English page of Shiba International Coloproctologic CLINIC

We provide professional hemorrhoids surgery, anal fistula, and anal fissures inTokyo. One of procedures here is no cut which is injection of ALTA(Zione) Into hemorrhoids.

🔴OFF DAY:  In November 21-23 , 2020  

★In Every Wednesday, we see only appointment patients for procedures.

Surgry of the days: in the morning  Fri . Call us if emergency.

⚫Service hours:  Am 10:00-12:30 and 3~6 pm ⭕ Fri: we service only in the morning.

      🔵 Tuesday and Thursday 10:00-11:30  🔵11:30~: Endoscopic procedure

COVID-19 spread prevention is working here. Now all ladies and men supposed to wear mask in this clinic or just don’t take it off and keep it here. Then every room has some windows and those are being opned for better air circulation. There is a big vinyl screen between you and the doctor in examination room.   Thank you for your cooperation.

 🔵PAY PAY is available but credit card will be up soon.

ALI PAY 支付宝:  双迎 使用

                 Greeting             June   2020

We have the Eighth year since starting practice. We appreciate all of you who had made decision to visit here 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.

We have check list of prevention COVID-19. Then the windows in each room being opend. All persons here wear mask.

More people have visited here and have even surgery last 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.

Lately we regularly provide medical service to students in Tsukuba University and  people from Disney area.

One day lately, 2020, 71% of all patients a day were foreigners. Those are come from China, Korea, Vienna, India, Nepal Estonia and Uzbekistan About 30% of all all patients visiting here’re foreigners. In 2020 more people from East Europe, Praha, Vienna, and Nepal.

Other international visitors for medical problem were from Mauritius, Mongol, Qatar, USA, UK, Korea, China, Taiwan, Singapore, Philippine, Russia, Germany, Canada, India, Nepal, Thailand, Cambodia, Indonesia, Norway,Finland, Estonia, Myanmar, Paraguay, Iran, UAE, Ghana, Hungary, Turkey, Romania, Czech Republic, Belgium, Republic of Azerbaijan, Brazil, India, South Africa, Nigeria, Cuba, Spain,Columbia,  Bhutan , Italy , France, Portugal, Tunisia,  Uzbekistan, Kazakhstan, Australia  Newzealand, and Peru. About 20 percent of all surgical cases in our clinic come from oversea in 2018.

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

When you visit us here, please click here below, print it, fill it out, and come with it, otherwise just come with your insurance card.

Download English Application

Reservation in website, go to simple reservation in the top page or just call us.

license usa

Board Certified Coloproctologist  in Japan 2018

Board Certified Surgeon in Japan

The US Medical Licensing Examination Certified M.D. 
The Japanese Society for Helicobacter Research Fellow


Price Information without national health-insurance 

30 percent of visitors here for medical services are foreign people.

Sometimes more than that. One of this year it was 71 percent 


 First visit consultation and anal examination   ¥16,000~¥32.000

 Minor surgery  ¥40,000~

Major surgery like hemorrhoids or fistula costs ¥200,000~

All cases are out patient basis.

Gastroduodenal endoscope for health check up. ¥25000

Colonoscope for health check up ¥45000

Thank you!


About 20 or more than 20 percent of major anal surgical cases here are foreign patients. Some of these coming 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, Qatar, Myanmar, Philippine, Taiwan, Singapore, Poland,  Romania, Bhutan, Russia, and USA.



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 600,000 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 only ALTA is not applied, ligation and excision or ALTA combined with Excision would be considered.

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


                                                  Surgery of ANAL Fistula

We provide surgery of anal fistula. It needs more professional skill to make clear it.  About half of anal surgical cases here since  2017 were anal fistula. That rate of it is more than double cases in other general surgery base facility. Probably because not many facilities have the techinacal skill of it. Many surgeons  know only some surgeon can perform the surgery of fistula.  I usually do with the modality to preserve anal sphincter muscle as much as possible. So I consider anal function and curability as well as. As a reality, I have to pick a modality to consider the curability of it. 2000 cases of dissatisfaction showed that patients who had surgery of fistula had dissatisfaction about more recurrence than impairment of continence. We : Proctologist should deeply accept the outcome with our experience and apply it for each patient.

                                                    ANAL Fissures

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 that cases, it may necessary to have surgery, because more painful and longer pain would come with you. And also it may develop to fistula if you leave it for long time. In such a case, mostly surgery is only treatment.

 Somehow many patients with chronic fissures don’t know that you have anal fissures. Mostly they think because of hemorrhoids. In other cases, some with bloody stool went to gastroenterology and had colonoscopy which was right way and told that your large colon was fine. It remained where the bleed or pain come from.


   OUTCOME of Surgical Cases in 2019

  Total 236

Hemorrhoids 55           Anal Fistula 40         Anal Fissures 12   

Other Anal surgery 97    Others 32


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.  We also provide endoscopic surgery like polyps resection or EMR. 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.

      🙆Survey of colonoscopy

80 percent of 123 patients who had colonoscopy in early 2018 said “mild pain or never mind level pain”.

20 percent of those said “comfortable”. 

In mass cases in general hospital in Chiba, 5% of those said pain or so painful, but in our survey here, those saying pain were 0.8%, those sayin so painful were 0.

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

★★   Cases of Gastroduodenal and Colonoscopy in 2019

Colonoscopy 172 including 68 cases of polypectomy.

Gastroduodenal scope 119



Helicobacter pylori antibody test alone is not covered by health insurance of minister of health and labor in Japan.  It should come with diagnosis of gastritis by gastroduodenal fiberscope. Then it can be 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) would start on July  2019.


D: Vaccines

 German measles antibody test and its vaccine are supported by Minato-ku if you are resident of Minato-ku, Tokyo. But you would be 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