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Treatments

Do You Think You May Have Piles?

Firstly, it is recommended you consult your GP if you have or think you may have haemorrhoids (piles), your GP will recommend the best course of treatment for you, depending on the severity of your piles.

If conservative treatments fail to help a referral to a specialist may be required.

Haemorrhoids affect 3 in 4 people.

The condition can affect anyone, at any age and can often cause discomfort and pain. It doesn’t need to be, piles are fully treatable.

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Surgical

The THD Procedure

The THD Procedure is an innovative surgical treatment for Haemorrhoids, approved by the National Institute for Clinical Excellence (NICE).

THD is designed to cure haemorrhoids in a gentle way while focusing on excellent long term results. The procedure is a minimally invasive type of surgery (i.e. no cuts are made into the tissue), and it is carried out under general anaesthetic.

During the THD procedure, the blood-supplying arteries of the haemorrhoid are precisely located with a fine, specially designed proctoscope allowing maximum precision via a Doppler ultrasound probe.

Each of these arteries is then gently sutured through a small operating window of the same proctoscope, making this technique extremely gentle and safe.

As the procedure is carried out in the area above the dentate line (an area without sensory nerves), the patient doesn’t feel any stitches during or after the intervention.

Request treatment information today through our contact form and our team will be in touch to further discuss your options. Please leave your phone number for a treatment coordinator to call you, or arrange a more convenient time to talk.

The THD procedure differs from other surgical techniques in the following ways:
 
– It does not cut or remove any haemorrhoidal tissue, hence post-operative complications are significantly reduced compared to a haemorrhoidectomy.
– Since the blood-supplying arteries are but sutured, the THD procedure has been associated with far less post-operative complications and better long-term results.
– In most cases, patients resume their normal activities within 24 – 48 hours.
– Due to its low recurrence rates compared to traditional types of surgery, the THD procedure has been adopted in numerous hospitals throughout Europe.

It is now also available in over 150 hospitals and medical centres throughout the UK, including NHS and Private hospitals.

GPs can find more information on the THD procedure here.

Haemorrhoidectomy

A haemorrhoidectomy is an operation to remove the haemorrhoids (piles). It is performed under general anaesthetic and involves the surgical excision and removal of the bulk of the haemorrhoid.

This procedure may be suggested if injections or banding have not worked, or if you have large piles causing severe pain and discomfort.

The haemorrhoidectomy procedure has a number of drawbacks and complications:

– Patients may experience severe pain, particularly after the first few bowel motions.
– Secondary bleeding from the open wounds can occur a few days after the operation.
– Delayed wound healing could occur for up to 4 to 6 weeks.
– Recurrence of haemorrhoids.
– Leakage of fluid fecal materials for a few months after the operation.
– It is not advisable to re-perform this operation if haemorrhoids do return.

Conventional Open & Closed Haemorrhoidectomy

The surgeon will cut the pile away from the anal sphincter muscle using an electric current.

With the closed haemorrhoidectomy procedure, the surgeon may use dissolvable stitches to close the wound.

In an open haemorrhoidectomy procedure the wound may be left open to heal naturally.

Request treatment information today and our team will be in touch to further discuss your options.

Think you need surgery?

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Non-Surgical

Rubber Band Ligation

The Rubber Band Ligation Haemorrhoid treatment is the second line treatment for mild and moderate internal haemorrhoids (piles).

Rubber Band Ligation involves the application of tight rubber bands around the piles which are positioned using a specially designed instrument, inserted through the anal canal.

The success rate is about 70% and will normally take two or three outpatient visits, with an interval of six weeks between treatments.

This procedure doesn’t require sedation or anaesthesia.

Request treatment information today through our contact form and our team will be in touch to further discuss your options.

Advice for Patients Opting for Rubber Band Ligation:
– It is not advisable to drive immediately after treatment
– After the procedure, you may experience some slight discomfort
– Sit in a warm salty bath for a few weeks daily
– You may experience some fresh bleeding after bowel motions, this could continue for two to three weeks after the procedure. If the bleeding becomes heavy please seek medical advice immediately.
– Resume normal life and activities the following day
– Patients may feel the desire to open their bowels immediately after the banding procedure. This is normal and may last for 12- 24 hours.

Is Non-Surgical Treatment an option?

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Medicine

There are a variety of medicines that can help with piles or haemorrhoids however, we recommend you talk to your pharmacist before taking any medication.

You may find it helpful to use over-the-counter painkillers to help with the discomfort that comes with having haemorrhoids. However, we recommend sticking to non-opioid options, as opioids may lead to constipation, and can therefore exacerbate the situation.

If you’re struggling to pass hard stools, then a mild laxative may be helpful. However, try to avoid anything that stimulates the bowel – try a fibre supplement instead.

Creams and suppositories are also available over the counter. You may wish to speak to a medical professional before trying these, as in some cases these can lead to damage to the skin in the area of application if used for too long.

What medicines are available?

Request more treatment information and talk to one of experts.

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Self-Help

Making some small changes to your lifestyle can make a world of difference to haemorrhoids. Your diet and day-to-day activities really can be a help or a hindrance when it comes to recovering from piles, so we’d recommend taking a good look at the way you treat your body every day.

You can find all sorts of health tips at our blog – from recipes to pointers on how best to exercise to avoid piles.

Check out our health tips

Prevent and improve your haemorrhoids.

Health Tips

Think you have haemorrhoids? We can help

​You can ​discuss your options with a treatment coordinator and access services on a pay-as-you-go basis, including​ diagnostics and​ haemorrhoid treatment.

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