Click Guardian v2 Tracking Pixel
Appointment

Related Services

Colorectal Surgery

Hemorrhoidal Sclerotherapy is a minimally invasive therapy for hemorrhoids that involves injecting a chemical solution or scelorant into the area around the hemorrhoid. This results in a scarring reaction which makes the hemorrhoid shrink over time.  

The scar tissue left is significant in preventing the occurrence of new hemorrhoids and supporting anal tissue which prevents the development of new hemorrhoids. The treatment is normally used to treat grade 1 and 2 internal hemorrhoids. 

Ideal Candidate for Hemorrhoidal Sclerotherapy 

  • Patients with smaller hemorrhoids located within the rectum 
  • Patients with hemorrhoids that are too small to be treated with rubber band ligation – a procedure that requires hemorrhoids to be large enough to be physically tied. 
  • Patients with hemorrhoids that bleed and cannot undergo surgery for medical reasons 

The Procedure 

Hemorrhoidal sclerotherapy is an outpatient procedure, and normally requires neither preparation nor general anesthesia.  

During the procedure, the doctor inserts a proctoscope via the anus so as to gain access to the inside of the bottom. The proctoscope widens the anal canal in order to see the hemorrhoids that need to be treated. 

By using a needle and syringe, the doctor injects a chemical solution around the submucosal area where the hemorrhoid is located. The sclerotherapy process eventually hardens (scleroses) the tissue surrounding the hemorrhoid resulting in the development of a scar (sclerosis). The hemorrhoids are then expected to shrink after 4-6 weeks. 

Since sclerotherapy takes quite a short time, about 5-10 minutes, 2-3 hemorrhoids can be treated at once. 

What to Expect After the Hemorrhoidal Sclerotherapy Procedure 

After the procedure, the doctor will recommend total rest and avoid strenuous activities for the rest of the day after treatment. The patient will be allowed to resume normal activities the following day, however, this varies from one patient to the next. 

Risks Associated with Sclerotherapy Treatment 

Just like any other medical procedure, hemorrhoidal sclerotherapy comes with possible risks and complication, which can be managed. These risks include: 

  • Low-level pain but manageable with over-the-counter painkillers 
  • A little bleeding 
  • In men, it can affect the prostate gland which can eventually lead to symptoms like prostatitis, blood in semen, blood in urine, inflammation of the epididymis, and impotence. 
  • Ulcers which affect the anal mucosa but normally heal without specific treatment. 

How to Prevent Hemorrhoids 

The occurrence of hemorrhoids can be prevented through: 

  • Eating high-fiber foods such as fruits and vegetables. This will help soften the stool and increase its bulk for smooth bowel movement. 
  • Drinking more water every day to soften the stool 
  • Staying active by exercising the body helps prevent constipation 
  • Avoid holding your breath or straining when passing stool as this increases pressure on the veins in the rectum 
  • Long periods of prolonged sitting should be avoided as this can increase veins in the anus 
Start chat
1
Chat with us
Hello
I’d like to book an appointment