Policlinico San Donato houses a dedicated ColoProctology and Pelvic Floor Surgery Unit within Italy's largest hospital group. Dr. Angelo Stuto leads this specialized team, focusing on minimally invasive techniques for hemorrhoid care. Treatments are performed in an ambulatory setting, meaning no hospital stay is required. The facility holds IRCCS and ISO 9001 certifications, ensuring high safety standards. The medical team also offers advanced options like laser surgery and radiofrequency if ligation is not the best fit for the case.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Complex pelvic floor cases with urology and gynecology input","why_its_ranked":"Dedicated ColoProctology and Pelvic Floor Surgery Unit with proctology specialists. IRCCS research hospital, ISO 9001 certified, performs ambulatory rubber band ligation using endoanal ultrasound and high-resolution anoscopy."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":350,"price_to":550,"currency":"USD","id":15195},"diagnostic":{"id":372,"name":"CT of the chest","alias":"ct-of-the-chest"}}],"reviews":[],"clinic":{"id":298,"alias":"irccs-policlinico-san-donato","name":"San Donato Hospital","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/298-6ab44dd379f2e.png","short_description":"San Donato Hospital is an IRCCS-accredited cardiology and cardiac surgery center. It performs over 9,400 heart and blood vessel operations each year – the most in Italy. Core specialties include cardiology, cardiac surgery, arrhythmology, and rehabilitation.
San Raffaele Hospital performs over 52,000 surgeries annually, including rubber band ligation of hemorrhoids, with specialists experienced in gastrointestinal procedures. The hospital is one of Europe's largest research centers, known for pioneering treatments in various fields.
San Raffaele Hospital is a top European research center with Italy's IRCCS accreditation. It achieved the world's first stem cell therapy for severe combined immune deficiency. Its main specialties are oncology, neurosurgery, and cardiovascular surgery.
Dr. Pietro Dante Muselli is described as one of La Madonnina Clinic's best specialists in proctology. The initial proctological consultation for hemorrhoid treatment may cost around $330, typically including diagnosis and a personalized treatment plan. The clinic is part of San Donato Network – Italy's largest medical group – and offers premium facilities in central Milan.
","text_type":"mt_wow_description","best_texts":{"techniques":"Rubber band ligation","good_fit_for":"Hemorrhoids treatment","why_its_ranked":"Part of San Donato, Italy's largest medical network. Requires a face-to-face proctological visit for personalized treatment planning."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":437,"alias":"la-madonnina-clinic","name":"La Madonnina Clinic","short_description":"La Madonnina Clinic is a multidisciplinary hospital in central Milan, part of Italy's San Donato network. It specializes in medical check-ups, obesity treatment with intragastric balloons, and plastic surgery. The clinic has treated high-profile patients including Silvio Berlusconi and AC Milan players.
Dr. Riccardo Rosati heads the Gastrointestinal Surgery Department at San Raffaele Hospital in Milan. He leads a high-volume center that treats approximately 2,000 surgical cases every year. Dr. Rosati specializes in minimally invasive surgery for esophageal and large bowel diseases. He has authored over 300 scientific publications on digestive tract disorders.
San Raffaele Hospital is a top European research center with Italy's IRCCS accreditation. It achieved the world's first stem cell therapy for severe combined immune deficiency. Its main specialties are oncology, neurosurgery, and cardiovascular surgery.
This operation removes hemorrhoids, providing relief from pain and bleeding by surgically excising them.
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"},"755":{"operation":{"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":600,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"The procedure involves tying off hemorrhoids with rubber bands to reduce discomfort and promote healing.
"},"1543":{"operation":{"name":"Fissure Therapy","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":1900,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"IT":false}},"1549":{"operation":{"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":1600,"max_amount":3600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"IT":false}},"1717":{"operation":{"name":"Perianal Skin Tag Removal","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":550,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"IT":false}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"responsibleDoctor":{"id":619,"alias":"abduelcabbar-kartal","name":"Abdulcabbar Kartal","photo":"doctor/620a4b22b682d","advisory_text":"Assoc. 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Mild pain is more common."},"contraindications":["Anticoagulant/antiplatelet therapy or bleeding disorder (relative; specialist assessment needed)","Thrombocytopenia or coagulopathy","Severe immunosuppression or neutropenia","Acute anorectal sepsis or thrombosed/strangulated external hemorrhoids","Grade IV (irreducible) hemorrhoids or large external component","Severe anal fissure or untreated anorectal IBD (relative)","Portal hypertension with rectal varices (relative)","Latex allergy if latex bands are used"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an office/clinic procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting usually avoided for several days to a week."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the course of banding sessions; symptom relief builds as banded tissue sloughs and fixes."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding risk peaks days 5-14, so clinicians may advise waiting."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of response and, if needed, next banding session."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for heavy bleeding, severe pain, fever or urinary retention."}}],"indications":["Symptomatic grade I–III internal hemorrhoids with bleeding or prolapse","Hemorrhoids not controlled by diet, fiber and medical measures"],"main_risks":["Pelvic or anal pain and rectal fullness/tenesmus","Bleeding, usually at band slough (days 5–14), occasionally significant","Urinary retention","Vasovagal reaction","Thrombosed external hemorrhoid","Rare pelvic sepsis: severe pain, fever, retention need urgent care"],"pain":"Usually mild to moderate: dull ache or pressure for 1–3 days, controlled with simple analgesics and sitz baths; severe pain is a warning sign.","preparation":["Anoscopy to confirm internal hemorrhoids and exclude other pathology","Colonoscopy considered per age/risk or bleeding evaluation","Review of bleeding risk and medications with the clinician","Often no bowel prep or an enema only","Avoid constipation; fiber and fluids"],"recovery_timeline":[{"phase":"Day 0–4","description":"Rectal pressure or mild ache; light activity possible.","restrictions":["Avoid straining","Avoid heavy lifting"]},{"phase":"Day 5–14","description":"Band falls off with a small amount of bleeding or spotting possible; report heavy bleeding or fever urgently.","restrictions":["Avoid heavy lifting until about day 7","Avoid constipation and prolonged straining"]},{"phase":"Weeks 2–6","description":"Healing of the ulcer at the banding site and symptom improvement.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary function after a single banding session."},"result_longevity":"Symptom relief often lasts several years, but hemorrhoids can recur in roughly 10-30% of patients within 5 years. Constipation, straining and low fiber intake shorten results; repeat banding is possible.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or further treatment for recurrent symptoms within about 5 years."},"scars":"No external incisions or visible scars; a small mucosal ulcer heals internally.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Typical course of banding visits; often 1–2 hemorrhoids banded per session, depending on practice."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":14,"max":42,"unit":"days","qualifier":"Interval commonly 2–6 weeks after the first session."}}],"qualifier":"Number of sessions depends on the extent of disease and individual response."},"success":{"metric":"Symptom improvement (bleeding/prolapse 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session fits a 2-3 day trip; each repeat banding 2-6 weeks later needs another trip or extended stay."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when 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