Pros and Cons of Hemorrhoids Treatment Methods

The three most common alternatives for non-surgical procedure for treatment of hemorrhoids are rubber band ligation, infrared photocoagulation and sclerotherapy.

Ligature. A rubber band is placed around the base of the hemorrhoids in the rectum. The band cuts circulation and the hemorrhoid withers within 1-2 weeks, so that an ulcer, which later fibrosis.

Band ligation is the most widely used treatment for Class II and Class III Hemorrhoidsand is the standard to be compared to the other methods. A band is a ligature Anoscopes passed and placed on the rectal mucosa proximal to the dentate line.

"Pros"
High success rate. Up to 80% of people who had this procedure said that the symptoms improved
Great Long-Term Effect
Repeat the treatment of recurrent symptoms is rarely required

"Cons"
Severe pain, the pain does not respond sometimes
Bleeding from the anus
Necrotizing pelvis sepsis is a rare, butserious, complication of rubber band ligation. It occurs 1-2 weeks after ligation, frequently in immunocompromised patients and a prompt surgical debridement

Laser or infrared coagulation. These methods include the destruction of hemorrhoids with laser or infrared light. Coagulation causes the hemorrhoidal tissue to harden and degenerate, and scar tissue as the area heals form. Coagulation is usually effective, grade I, Class II and some grade IIIHaemorrhoids.

"Pros"
Less and less severe complications than with rubber band ligation
Easy, convenient and fast
No serious complications

"Cons"
Recurrence rates may be higher than with rubber band ligation

Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoids.

IS is an alternative to band ligation. The injection of sclerosing chemicals such as phenol in oil, polidocanol, concentrated NaClSolution into the mucous membrane in the country of origin is the haemorroid, leads to tissue necrosis.
Rare major complications include pelvic infection and impotence, as a result of incorrect location for injection.

"Pros"
Less and less severe complications than with rubber band ligation

"Cons"
Recurrence rates may be higher than with rubber band ligation
Urologic Complications
Not suitable for front-Hemorrhoids

Hemorrhoids (surgery). Occasionally, extensive or severeinternal or external hemorrhoids may require removal by surgery known as hemorrhoids.

"Pros"
Highest success
Best treatment for fourth degree hemorrhoids

"Cons"
Highest rate of pain and complications. The complication rate is around 10-20%

OTC medicines. Over-the-counter creams and suppositories (eg preparation H, Neo Healar) can help with the symptoms, but is unlikely to shrink the hemorrhoids.

"Pros"
May help the symptoms such as pain,Swelling, itching
No risk of treatment-related complications

"Cons"
Unlikely to shrink the hemorrhoids

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