Sclerotherapy for Piles: Benefits, Side Effects, and Results

Sclerotherapy for Piles

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Sclerotherapy for Piles

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According to a study by Niranjan Agarwal et al., approximately 5% of Indians experience haemorrhoids at any given time. While often manageable with lifestyle changes, this condition may sometimes require medical intervention. For those looking for a minimally invasive approach to treat this issue, sclerotherapy for piles can be the key solution. 

Want to know more about this method? This blog will explore sclerotherapy piles treatment, including its benefits, risks, and costs. Read on!

Procedure Name

Sclerotherapy

Conditions Treated

Grade 1 and grade 2 internal piles

Benefits of Procedure

Minimally invasive, effective symptom relief

Treated By

Colorectal surgeon

You can check Sclerotherapy for Piles Cost here.

What is sclerotherapy for piles?

Sclerotherapy for piles is a medical procedure used to treat internal haemorrhoids. The chemical solution is injected into the affected area during the procedure. This solution causes the piles to shrink and eventually disappear.

This is done by creating scar tissue, which inhibits the blood supply to the haemorrhoid. Sclerotherapy is recommended for smaller internal piles and is often performed in an outpatient setting.

Conditions Treated with Sclerotherapy for Piles

Injection sclerotherapy is primarily used to treat grade 1 (no prolapse outside the anal canal meaning swollen veins protrude outside the body) and grade 2 (piles mass bulge outside the anal opening) haemorrhoids. It offers relief from symptoms such as bleeding and discomfort. 

The method is effective for smaller internal piles that have not responded to conservative treatments. These may include dietary changes and over-the-counter medications.

Before and on the Day of Sclerotherapy

Haemorrhoids sclerotherapy is a well-tolerated procedure, and many patients experience relief from symptoms shortly after treatment. Patients would receive instructions from their doctor to follow before and on the day of the treatment. 

Before Surgery 

Before undergoing sclerotherapy for piles, patients undergo a pre-procedure consultation. The doctor discusses the treatment plan and addresses the concerns.

Parameters

Pre-requisites

Pre-op Assessment

Physical exam, medical history, Digital Rectal Examination (DRE)

Risk Evaluation

Evaluating complications like:

  1. Bleeding risk

  2. Allergic reactions

Anaesthesia Selection

Usually, not required

Fasting

As the treatment does not necessitate anaesthesia, fasting may not be required.


On the Day of Surgery

Patients are advised to follow any preoperative instructions provided by their healthcare provider on the day of the sclerotherapy procedure. 

Parameters

Pre-requisites

Consent

Mandatory

Surgical Preparation

  1. Procedure elaboration

  2. The patient changes into a hospital gown

  3. Remove accessories

Physical Evaluation

Size of haemorrhoids assessed through digital rectal exam

Anaesthesia Administration

Usually, not required

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Sclerotherapy Piles Treatment

Sclerotherapy for piles is a straightforward procedure, lasting no longer than 10 to 15 minutes. This highlights the efficiency of this treatment in targeting internal haemorrhoids with precision. The key steps involved are:

  1. Preparation: The patient will be rested comfortably in a supine position on the examination table. 

  2. Injection: The doctor injects a sclerosing agent (chemical solution) into the hemorrhoidal tissue using a fine needle. 

  3. After Effects: The solution will cause inflammation and scarring, leading to the shrinkage of the piles over time. It takes around 4 to 6 weeks.

After Surgery and Recovery

Sclerotherapy for piles typically takes 1-2 weeks to treat haemorrhoids. One may expect the following during their recovery period:

The Recovery Process in Hospital 

As sclerotherapy for piles is an outpatient procedure, patients can usually leave the medical facility on the same day as the treatment. The factors one may expect in the hospital immediately after the surgery are:

  1. Vital signs, like blood pressure, pulse rate, and body temperature, are checked.

  2. Pain management medications are provided. 

  3. Patients are monitored till they urinate and pass gas or stools to ensure the effectiveness of treatment.

Recovery Process/Expectation After Hospital Discharge 

After hospital discharge, the patient may experience mild discomfort, bleeding, or irritation around the anal area for a day. The guidelines below may help to cope with these complications:

  1. Follow a soft diet and drink plenty of fluids

  2. Take painkillers as prescribed by the doctor

  3. Avoid strenuous activities for a day or two

  4. Contact the doctor if experiencing severe pain and persistent bleeding

First Follow-Up Appointment

During this appointment, the doctor evaluates the effectiveness of the sclerotherapy treatment. They will assess the patient's overall recovery and inquire about residual symptoms.

