What is Hemorrhoid Embolization?

A radiologist in Houston looking a a scan of a Hemorrhoid Artery Embolization procedure

Hemorrhoid embolization is a cutting-edge, minimally invasive treatment performed by an interventional radiologist. 

The procedure uses advanced imaging techniques to guide a thin, flexible catheter through a tiny pinhole in the wrist or groin area. Once the arterial branches feeding the hemorrhoids are precisely located, tiny particles are used to block them. This embolization process cuts off the blood supply, causing the hemorrhoids to shrink over time. 

Typically taking about an hour under local anesthesia, the procedure offers significant benefits over traditional surgical approaches, with minimal discomfort and same-day discharge.

Why Choose Access Vascular Health for Hemorrhoidal Artery Embolization?

At Access Vascular Health, we pride ourselves on offering cutting-edge treatments performed by world-class specialists. Our founder, Dr. Michelle Nguyen Maneevese, is one of the nation’s leading interventional radiologists, with extensive training from prestigious institutions like Yale and MD Anderson Cancer Center.

We understand that dealing with hemorrhoids can be uncomfortable and embarrassing. That’s why we’ve created a warm, welcoming environment where patients feel at ease discussing their concerns. Our team takes the time to explain procedures thoroughly and answer all questions, ensuring you feel confident in your treatment plan.

Dr. Maneevese’s expertise in minimally invasive procedures extends beyond hemorrhoid treatment. She’s a pioneer in prostate artery embolization and the only female provider of uterine artery embolization in the Houston area. Her experience ensures you’re in capable hands for your Houston hemorrhoid embolization procedure.

Our state-of-the-art facility is equipped with the latest technology, allowing us to provide efficient and effective treatments. We strive to make your experience as comfortable as possible, from your initial consultation through your recovery.

Benefits of a Minimally Invasive Approach

As a minimally invasive procedure, hemorrhoid embolization offers numerous advantages over traditional surgical methods. We’ve observed that patients experience less pain and faster recovery times compared to conventional hemorrhoid surgeries.

The risk of complications is significantly lower as well, with minimal blood loss and reduced chances of infection. There’s no need for surgical incisions or removal of tissue, preserving the natural anatomy of the area.

As an outpatient procedure, patients can usually resume normal activities within a few days. The gradual shrinking of hemorrhoids leads to symptom relief over the weeks following the procedure. This approach also reduces the likelihood of hemorrhoid recurrence, providing long-lasting relief for many patients.

A graphic representation of how hemorrhoid embolization treatment works

Hemorrhoids: Causes and Symptoms

Hemorrhoids are a common yet often misunderstood condition affecting millions of people worldwide. We’ll explore the root causes and telltale signs of this uncomfortable ailment, shedding light on its impact on daily life and overall health.

What is a Hemorrhoid Exactly?

Hemorrhoids are swollen blood vessels in the lower rectum and anus. They develop when increased pressure in the pelvic and rectal area causes veins to become inflamed and enlarged. Common causes include chronic constipation, straining during bowel movements, prolonged sitting, obesity, and pregnancy.

Internal hemorrhoids form inside the rectum and are typically painless, while external hemorrhoids develop under the skin around the anus and can be quite painful. Genetic predisposition and aging can also contribute to their formation.

We often see patients who have developed hemorrhoids due to lifestyle factors such as a low-fiber diet or lack of exercise. It’s crucial to understand that hemorrhoids are not just a nuisance but can significantly impact quality of life if left untreated.

Common Symptoms and Complications

The symptoms of hemorrhoids can vary depending on their location and severity. Bleeding during bowel movements is a common sign, often noticed as bright red blood on toilet paper or in the toilet bowl. This bleeding is usually painless and should not be ignored, as it can sometimes indicate more serious conditions.

Pain and discomfort are frequent complaints, especially with external hemorrhoids. Patients may experience:

  • Itching or irritation in the anal area
  • Swelling around the anus
  • A painful lump near the anus
  • Discomfort or pain during bowel movements

In some cases, hemorrhoids can lead to complications such as thrombosis, where blood clots form inside the hemorrhoid, causing severe pain and swelling. Prolapse is another potential complication, where internal hemorrhoids protrude through the anus.

We emphasize the importance of seeking medical attention if symptoms persist or worsen. Early intervention can prevent more serious complications and improve overall outcomes for our patients.

Comparing Hemorrhoid Treatment Options

When considering hemorrhoid treatments, it’s crucial to understand the various options available and their effectiveness. We’ll explore non-surgical and surgical approaches, as well as traditional treatments and their limitations.

Non-Surgical vs. Surgical Treatments

Non-surgical treatments for hemorrhoids are often the first line of defense. These include lifestyle changes, such as increasing fiber intake and avoiding straining during bowel movements. Over-the-counter creams and suppositories can provide temporary relief from symptoms.

