The treatment is not painful. Generally, patients avoid this treatment because they are afraid of the pain. However, after treatment, they realize that the discomfort in minimal and the benefits are enormous. This type of treatment becomes necessary when discomfort and bleeding tend to reoccur. There are two complementary methods that allow the treatment of different such cases:
This method aims to dry out the hemorrhoids by obliterating (closing) the hemorrhoid veins that feed it. It’s an ambulatory method performed under local anesthesia.
The Procedure: A metallic tube connected to a tank of nitrous oxide is used. The circulation of the gas within the tube cools the metal to -90 ° C.
Under visual control, the probe is applied directly to the hemorrhoid and gradually cooled. The cold causes the obliteration (closing) of small caliber veins. Usually, two hemorrhoid packages are obliterated per session. Usually, 2-3 sessions, at a one month interval, are required for a full treatment.
After cryotherapy, it’s normal for patients to have a sensation of defecation. This is a false sensation, as well well as one of intestinal spasms. These reactions subside rapidly and subsequent stools are no longer be painful. The patient can resume normal activities immediately after the procedure.
Via this method, anal fissures can be also attended.
Because many patients are afraid of surgical interventions, doctors should inform the patient that sclerotherapy offers them the option of a free of pain and less unpleasant treatment. The patients should also understand that the sooner this condition is treated, the bigger are the chances to avoid surgical treatment.
Sclerotherapy – the treatment recommended for grade 1 and 2 hemorrhoids (sometimes even for grade 3)
The treatment for hemorrhoid disease via sclerotherapy is safe and efficient, doesn’t require anesthesia and can be done in a few minutes in an ambulatory environment. Studies show that 88% of patients with hemorrhoid disease of grade 1 and 2 did not have any symptoms after the first treatment session, and 97% after the second treatment session. According to the German medical norms, sclerotherapy is the preferred and recommended treatment for the hemorrhoid disease of grade 1. In the case of hemorrhoid diseases of grade 2, sclerotherapy is a good alternative to rubber band ligation (banding).
It’s used to treat external and large internal and external hemorrhoids. This is a surgical procedure, is performed in the clinic and requires overnight admission.
Anesthesia can be local, rachianesthesia or general anesthesia, depending on each case. New techniques available in the field offer effective but short-term anesthesia. When the hemorrhoids are external, local anesthesia can prove to be sufficient.
Steam Surgery replaces the classical surgical procedure, meaning it destroys the hemorrhoids using steam and allows the coagulation of the tissue without burning it, resulting in a much higher-quality scarring. The entire issue is approached and treated within one session, usually lasting no more than ten minutes. This method leads to a considerable drop in hospital admission and immobilization. However, it’s highly recommended that the patient rests at home for 48 hours before completely resuming day to day activities.
A local anesthetic, whose effects last for a longer period of time, is used in order to decrease the amount of postoperative pain. A stool liquification treatment is prescribed in order to reduce the discomfort felt by patients during defecation, over the first few days after the procedure.
- Minimally invasive method, with a short procedure interval;
- Decrease in postoperative discomfort and pain;
- Lower risk of developing anal stenosis;
- Better scarring of the tissiue and an improved function of the sphincter;
- Shorter admission and immobilization periods.