Benefits of Sclerotherapy for Piles

Sclerotherapy injection for piles offers a range of advantages that make this one of the common haemorrhoid treatments. The key benefits are as follows:

  1. Minimally Invasive: Sclerotherapy is performed outpatient and does not require anaesthesia. This results in minimal discomfort and a short recovery time.

  2. Low Risk of Complications: It is associated with fewer risks than surgical interventions, such as infection, bleeding, or incontinence.

  3. Multiple Procedures: If needed, the procedure can be repeated to address persistent or recurring piles effectively. It provides patients with continued relief from symptoms and promotes long-term haemorrhoid management.

Risks and Complications of Sclerotherapy for Piles

The overall success rate in II and III degree haemorrhoids after a single sclerotherapy session is 78.8%. Furthermore, following the second session, the efficacy can increase to 86%. While the data suggests that sclerotherapy for piles has low complications, there are potential risks to look out for. These include:

  1. Pain or discomfort at the injection site

  2. Infection in the treated area

  3. Allergic reaction to the sclerosing agent

  4. Formation of fistulas or abscesses

  5. Inflammation or irritation of surrounding tissue

  6. Ulceration or scarring of the anal canal

When to consult a doctor?

Patients should consult a doctor if they experience any of the following symptoms after undergoing sclerotherapy for piles:

  1. Severe pain with no relief from over-the-counter pain medication

  2. Excessive bleeding that persists beyond a few days after the procedure

  3. Infectious signs at the injection site like increased redness and swelling

  4. Allergic reactions, including difficulty breathing or a rash

Risks of Delaying Sclerotherapy for Piles

Delaying sclerotherapy treatment may lead to the progression of haemorrhoids, making them more challenging to manage. The other risks involved are:

  1. Development of larger haemorrhoids that may be more challenging to treat

  2. Persistent bleeding during bowel movements

  3. Prolonged itching and irritation in the anal area

  4. Chronic inflammation and swelling of piles

Sclerotherapy Piles Treatment Cost

The sclerotherapy piles treatment cost can vary based on location and the number of sessions required. The general overview is provided below.

Treatment

Estimated Cost Range

Sclerotherapy for Piles

₹ 3,500 - ₹ 12,000

Note: The figures mentioned are all estimated. Contact HexaHealth professionals to get accurate prices.

Factors that may affect the cost of sclerotherapy for piles include:

  1. The Severity of Haemorrhoids: The extent of the condition can influence the complexity of the procedure, which may affect the overall cost.

  2. Healthcare Provider: The fees charged by different doctors or clinics can vary based on their expertise, reputation, and geographic location.

  3. Location: The price of healthcare services can differ significantly between regions due to variations in living and overhead expenses.

  4. Number of Sessions: Some patients may require multiple sittings for sclerotherapy to achieve the desired results. This can increase the total amount.

Takeaway

Sclerotherapy for piles offers a minimally invasive solution for those suffering from internal haemorrhoids. The procedure provides significant symptom relief, promotes shrinkage of piles, and facilitates a quicker recovery. 

For those needing sclerotherapy piles treatment, HexaHealth can provide useful resources and top-tier support. Our platform streamlines the booking process, providing access to experienced specialists. Get in touch!

Suggested Reads

Non Invasive Treatment of Piles in Hindi
Symptoms of Piles in Hindi
How to Prevent Piles Piles Surgery

Frequently Asked Questions (FAQ)

Sclerotherapy for piles is a minimally invasive procedure where a chemical solution is injected into internal haemorrhoids. This causes them to shrink and alleviate symptoms such as bleeding and discomfort.

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Yes, sclerotherapy is an effective treatment for internal haemorrhoids. It provides symptom relief and promotes shrinkage of the haemorrhoidal tissue.

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Sclerotherapy for haemorrhoids offers several advantages over other surgical treatment options. These include:

  1. Minimally invasive

  2. Outpatient procedure

  3. Low risk of complications

  4. Repeatable, if needed

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Sclerotherapy is primarily effective for treating Grade 1 and Grade 2 haemorrhoids, which are internal. This procedure can effectively shrink these smaller piles, providing relief from associated symptoms.

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Sclerotherapy injection for piles is generally considered effective in shrinking internal haemorrhoids. However, individual results may vary, and the effectiveness of the procedure can depend on factors such as the severity of the piles.

