Hemorrhoid Treatments
Nonsurgical Hemorrhoid Embolizations in Katy
What Are Hemorrhoids?
Hemorrhoids are swollen veins in the rectum that can cause rectal bleeding with bowel movements, anal itching, pain, or the feeling of incomplete evacuation. Hemorrhoids are very common with an estimated prevalence of 4.4% in the United States.1 Causes include chronic constipation or diarrhea, straining during bowel movements, sitting on the toilet for prolonged periods of time, a low-fiber diet, pregnancy, and lifting heavy objects.
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Treatment for Hemorrhoids
Conservative therapies include increasing oral intake with high fiber (i.e. fruits, vegetables, oatmeal, almonds, fiber supplements, etc.), drinking plenty of water (1.5-2L per day), taking an oral stool softener (i.e. Colace, Dulcolax), avoiding straining or prolonged sitting on the toilet, and getting regular physical activity. To relieve pain, patients can soak their buttocks in 2-3 inches of warm water 2-3 times per day for 10-15 minutes or apply a topical cream (i.e. Preparation H). Patients who fail conservative therapies can undergo rubber band ligation or excisional hemorrhoidectomy. But, a new nonsurgical treatment known as hemorrhoid embolization is a less invasive procedure for hemorrhoid treatment in patients who want to avoid surgery.
Hemorrhoid embolization involves placement of a small IV catheter into the groin followed by injection of small metallic coils to close off the arteries that provide blood supply to the hemorrhoids. With hemorrhoid embolization, there are no surgical alterations to the rectum, which allows for preservation of anal continence. There is also no need for local care to the anorectal region after the procedure. Clinical success rates range from 72-93% at 1-month, 50-84% at 6-month, and 54-76% at 12-month follow-up.2-6 A recent study showed no difference in clinical outcomes comparing hemorrhoid embolization to closed hemorrhoidectomy after 12 months, though patients treated with hemorrhoid embolization reported less pain.6
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References:
- Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990; 98:380.
- Vidal V, Sapoval M, Sielezneff Y, et al. Emborrhoid: a new concept for the treatment of hemorrhoids with arterial embolization: the first 14 cases. Cardiovasc and Interv Radiol 2015; 38:72-78.
- Tradi F, Louis Guillaume, Giorgi R, et al. Embolization of the superior rectal arteries for hemorrhoidal disease: prospective results in 25 patients. J Vasc Interv Radiol 2018; 29:884-892.
- Stecca T, Farneti F, Balestriero G, et al. Superior rectal artery embolization for symptomatic grades 2 and 3 hemorrhoidal disease: 6-month follow-up among 43 patients. J Vasc Interv Radiol 2021; 32:1348-1357.
- Bagla S, Pavidapha A, Lerner J, et al. Outcomes of hemorrhoidal artery embolization from a multidisciplinary outpatient interventional center. J Vasc Interv Radiol 2023; 34:745-749.
- Falsarella PM, Nasser F, Affonso BB, et al. Embolization of the superior rectal arteries versus closed hemorrhoidectomy (Ferguson technique) in the treatment of hemorrhoidal disease: a randomized clinical trial. J Vasc Interv Radiol 2023; 34:736-744.
Find Your Way to Better Health
At Texas IR in Katy, we’re committed to offering personalized, non-surgical treatment for hemorrhoids for Houston area patients that prioritizes your comfort and well-being. Our Katy office provides compassionate care with minimally invasive hemorrhoid artery embolizations for patients across Houston, Sugar Land, Richmond, Fulshear, and other nearby communities. Whether you’re seeking fast recovery with our non-surgical embolization treatments or looking for personalized care in a comfortable, outpatient setting, we’re here to make the process easy. Schedule your consultation today and experience care tailored to your needs.