• Greeting                          

 November 2017

We have the fifth year since starting practice. We appreciate all of you so much. We are very glad to spend time with each of you. We have had more time with more people from oversea who visited us, and will keep working hard to give you the best service as well as.

More people have visited here and have even surgery this year. Such as some patients had appointment by phone from New York, and Taiwan and had surgery here. On the other hand, one patient had worse condition of the hemorrhoids while  traveling in Japan. He decided to have  less invasive surgery: injection therapy. After that he could enjoy driving in Hokkaido and went back to his country. Amazingly he came back to our office here for following up visit in couple month and drove in Hokkaido again.

About 10 percent or more than 10 percent of all patients here are coming from oversea. One of the last month, 56 percent of all patients who had our medical service came from oversea. Those international visitors for medical problem were from USA, UK, Korea, China, Taiwan, Singapore, Philippine, Russia, Germany, Canada, Thailand, Cambodia, Indonesia, Norway, Myanmar, Paraguay, Iran, UAE, Ghana, Hungary, Turkey, Romania, Brazil, India, South Africa, Cuba, Spain,Columbia,  Bhutan , Italy , France, Tunisia,  Kazakhstan, and Peru. 8-10 percent of all surgical cases in our clinic come from oversea.

Our international team strives our hardest to provide you with the best care as much as possible and are looking forward to seeing you soon.

Thank you!

Yukihiro Sato M.D.
Medical Director of Shiba International Anus Clinic 
Board Certified Surgeon in Japan
The US Medical Licensing Examination Certified M.D. 
The Japanese Society for Helicobacter Research Fellow



10 ~20 percent of visitors here for medical services are foreign people. Sometimes more than 50 percent 



Thank you!


Medical Services

Proctology and Gastroenterology
A: Anus surgery

About 10 percent of major anal surgical cases here are foreign patients. Some of these commming from oversea visited here in order to have surgery  in the other day. Most of these already have lived here. These  come from England, Korea, Miyanmar, Philippine, Taiwan, Singapore, Poland,  Romania, Bhutan, Rosia, and USA.

The last patient who had surgery here would come from England.


We provide a novel treatment injection therapy for hemorrhoids that is not as invasive as conventional ligation and excision and has a safe track record with over 500,000 patients who have already undergone this treatment in Japan alone since these are covered by health insurance (Minister of health in Japan) in 2005.

We inject special medicine called ALTA(Aluminum Potassium Sulfate and Tannic Acid), which was started in China and then further refined in Japan), into the hemorrhoids. This medication makes non bacterial inflammation and swelling, and further, blocks the blood stream supplying the hemorrhoids, which will cause them to shrink drastically. This method works much more than with Phenol Almond Oil.

 However, it applied to only internal hemorrhoids, not to external hemorrhoids. Then you have to have anal examination before surgery if ALTA is applied.  If ALTA is not applied, ligation and excision would be considered.

There is minimal pain associated with the procedure and is done as an outpatient basis.

We provide surgery of anal fistula with preserving anal sphincter muscle as much as possible. As other anal surgry, we do surgery of anal fissures and anal stenosis. Most of anal fissures can be healed by improving toilet habit and medical ointment, but some of cases may come with anal stenosis. In such a case, probably surgery may be necessary to heal.

B: Gastroenterology

We also offer Just 5.4mm diameter transnasal Gastroduodenal Fiber Scope and Colonoscopy by utilizing the latest Olympus series, “Elite,” which came out in 2012, Some facilities and most of clinic still have not had in  Tokyo. We also provide endoscopic surgery like polyps resection or EMR by colonoscopy. We use CO2 instead of room air in order to inflate colon to observe well. It is less stress than using room air. In most of cases, we perform those under sedative condition.

Transnasal Gastroduodenal fiber Scope is not as invasive as transoral one. Even you can talk during the procedure.

Helicobacter pylori antibody test alone is not covered by health insurance of minister of health and labor in Japan.  It should come with gastroduodenal fiberscope if it is covered by health insurance. Call us “03-6453-9307”. Pylori antibody and pepsinogen blood test costs 4,000 Yen.


C: Health check by Minato City 

Health check up and Cancer screening by Minato-ku(City) is available by November 30, 2017.


D: Vaccines

 German measles antibody test and its vaccine are supported by Minato-ku if you are resident of Minato-ku, Tokyo. But all of cost not supported, partly supported financially by Minato-ku if it is conditional. Call us 03-6453-9307.


Chicken pox vaccine is always available for everyone who exposed to lived chicken pox enviroment. Those who exposed it needed to have that vaccine within 72 hours. Call us 03-6453-9307.


Thank you so much