Hemorrhoids are cushions of vascular tissue located both externally under the perianal skin and internally under the lower rectal mucosa. Although they are normally present, when enlarged or irritated, hemorrhoids may become symptomatic with bleeding, pain, protrusion or discharge.
Office Treatment and Excision
There are many options for treating symptomatic hemorrhoids at Colon and Rectal Associates including medical/dietary therapy, office based procedures and surgical removal.
Banding or rubber band ligation of internal hemorrhoids is an office based procedure which can be effective for isolated symptomatic internal hemorrhoids. It is not always appropriate for more extensive hemorrhoids and may not provide long-lasting symptom relief.
Infrared coagulation of internal hemorrhoids or "Endolase" is an office based procedure for the treatment of symptomatic internal hemorrhoids. It is well tolerated and can offer excellent symptom relief.
PPH (stapled hemorrhoidectomy)
The procedure for prolapse and hemorrhoids (PPH) is a relatively recent advance in the surgical treatment of symptomatic hemorrhoids. This specialized surgical stapling device removes redundant rectal mucosa and restores the internal hemorrhoids to their normal anatomic position. It is usually done as an outpatient procedure at a hospital and has the advantage of less discomfort and faster recovery than traditional hemorrhoid surgery. It is very effective for symptomatic internal hemorrhoids but may not be the best choice for all patients.
Excisional hemorrhoidectomy is the traditional surgical removal of the enlarged internal and external hemorrhoids. It is the "gold standard" treatment of symptomatic hemorrhoids but does result in significant discomfort and requires 2-3 weeks of recovery time. It is usually performed as an outpatient or short-stay procedure at a hospital. It can be the best choice for prolong symptomatic relief in patients with mixed internal and external hemorrhoidal disease.