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Treatment for piles

Haemorrhoid Electrotherapy​

Haemorrhoid electrotherapy has been scientifically researched as a treatment for piles for over 150 years. It’s only recently that advances in medical technology have enabled the treatment to become a mainstream clinical practice. The procedure is exclusively used for the treatment of internal piles which provides an option for patients with grade 1 or 2 haemorrhoids who may otherwise have opted for banding or sclerotherapy or for patients with more severe grade 3 or 4 haemorrhoids as an alternative to surgery.

The main benefits of the treatment for haemorrhoids is it’s safety and convenience which is demonstrated in the fact that over 90% of our patients are able to go about their normal duties on the same day. eXroid® Electrotherapy is still relatively new to the UK, but has been approved by NICE and it has already proven to be a preferable treatment  alternative to some of the more well-known haemorrhoid treatments for our patients, may of which choose us.

What does electrotherapy treatment involve?

The procedure is carried out with the patient lying on their side, with their knees slightly bent. Whilst in this position a proctoscope (a small plastic tube) is inserted into the patient’s bottom to enable a clear view of the haemorrhoid(s). A thin probe with metal contacts is then inserted down the proctoscope and placed at the base of the haemorrhoid to be treated, at which point a low-level electric current is delivered. This causes chemical cauterisation and thrombosis of the blood vessels feeding into the haemorrhoid; this is not a burning process.

The low-level electric current is controlled by a hand piece connected to the probe which enables the specialist to increase or decrease the current dependent on the tolerance of the patient. The duration of the treatment depends on the grade of haemorrhoid and the current delivered.

Electrotherapy for haemorrhoids is an outpatient treatment and requires no anaesthetic.

Electrotherapy after treatment

In most cases you will notice the haemorrhoids / piles continuing to shrink after treatment. This will usually continue for up to 4 weeks after treatment and your symptoms will normally diminish.

Are there any risks with piles electrotherapy treatment?

Please note that no treatment for haemorrhoids is 100% safe or 100% effective for all patients, and eXroid® is no exception— there are some risk with even the safest and most effective treatment.

Rectal bleeding can be a side effect, but this is usually short lived. Following treatment, there may be bleeding from the bottom, which is more likely if there has been recent bleeding from the piles. Some patients will experience sensitivity of the skin on their left hip for up to 48 hours following treatment, where the saline soaked Sponge pad rests during the eXroid treatment. Other side effects and complications are very rare or have not been reported, but could include more prolonged discomfort or pain, an external thrombosed pile, infections, scarring, strictures or perforation of the bowel.

Based on the patients who’ve shared their experience following our treatment, most reported a return to normal activities immediately and 90% reported a return to normal activities on the same day. Where there is any post treatment pain it is usually eased with simple OTC analgesics such as paracetamol. The procedure has been proven to be virtually complication free.

NICE evaluation and evidence base

After noting its effectiveness and low complication rate, NICE published positive guidance for electrotherapy hemorrhoid treatment through Interventional Procedure Guidance (IPG) 525 in June 2015.

Haemorrhoid electrotherapy may require more than one treatment; however, about half of the patients treated are free of symptoms after one treatment session, and over 80% after two. Patients with more numerous and/or larger haemorrhoids may need more than three treatments to get complete relief.  Electrotherapy for haemorrhoids causes less discomfort and less side effects than generally reported figures in the literature compared with banding or higher current electrotherapy, which suggests that it is likely to be one of the best tolerated non-surgical procedures available.


Norman DA, Newton R, Nicholas GV. Direct current electrotherapy of internal hemorrhoids: an effective, safe, and painless outpatient approach. Am J Gastroenterol 1989: 84(5): 482-487.

Olatoke S, Adeoti M, Agodirin O, Ajape A, Agbola J. Direct current electrotherapy for internal haemorrhoids: experience in a tertiary health institution. Pan Afr Med J 2014; 18: 145-150.

Nikooiyan P, Sardo HM, Poursaeidi B, Zaherara M, Ahmadi B. Evaluating the safety, efficacy and complications of electrotherapy and its comparison with conventional method of hemorrhoidectomy. Gastroenterol Hepatol Bed Bench 2016 Autumn; 9(4): 259-267.

Is low current effective for piles?

Electrotherapy is a highly effective treatment for piles. Half of patients were cleared of their haemorrhoid after one treatment session, and over 80% after two. Larger piles may require more than two treatments. The number of treatments you need largely depends on how many piles you have and how big they are.


Electrotherapy treatment for piles has been around for more than 150 years

Think you may have haemorrhoids?

Find out about NHS treatment restrictions

Find Out More

Get in touch with eXroid

eXroid provides non-invasive haemorrhoid treatment from selected local haemorrhoid clinics across the UK. We also have a offer home treatment service.

You don’t have to suffer in silence and dealing with piles doesn’t have to be something you do alone. Get in touch with an expert today.

For more details about the eXroid® haemorrhoid treatment costs, get in touch today and you could be treated at one of our local haemorrhoid clinics as quickly as tomorrow.

Speak to one of our experienced advisors. All enquiries are handled with complete discretion.

eXroid COVID-19 Update

Elective treatments suspended for the next 3 weeks
Following the Prime Minister’s national address at 20:30 on Monday 23rd March, it is imperative that we do our utmost to restrict the spread of COVID-19 and safeguard our patients and their communities, our staff and our clinics. Whilst we will always aim to do all we can to help and bring relief to our patients, we are bound by the greater cause to limit this highly infectious virus. We are therefore, as of now, re-scheduling all of our clinics and appointments to over 3 weeks into the future in line with the government guidance.

We sincerely apologise for any inconvenience and we will speak to everyone of our booked patients individually and do all we can to provide support.

We do, however, understand that there are some extreme cases and where patients feel there is an extreme detriment to their quality of life and / or they are suffering excessive bleeding, we will continue to provide our service on an emergency basis, where possible. This will be preceded by a triage call with myself initially, to ascertain what the issues are and to try to help remotely with a prescription, if possible, in the short term. If you have any concerns please contact us on 0800 999 3777.

We will continue to keep all of our patients directly informed and fully intend to treat everyone as planned, once the current restrictions have been lifted, presently scheduled for after the next three weeks.

The latest information is available at: https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance

Again, if there are any questions or support we can offer, our team will remain working and available to support.

Kind Regards,

Dr Mark J. Hudson-Peacock,
Chairman and Medical Director