Anorectal care from a board-certified colorectal surgeon in Seattle, Washington
Conditions We Treat
Pain, bleeding, itching, and changes in bowel control are common. They're also treatable, and nothing here is embarrassing. Every visit is with Dr. Kratz directly, not a rotating team.
Your condition may be physical. Its impact is personal.
People rarely seek care because of a diagnosis. They come because pain has disrupted their life, because bleeding has created fear, because they're avoiding intimacy or activity they used to enjoy.
Comfort. Pain, itching, bleeding, or irritation you can't ignore.
Confidence. Changes in appearance or function.
Intimacy. Due to Embarrassment, pain, appearance.
Activity. Sitting, exercise, work, and travel start revolving around symptoms.
Peace of mind. Worry about cancer or permanent damage.
Time. Months lost waiting for a specialty appointment elsewhere.
These are legitimate reasons to seek care. Nothing here is embarrassing.
Conditions We Treat
Nine areas of care, one surgeon, one practice.
Hemorrhoids
Banding, sclerotherapy, and surgical options for internal and external hemorrhoids, including urgent care for thrombosed hemorrhoids.
Anal Fissure
Most fissures heal with medication or Botox rather than surgery.
Abscess and Severe Pain
Same-day evaluation, and same-day treatment, for sudden or severe anorectal pain.
Anal Fistula
Sphincter-preserving treatment for fistulas that haven't healed on their own.
Pilonidal Disease
Minimally invasive options first, with surgical excision reserved for chronic or recurrent cases.
Chronic Itching
Evaluation and treatment for persistent anal itching and irritation.
Rectal Prolapse
Evaluation and repair for rectal tissue that protrudes with straining or bowel movements.
Bowel Control
Evaluation and treatment for difficulty controlling gas or stool.
Pelvic Floor Recovery
Evaluation and treatment for pelvic floor dysfunction affecting bowel function.
FiLaC® Laser Treatment for Anal Fistula
FiLaC® treats select anal fistulas using a laser to close the tract from within while preserving the anal sphincter.
SiLaC® Laser Treatment for Pilonidal Disease
SiLaC® treats select pilonidal cysts and sinus tracts from within through small openings, minimizing the need for wide tissue removal.
Laser Hemorrhoidoplasty
Laser hemorrhoidoplasty treats internal hemorrhoids with less cutting, reducing pain and helping patients return to normal activities faster.
Some symptoms can't wait
Thrombosed hemorrhoids, abscesses, and sudden severe pain need same-day evaluation.
Same-day and next-day appointments are reserved for urgent symptoms.
No referral needed.
Why patients choose Precision Proctology for anorectal conditions
No referral needed. Call directly and get evaluated by the surgeon, not a triage nurse.
Days, not months. Many specialists in the area book three to six months out.
One surgeon, start to finish. Dr. Kratz evaluates, treats, and follows up personally.
Insurance-friendly. Most conditions on this page are medically necessary and frequently covered.
What it costs
Most of the conditions on this page are medically necessary and frequently covered by insurance. Our billing team reviews your benefits and gives you a clear picture of costs before your visit.
We confirm benefits and determine costs. If no benefits then self pay and payment plans available
Transparent pricing confirmed before your visit.
No surprise bills.
Common questions
Do I need a referral?
Is this covered by insurance?
How soon can I be seen?
Is my visit private?
Will treatment hurt?
You don't have to keep living with this.
Call or text for a private consultation and a clear plan for what's next.