• +03-6453-9307
  • 10:00~12:30&15:00~17:00, 10:00~11:30 on Tue&Thu, Only AM on Sat, The 2nd, 4th Sat, Wed, Sun, National holiday: Off Day      
 🔴We will be closed on June 4 .








Welcome to

Shiba International Coloproctological Clinic

Business Hours Mon Tue Wed Thu Fri Sat
10:00〜12:30 🔵 × 🔵
15:00〜18::00 × × × ×


⚫Off days in April: 4/10, 4/17(Sat). Thank you.

⚫Service hours: 10:00~12:30 am and 3~6 pm. 🔵 10:00~11:30 am on Tuesday and Thursday.

OFF Day: Wednesday, Sunday, National holiday, The 2nd and 4th Saturday.

PAY PAY, Credit card is available.

ALI PAY 支付宝: 双迎 使用

★ We provide professional hemorrhoids surgery, anal fistula and anal fissures in Tokyo. One of the procedures here is no cut which is injection of ALTA(Zione) into hemorrhoids, gastroenterology and other medicines like regular vaccine and wound care by injury.

All Ladies and Gentlemen were requested to wear mask. As an act of prevention of COVID-19 spread, we have opened all windows in each room of our clinic for better air circulation. Thank You.

⚫In Gakinotsukai with Downtown, our doctor examined one of the most popular comedians.
🔵Survey of the colonoscopy here: Over 100 patient's voice
80 percent said never mind ~ mild pain. 0.8 percent said pain.
In other hospital, 5 percent said pain or very painful.


January 2021

We have the Eighth year since starting practice here. 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 having such a hard time with physical problem. We have had more time with more people from overseas 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. The windows in each room being opened. Everyone here wear mask and measures body temperature in each time.

More people have visited here and have even surgery in last couple of years. 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 and researchers in Tsukuba University and people from Disney area.

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 Coloproctologial Clinic

About 40 percent of all patients here are coming from overseas or foreign resident here. Sometimes more than 50 percent of all patients who had our medical service came from overseas or foreign resident here. Those 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 40 percent of all surgical cases in our clinic come from overseas or foreign resident here too.

★Quiz: What percentage of medical facility do anal medicine as main medical service among medical facilities displaying anal medicine or anal surgery as advertisement?
Answer: 10%

Researched by Chairman of the Japan Association of Clinical Proctology, Dr Iwadare

Awards/ Certificates

Recent Medical care and Records

We provide a novel treatment injection therapy alone 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 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.

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. 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.

Ironically, many surgeons don’t have surgical experience of anal fistula. One of many research papers said, there are more surgeons experienced in clinics. Only few general hospitals has regular cases of anal fistula in Osaka area(by Dr Inastugi’s papers). Similar conditions exists in Japan, probably in the world.

As other anal surgery, 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

Content 2019
Hemorrhoids 55
Anal fistulae 40
Anal fissures 12
Other Anal surgery 97
Others 32

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.

Health check up and Cancer screening by Minato-ku(City) would start on July 2019.

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.