Hemorrhoids

The coagulation procedures – infrared, laser or bipolar – are techniques that cause small, bleeding, internal hemorrhoids to harden and shrivel. While it is quicker and less painful than the rubber band procedure it has a higher incidence of recurrence, or the hemorrhoid coming back. Another procedure which may be considered, sclerotherapy, is also used on varicose veins or spider veins in other areas of the body. It causes little pain but is usually less effective than the rubber band ligation.

Two other surgical treatments are possible for those who suffer from hemorrhoids – the hemorrhoidectomy and stapling. In a hemorrhoidectomy the surgeon removes most of the excess tissue that causes the bleeding. There are several variations that can be used based on the particular situation and overall health of the individual. The surgery can be done with a local anesthesia or combined with sedation and spinal or general anesthesia. This is the most effective and complete way of removing hemorrhoid tissue. Unfortunately, it also has the highest rate of complications which can include difficulty emptying the bladder or urinary tract infections. Many people also experience pain that can be controlled with medication and warm baths.