Operation

– Grade I – II: Bleeding hemorrhoids

Surgery is performed during consultation. It is minimally invasive and has few side effects or complications.

Sclerotherapy can be combined with ligatures of hemorrhoids.

During sclerotherapy, a product is injected that clogs up the little blood vessels within the hemorrhoids. By blocking the small blood vessels of the hemorrhoids, necrosis will appear. They will decrease in volume and scarring will fixate the tissue and prevents the hemorrhoids from slipping further out of the anal canal.

Results

• Hemorrhoids Gr I – II:

Improvement / cessation of bleeding: < 92 – 100%. Frequent recurrences over time.

• Hemorrhoids Gr III:

Improvement / cessation of bleeding: < 70 – 92%. Frequent recurrences over time.

Pain – temporary discomfort

• Incidence : Temporary discomfort 24-49%

Bleeding

• Mild bleeding may occur immediately after the procedure. No severe bleeding.

Myamoto H, Injection sclerosing therapy: non excision treatment of internal hemorrhoids, Hepatogastroenterology 2011 2011; 59:77-80

Akindiose C, Evaluation of two injection sclérosants in the treatment of symptomatic hemorrhoids in Nigerians 5 Nigerian Postgrad Med J 2016;23 110 – 115

Normal symptoms

• Anal pain is normal but should subside over time.
• Seepage of serous (yellowish) anal fluid.
• Fluid loss may be bloody but should subside over time.

Abnormal symptoms

Contact your surgeon or GP, or go to the emergency room:

• If pain increases over time.
• If fever does not subside over time.
• If pus volume increases or foul smelling viscous fluid increases.
• If blood loss persists.

If symptoms seem abnormal to you, contact your GP (general practician).

If this is not possible, contact your surgeon.

If you are unable to contact your GP (general practician) or surgeon, go  to the St Elisabeth hospital emergency department.

No abnormalities.