Varicose Vein Treatment (Laser, VenaSeal, Sclerotherapy)

Cleopatra Clinic's vein programme is led by vascular surgeon MUDr. Radek Vyšohlíd and spans the full modern ladder of varicose vein care: diagnostic ultrasound mapping (699 Kč), foam/liquid sclerotherapy for spider veins (from 450 Kč), endovenous laser ablation of refluxing trunk veins (14,000–28,000 Kč), VenaSeal adhesive closure without anaesthetic tumescence (59,000 Kč), and miniphlebectomy of bulging side branches (from 8,000 Kč) — all walk-in, walk-out procedures without classic vein-stripping surgery.

Modern varicose vein treatment has replaced hospital vein-stripping with image-guided outpatient procedures that close the faulty vein from inside, letting blood reroute through healthy veins. Cleopatra Clinic offers each rung of the treatment ladder, matched to ultrasound findings by its vascular surgeon. **Step 1 — Ultrasound mapping (699 Kč):** duplex ultrasound traces the leg's venous map and identifies exactly which valves leak (reflux). Every treatment decision follows from this scan. **Treatment options:** *Sclerotherapy (450–3,000 Kč/session):* for spider veins and small varicosities, an irritant solution is injected that collapses the vessel, which the body then resorbs. Several sessions are typical for cosmetic clearance. *Endovenous laser ablation (14,000–28,000 Kč):* the workhorse for refluxing trunk veins (great/small saphenous). A laser fibre is threaded into the vein under ultrasound guidance and seals it with heat as it is withdrawn. Performed under local tumescent anaesthesia; patients walk out the same day in a compression stocking. *VenaSeal (59,000 Kč):* the premium option — a medical cyanoacrylate adhesive closes the vein without heat, so no tumescent anaesthesia injections along the leg and usually no weeks of compression stockings afterwards. Attractive for patients wanting minimal post-procedure restrictions. *Miniphlebectomy (from 8,000 Kč):* bulging surface branches are removed through 1–2 mm micro-incisions that need no stitches — often combined with laser ablation in one session. **Recovery:** all options are walk-in, walk-out. Walking is encouraged immediately; compression stockings are worn for a period after thermal and sclerotherapy treatments. Untreated reflux progresses — heaviness, swelling, skin changes — so earlier treatment is simpler treatment.