF PARARECTAL FISTULAS (FILAC)640.00 EURDoes not include anesthesia
Includes 2 free postoperative consultations
- PILONIDAL CYST LASER SURGERY640.00 EURDoes not include anesthesia
Includes 2 free postoperative consultations
- PILONIDAL CYST SURGERY (KARYDAKIS PROCEDURE)1450.00 EUR
- SURCHARGE FOR SINGLE-USE PROCTOLOGICAL LASER SET USAGE420.00 EUR