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Treatment of piles: What are the options?

If you need quick relief from the symptoms of piles, then haemorrhoid creams, ointments or suppositories can help ease the symptoms for a while.  A high fibre diet, drinking plenty of fluids or use the of laxatives can help to relieve or decrease the size of your piles. If that doesn’t work, and you are looking for lasting relief, you’ll need to find another form of treatment.

Piles treatments fall into two categories: Surgical and non-surgical.


(usually requires an anaesthetic)

  • Haemorrhoidectomy
  • Stapled haemorrhoidopexy
  • Transanal haemorrhoidal dearterialisation (THD) or haemorrhoidal artery ligation (HALO)
  • Rafaelo


(usually does not require any anaesthetic)

  • Banding
  • Injections (sclerotherapy)
  • Infrared Coagulation
  • Bipolar Electrocoagulation using Diathermy
  • eXroid electrotherapy

Some of the features of the eXroid treatment

  • No preparation (e.g. no enema)
  • No anaesthesia
  • No hospital stay
  • Non-invasive — no cutting or needles
  • Outpatient — walk-in, walk-out procedure
  • Each treatment takes 10-30 minutes
  • Most patients who shared their experience resumed normal activities the same day
  • 50% of patients cleared with one treatment, 80% with two
  • Approved for reimbursement by major insurance companies

If you compare these features with other treatments, you may decide that eXroid is for you.

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

NICE Guidance

Electrotherapy treatment for haemorrhoids was positively evaluated in June 2015 by the UK’s National Institute for Health and Care Excellence (NICE). NICE is a governmental body which provides national guidance and advice to improve health and social care.

Follow this link to find out why eXroid is a fast, effective and safe treatment for piles or contact us.


Rubber band ligation, also called banding, involves the application of a tight elastic band around the base of the haemorrhoid which cuts off the blood supply and results in the haemorrhoid dropping off after typically 10-14 days.

Learn More

Surgical removal

Haemorrhoid surgery in the UK is an expanding field with increasing diversity. If other treatments haven’t worked or your haemorrhoids are not suitable for non-surgical procedures, then surgery for haemorrhoids may be an option. There are a number of procedures available, but the main ones are set out below.

Learn More

Sclerotherapy treatment

In simple terms, sclerotherapy is the injection of a chemical solution into the area around the haemorrhoid resulting in a scarring reaction which makes the haemorrhoid gradually shrink or shrivel up over time. It is typically reserved for grades 1 and 2 internal haemorrhoids.

Learn More

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