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While sclerotherapy for haemorrhoids is generally safe and effective, there are potential risks involved. The key complications are:

  1. Pain or discomfort at the injection site

  2. Bleeding during or after the procedure

  3. Infection in the treated area

  4. Allergic reaction to the sclerosing agent

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Patients undergoing sclerotherapy for haemorrhoids may require 2 to 3 sessions. To achieve optimal results, these visits should be spaced at 3 to 4-week intervals.

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Sclerotherapy for piles is generally well-tolerated, with most patients experiencing minimal discomfort during the procedure. However, some individuals may feel a slight stinging sensation or pressure at the injection site.

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Yes, sclerotherapy can be combined with other treatments for haemorrhoids, such as dietary modifications and topical medications. Combining different procedures may offer a comprehensive approach to cure haemorrhoidal symptoms effectively.

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After undergoing sclerotherapy for piles, adopting specific dietary and lifestyle changes can aid in the recovery process. These include:

  1. Increase fibre intake through fruits, vegetables, and whole grains

  2. Stay hydrated by drinking plenty of water

  3. Avoid straining during bowel movements

  4. Engage in regular physical activity to promote bowel regularity

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Unfortunately, the sclerotherapy treatment is not permanent. Some individuals have a recurrence of the haemorrhoid two or three years later. To completely shrink the piles, injections are frequently administered multiple times at intervals of a few weeks.

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The expenditure associated with sclerotherapy for haemorrhoids varies in the range of ₹ 3,500 to ₹ 12,000. The major variations in the cost occurs based on the type of sclerosing agent and whether it is done with or without colonoscopy. There are other factors influencing the final pricing of the treatment as well.

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Sclerotherapy for piles may be covered by insurance. However, coverage varies depending on the provider, policy terms, and individual circumstances. It's advisable to contact HexaHealth to understand the specific details.

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Sclerotherapy is performed on internal haemorrhoids rather than external ones. However, Lisi et al, showed in his study that the treatment had a success rate of 84% in grade 3 and 4 external piles.

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Yes, sclerotherapy can be used for recurring piles to provide symptom relief and reduce the size of the haemorrhoidal tissue. It is often recommended as a minimally invasive treatment option for individuals experiencing piles repeatedly.

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While sclerotherapy is 78.8% effective in shrinking and alleviating symptoms of haemorrhoids after the first session, there is a possibility of recurrence over time. This may happen when underlying factors such as constipation or straining during bowel movements persist.

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References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. He A, Chen M. Sclerotherapy in Hemorrhoids. Indian Journal of Surgery. 2022 Apr 20;link
  2. Sclerotherapy: What does it treat, cost, aftercare, and results [Internet]. www.medicalnewstoday.com. 2017 [cited 2024 Apr 24].link
  3. B.Sc SR. Banding, Sclerotherapy and Electrotherapy for Piles (Haemorrhoids) [Internet]. News-Medical. 2017 [cited 2024 Apr 24]. link
  4. Sclerotherapy Injections [Internet]. Bladder & Bowel Community. 2017 [cited 2024 Apr 24].link
  5. Gunasekaran DK. Risks associated with Delaying Piles Surgery | Chennai Laser gastro [Internet]. Laser Gastroenterology Clinic. 2021.link
  6. Agarwal N, Singh K, Sheikh P, Mittal K, Mathai V, Kumar A. Executive Summary - The Association of Colon & Rectal Surgeons of India (ACRSI) Practice Guidelines for the Management of Haemorrhoids—2016. Indian Journal of Surgery [Internet]. 2017 Jan 9;79(1):58–61.link
  7. Sclerotherapy treatment | haemorrhoid treatments [Internet]. eXroid. [cited 2024 Apr 24].link
  8. Lisi G, Paolo Gentileschi, Domenico Spoletini, Passaro U, Orlandi S, Campanelli M. Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study. Frontiers in surgery [Internet]. 2022 Sep 1 [cited 2024 Apr 24];9. link
  9. Sclerotherapy [Internet]. Los Angeles Hemorrhoid Clinic. [cited 2024 Apr 24].link
Disclaimer: We provide content on our website that is purely informative and educational in nature, but they do not contain information about all medical conditions, and not all information can apply to your personal circumstances. The content is not to be constructed as medical advice, is not intended for diagnosis and should not be used as a substitute for consultation with an appropriate certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

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