Hemorrhoid Embolization vs. Traditional Surgery: Which Is Right for You?

Hemorrhoids are a common condition that affects millions of people worldwide. When conservative treatments like over-the-counter medications, lifestyle changes, and topical ointments fail to provide relief, patients often look to more advanced medical procedures to alleviate their symptoms. Two popular options include hemorrhoid embolization and traditional surgery. If you’re considering one of these procedures, understanding the differences between them can help you decide which treatment is right for you.

What Is Hemorrhoid Embolization?

Hemorrhoid embolization is a cutting-edge treatment that offers relief without traditional surgery. Instead of removing the hemorrhoid through incision, this procedure addresses the root cause by blocking the blood vessels that feed it.

Here’s how hemorrhoid embolization works: A doctor threads a thin tube called a catheter into an artery, typically through a small nick in your groin or wrist. They then inject tiny particles that act like a roadblock, cutting off the blood supply to the hemorrhoid. Without this constant flow of blood, the hemorrhoid gradually shrinks and symptoms improve.

One of the big pluses of this approach is that you can usually go home the same day. There’s no need for general anesthesia, and most people bounce back quickly. Many patients even report feeling better right away.

For those wary of going under the knife, hemorrhoid embolization offers a less daunting alternative. It sidesteps the risks of surgery while tackling the problem head-on. If you’re dealing with hemorrhoids and looking for options, this minimally invasive technique might be worth discussing with your doctor.

What Is Traditional Hemorrhoid Surgery?

Hemorrhoid surgery, also known as hemorrhoidectomy, is a more hands-on, invasive approach. A surgeon removes the swollen tissue during the procedure by making small cuts around the affected area. There are a few different ways to do this, like using staples, lasers, or even rubber bands, depending on how bad the hemorrhoids are.

While hemorrhoidectomy does the job, the post-procedure isn’t easy. You’ll need more time to recover compared to newer treatments. Most people deal with pain, swelling, and general discomfort for a while after surgery – days or even weeks after.

Hemorrhoid Embolization vs. Surgery: Key Differences

When comparing hemorrhoid embolization vs. surgery, several factors come into play:

• Invasiveness: Hemorrhoid embolization is less invasive compared to traditional surgery, which involves cutting and removal.
• Recovery Time: Recovery from embolization is generally quicker, with most patients returning to normal activities within a day. Traditional surgery often requires a longer recovery period.
• Anesthesia: Hemorrhoid embolization usually requires only local anesthesia, while traditional surgery may require general anesthesia.
• Effectiveness: Traditional surgery is often more effective for large, severe hemorrhoids because it removes the hemorrhoid entirely. Hemorrhoid embolization is more suited for smaller or less severe cases.
• Side Effects: Because traditional surgery is more invasive, there is a higher risk of complications like bleeding and infection. Embolization carries fewer risks and is done in an outpatient setting- meaning you can go home the same day.

Which Option Is Right for You?

Choosing between hemorrhoid embolization and traditional surgery depends on several factors, including the severity of your hemorrhoids, your pain tolerance, and your overall health. While both routes can relieve the hemorrhoids, hemorrhoid embolization offers a lower risk compared to surgery.

Ultimately, the best way to determine the right treatment is to consult with a healthcare provider who can assess your condition and recommend the most appropriate option.
Both hemorrhoid embolization and traditional surgery offer effective ways to treat hemorrhoids, but they differ significantly in terms of invasiveness, recovery time, and long-term results. Understanding the pros and cons of each can help you make an informed decision that aligns with your medical needs and lifestyle.

National Vascular Physicians offers Hemorrhoid Artery Embolization (HAE), at our Roanoke, Virginia, and National Harbor, Maryland locations. Contact our team to schedule an HAE consult.