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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.

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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.

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Sclerotherapy treatment

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

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