Hemorrhoidal artery embolization (HAE), is a minimally invasive procedure that is designed to treat symptomatic hemorrhoids by blocking blood flow to them. But unlike traditional surgeries, this procedure is done under local anesthesia, requires no incisions and is performed in the office, meaning you can get back to your normal routine almost immediately.
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There are several causes of hemorrhoids, including straining during bowel movements, sitting on the toilet for long periods of time, chronic diarrhea or constipation, obesity, pregnancy, and a low-fiber diet.
The Hemorrhoid Embolization Procedure
The hemorrhoid embolization procedure starts with the administration of a local anesthetic to the wrist or groin area. From there, a thin needle is inserted into the blood vessel and a small catheter (tube) is guided through the blood stream into the arteries supplying the hemorrhoids. These are closed by injecting small particles and coils which blocks the blood flow to the hemorrhoid causing it to shrink. The catheter is then removed, and patients are able to go home shortly after.
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Hemorrhoid embolization can provide significant relief for patients struggling with hemorrhoids. With just a simple catheter insertion, there is no need to worry about incisions or any scarring. And with the use of local anesthesia for your comfort, you don’t have to suffer from procedural pain or discomfort. Some of the other benefits of hemorrhoid embolization include:
Reduced Risk of Complications: With no incisions, there is a much lower risk of complications like infection, fluid buildup, and bleeding.
Safe and Effective Treatment: Hemorrhoid embolization has been shown to greatly reduce symptoms of hemorrhoids, including pain, bleeding, and swelling.
Quick Recovery: Because there are no incisions and local anesthesia is used, you can get back to your regular routine within a few days.
Perfect Alternative: Some patients are not suitable candidates for hemorrhoid surgery, so hemorrhoid embolization is a great alternative option.
Unlike other treatments, nothing is passed through the anus.
No longer struggle with hemorrhoids with the help of our team at South Florida Vascular Associates! With hemorrhoid embolization and the other treatments and procedure we offer, you can find the relief you need. Schedule a consultation today by calling us or messaging us via our online contact form.
Frequently Asked Questions
Who is a candidate for HAE?
Candidates are typically those with symptomatic internal hemorrhoids (mainly bleeding) who have not achieved relief with conservative treatments and want a less invasive alternative to surgical hemorrhoidectomy.
Is hemorrhoid artery embolization painful?
The procedure is performed under local anesthesia and moderate sedation, so patients do not experience pain during the procedure. Most report only minor discomfort post-procedure.
How long does the procedure take and what is the recovery like?
Hemorrhoid artery embolization usually takes 1–2 hours. It is performed in our office and patients go home several hours later. They can return to normal activities the next day.
What are the benefits of hemorrhoid artery embolization?
Benefits include: minimally invasive nature (no surgical excision), outpatient treatment, quick recovery, minimal or no post-procedural pain, and high success rates for controlling bleeding and other symptoms.
Are there risks or side effects associated with HAE?
Most reported complications are minor, such as temporary discomfort, bruising, or minor ischemic ulcerations. Serious risks are rare.
How effective is hemorrhoid artery embolization?
Clinical studies show about 90% of patients experience significant and long-lasting improvement in symptoms like bleeding, swelling, and prolapse.
Will the hemorrhoids come back after embolization?
The risk of recurrence is lower comparable to some other treatments, especially when all feeding vessels are embolized. Long-term results are positive for most cases, but recurrences may require additional treatment. Proper bowel habits are needed to minimize recurrence no matter what treatment is used.
Does insurance cover hemorrhoid artery embolization?
Most insurance plans, including Medicare, cover hemorrhoid artery embolization if it is deemed medically necessary and other treatments have failed. Coverage details and out-of-pocket costs may vary depending on individual policy and provider, so it is important to confirm specifics with your insurer before proceeding.
How soon can I return to work or normal activities after the procedure?
Patients typically return to normal activities and work the next day of the procedure, thanks to the minimally invasive nature and short recovery period.
Can hemorrhoid artery embolization be repeated if symptoms return?
Yes, if symptoms recur after initial treatment, the procedure can be repeated safely in most cases to re-embolize the arteries causing symptoms.
How would you explain the hemorrhoid embolization procedure?
This modern procedure is a minor surgery performed under local anesthesia. Small particles are inserted through a catheter to block the artery that supplies blood to the hemorrhoid. The hemorrhoid then shrinks, and the recovery starts. The recovery is less painful compared to traditional surgery.
Will I be in pain if I choose hemorrhoid artery embolization?
No. The entire journey of having a hemorrhoid artery embolization is usually not painful. Patients often experience mild discomfort during the procedure. The minor discomfort the patient may experience can be alleviated with over-the-counter medications.
Should I go for hemorrhoid embolization if my case is severe?
Hemorrhoid embolization is usually effective for most patients. But, it may not be the best decision if your hemorrhoids are larger or the case is complicated. In such cases, specialists generally recommend going with a traditional surgery.
How do I know if hemorrhoid embolization is risky or not?
Here’s a fact you must know: the hemorrhoid embolization technique is known to be the safest. It is a minor surgery where slight discomfort is only felt during the procedure. The pain in the recovery phase is bearable. It all depends on the hygiene and care the patients take to avoid getting the catheter insertion area infected.
Will I have to take a long leave from work after hemorrhoid embolization?
No, not at all. It will only take a day or two to get back on your feet. At most, a patient may take a week’s rest. With the flow of blood reduced, the hemorrhoids begin to shrink. The pain being bearable is not a point of concern when it comes to rejoining an active life.
