What we treat

Hemorrhoids (sometimes called piles) occur when the vascular cushions around the anal canal become enlarged, bleed, prolapse or cause discomfort. Most cases respond to conservative measures, but for those with advanced, persistent or recurrent hemorrhoidal disease — such as prolapsing tissue, heavy or recurrent bleeding, thrombosis or large external hemorrhoids — specialized advanced treatments may be needed. According to clinical guidelines, definitive surgical interventions are indicated for grades III–IV or symptomatic patients who have failed less-invasive therapies.

Why choose advanced treatment?

• Aimed at patients who have had repeated episodes of bleeding, prolapse or discomfort despite standard treatments.

• Emphasizes the most up-to-date, minimally invasive and surgical options to provide durable relief with the lowest possible downtime.

• Delivered by a team experienced in colorectal/anal surgery with a focus on tailoring the procedure to your anatomy and condition.

• Includes pre-operative assessment, custom treatment planning, and post-operative care to optimize recovery and reduce recurrence.

Our advanced treatment options include

Minimally invasive interventions

• Endovascular embolization: a catheter-based technique that selectively blocks the arteries feeding the hemorrhoids, reducing blood flow and allowing shrinkage. Clinical series show success rates of 65–85% for symptom resolution.

• Hemorrhoidal artery ligation (HAL): uses direct visualization to precisely locate the small arteries feeding the hemorrhoids. These arteries are then gently ligated (sutured), which causes the hemorrhoids to shrink and recede. The procedure is often combined with a mucopexy (a rectopexy) to repair and secure any prolapsed tissue back into its normal position. Performed entirely through the colonoscope, this technique requires no external incisions and is known for minimal discomfort and a quick recovery.

Comprehensive peri-operative care

• Pre-treatment assessment: full history, examination including anoscopy or colon evaluation when indicated (to exclude other causes of bleeding).

• Enhanced recovery strategies: pain management, stool softeners, dietary fiber and fluid optimization, warm-water baths and early mobilization to improve comfort and results.

• Long-term lifestyle support: dietary counseling for high-fiber intake, hydration, avoiding straining, reducing time on toilet and managing constipation/diarrhea. These behavioral modifications are key to preventing recurrence.

What to expect

• Consultation & planning: We review your symptoms (bleeding, prolapse, pain), bowel habits, prior treatments, do a physical/anoscopy exam and may recommend imaging or colon evaluation if needed.

• Procedure: Depending on your condition, treatment may be outpatient (minimally invasive) or involve a short hospital stay (for more extensive surgery). Anesthesia type varies from local/sedation to general/spinal.

• Recovery: Most patients return to normal activities within days for minimally invasive options, or within 1–2 weeks for surgical hemorrhoidectomy. Post-operative pain and time off work depend on the technique used.

• Follow-up: We monitor healing, bowel habits, and provide ongoing support (diet, fiber, fluid) to reduce recurrence risk. Early detection of any persistent symptoms is key.

Why our center?

• We specialize in colorectal and anal-canal conditions, delivering both latest-generation techniques and time-tested surgical therapies.

• We tailor treatment to your condition — you don’t get a “one-size-fits-all” approach.

• Our focus is not just on fixing the symptom, but on restoring normal function and preventing future problems.

• We provide transparent patient education, realistic recovery expectations and supportive aftercare.

Am I a candidate?

Advanced treatment may be appropriate for you if you have:

• Persistent rectal bleeding despite conservative measures

• Prolapsed hemorrhoids that reduce poorly or repeatedly protrude

• Large external hemorrhoids or combined internal/external disease

• Thrombosed hemorrhoids not responding to initial therapy

• Recurrent hemorrhoids after prior treatment

We recommend you book a specialist consultation to evaluate your case — our team will discuss your condition, explain all suitable options, benefits, risks and recovery expectations.

Contact us to learn more or schedule a consultation

Our team is here to answer your questions, review your history, and guide you toward the most effective treatment plan — from minimally invasive to surgical — for long-term relief.