Sclerotherapy for Hemorrhoids: A Non-Surgical Option
What is Hemorrhoid Sclerotherapy?
Sclerotherapy is a minimally invasive procedure where a chemical solution is injected directly into hemorrhoid tissue, causing it to shrink. As a proctologist with over 15 years of experience, I’ve found this treatment particularly helpful for patients seeking alternatives to surgery.
How Does Sclerotherapy Work?
During the procedure, I inject a special solution (usually phenol in almond oil) into the hemorrhoid. This solution:
- Irritates the blood vessel lining
- Causes the hemorrhoid to collapse
- Creates scar tissue that prevents recurrence
- Reduces blood flow to the hemorrhoid
What to Expect During Treatment
- The procedure takes about 15-20 minutes
- No anesthesia is typically needed
- You may feel mild discomfort or pressure
- You can return to normal activities the same day
- Multiple sessions may be needed
Success Rates and Benefits
| Success Rate | 70-80% for small to medium hemorrhoids |
| Recovery Time | 1-2 days |
| Pain Level | Minimal |
When to See a Doctor
Contact your healthcare provider immediately if you experience:
- Severe pain or bleeding
- Fever above 101°F
- Difficulty urinating
- Excessive swelling or discharge
Frequently Asked Questions
Is sclerotherapy covered by insurance?
Most insurance plans cover sclerotherapy when medically necessary. Check with your provider for specific coverage details.
How many treatments will I need?
Most patients require 2-4 treatments spaced about 6 weeks apart for optimal results.
Is the procedure painful?
Most patients report minimal discomfort during and after the procedure. Any pain can usually be managed with over-the-counter pain medication.
Who is a good candidate for sclerotherapy?
This treatment works best for:
- Internal hemorrhoids
- Grade 1 or 2 hemorrhoids
- Patients who haven’t responded to conservative treatment
- Those wanting to avoid surgery
Post-Treatment Care
- Avoid strenuous activities for 24 hours
- Stay hydrated and maintain a high-fiber diet
- Use sitz baths as needed for comfort
- Follow up with your doctor as scheduled
Remember, while sclerotherapy is generally safe and effective, it’s important to have a thorough evaluation by a qualified healthcare provider to determine if this treatment is right for you.
