Endovascular Hemorrhoid Treatment

symptoms and treatment

Endovascular Hemorrhoid Embolization: A Less Invasive Hemorrhoid Treatment Option

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Understanding Hemorrhoids

Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, pain, and even bleeding. They’re often the result of increased pressure in the area, which can happen due to:

  • Chronic constipation or straining during bowel movements
  • Pregnancy
  • Sitting for long periods
  • Obesity
  • A low-fiber diet



Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus). While mild cases often improve with lifestyle changes, more severe hemorrhoids may require medical treatment.

What Is Endovascular Hemorrhoid Embolization?

Endovascular hemorrhoid embolization (EHE) is a minimally invasive procedure designed to treat hemorrhoids by reducing the blood flow to the affected veins. By limiting the blood supply, the swollen veins shrink over time, alleviating symptoms such as pain, itching, and bleeding. Unlike traditional surgical treatments, EHE does not involve cutting or removing tissue. Instead, it uses advanced imaging technology to target the problem at its source.

Benefits of Endovascular Hemorrhoid Embolization

EHE offers several advantages over traditional surgical treatments for hemorrhoids:

  • Minimally Invasive: No incisions or cutting are required, reducing the risk of complications.
  • Quick Recovery: Most patients can return to their normal activities within a day or two.
  • Less Pain: Since there is no surgical removal of tissue, post-procedure pain is minimal compared to traditional hemorrhoid surgery.
  • Outpatient Procedure: EHE is performed in an outpatient setting, so there’s no need for an overnight hospital stay.
  • Effective Symptom Relief: By targeting the blood supply to the hemorrhoids, EHE reduces swelling and discomfort over time.

How Does the Procedure Work?

Endovascular hemorrhoid embolization is typically performed by a vascular specialist or interventional radiologist. Here’s what you can expect:

  1. Minimally Invasive Access: The procedure begins with a tiny puncture, usually in the groin or wrist, to access a blood vessel.
  2. Guided Imaging: Using advanced imaging, a catheter (a thin, flexible tube) is carefully guided to the arteries supplying blood to the hemorrhoids.
  3. Embolization: Tiny particles or coils are delivered through the catheter to block the blood flow to the hemorrhoidal tissue.
  4. Completion: Once the blood flow is reduced, the catheter is removed, and the access point is bandaged. No stitches are required.

The entire procedure is usually completed in less than an hour, and most patients go home the same day.

Is Endovascular Hemorrhoid Embolization Right for You?

EHE may be a good option if:

  • Your hemorrhoids are causing persistent discomfort, bleeding, or other symptoms.
  • You’ve tried lifestyle changes and other non-invasive treatments without success.
  • You’re looking for a less invasive alternative to traditional hemorrhoid surgery.

It’s important to discuss your symptoms and medical history with a vascular specialist like Dr. Zakowsky to determine whether EHE is the best choice for you.

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