Minimally invasive treatments like rubber band ligation have shown a 50% to 70% success rate after one year. Another promising option is hemorrhoid artery embolization, which has resolved symptoms for 65% to 85% of patients.

Surgical treatments, such as hemorrhoidectomy, are typically reserved for severe cases. While effective, they often require general anesthesia and a longer recovery period. We recommend exploring non-surgical options first, as they carry fewer risks and can be highly effective for many patients.

Traditional Treatments and Their Limitations

Traditional hemorrhoid treatments have been used for decades, but they come with certain drawbacks. Topical treatments, while easily accessible, often provide only temporary relief and may not address the underlying cause.

Rubber band ligation, while effective for some, can be painful and may require multiple sessions. Sclerotherapy, another common treatment, can lead to complications like infection or tissue damage in rare cases.

Hemorrhoidectomy, the surgical removal of hemorrhoids, is highly effective but involves a lengthy recovery period and potential complications. We’ve found that many patients prefer less invasive options that allow for quicker return to daily activities.

A flow chart for deciding if hemorrhoid embolization is right for you.

Non-Surgical Hemorrhoid Treatment in Houston

At Access Vascular, our minimally invasive hemorrhoid embolization treatment provides lasting relief without the need for traditional surgery. From your initial consultation through recovery, our experienced team will guide you through this innovative procedure that has helped countless patients return to their daily activities with renewed comfort.

Pre-Procedure Considerations

Before undergoing hemorrhoid embolization, we conduct a thorough physical exam to assess the severity of the condition. We’ll review your medical history and may recommend additional tests to ensure you’re a suitable candidate for the procedure.

It’s crucial to inform us of any medications you’re taking, especially blood thinners. We may advise you to fast for several hours before the treatment. Wearing comfortable clothing on the day of the procedure can help you feel at ease.

We’ll explain the potential risks and benefits, allowing you to make an informed decision. Our team is always available to address any concerns you may have leading up to the embolization.

A doctor holding equipment used in non surgical hemorrhoid treatment

What to Expect During Treatment

The embolization procedure typically takes about an hour and is performed under local anesthesia. We begin by making a small incision, usually in the groin or wrist, to access the arterial system.

Using advanced imaging techniques, we guide a thin catheter through the arteries to locate the hemorrhoidal arteries. Once positioned, we inject tiny particles to block the blood flow to the hemorrhoids.

Throughout the procedure, you’ll remain awake but relaxed. You might feel slight pressure, but the technique is generally painless. Our experienced team monitors you closely to ensure your comfort and safety.

Post-Procedural Care

After the procedure, we’ll apply pressure to the entry site to prevent bleeding. You’ll need to lie flat for a few hours while we monitor your vital signs. This is an outpatient procedure. Most patients can return home the same day.

We recommend taking it easy for the first 24-48 hours. You may experience some mild discomfort or bruising at the access site, which is normal and should subside quickly.

It’s important to stay hydrated and maintain a high-fiber diet to prevent constipation. We’ll provide detailed instructions on wound care and activity restrictions to ensure a smooth recovery.

Results & Recovery

Many patients report significant improvement in their symptoms within days of the procedure. The success rate of hemorrhoid embolization is high, with most individuals experiencing long-lasting relief.

Full recovery typically occurs within a week, allowing you to return to normal activities. Unlike traditional surgical methods, embolization preserves the anatomy of the corpus cavernosum recti, reducing the risk of complications.

We schedule follow-up appointments to monitor your progress and address any concerns. While rare, some patients may require additional treatments for optimal results. Our team remains committed to your care throughout the recovery process.

Lifestyle Factors and Hemorrhoid Management

Effective hemorrhoid management involves more than medical procedures alone. We’ve found that certain lifestyle modifications can significantly impact symptom relief and prevention of recurrence.

View over the shoulder of a vascular radiologist looking at hemorrhoid treatment scans

Dietary Changes and Bowel Health

A fiber-rich diet plays a crucial role in managing hemorrhoids. We recommend increasing intake of fruits, vegetables, and whole grains to soften stools and reduce straining during bowel movements. Adequate hydration is equally important, as it helps prevent constipation.

Dietary choices significantly impact hemorrhoid management for many of our patients. We often suggest gradually increasing fiber intake to 25-30 grams per day. This can be achieved through foods like:

  • Oatmeal
  • Berries
  • Leafy greens
  • Legumes

Staying well-hydrated is crucial. We advise drinking at least 8 glasses of water daily to maintain soft, easy-to-pass stools.

Personalized Care Strategies

At Access Vascular Health, we believe in tailoring treatment plans to each patient’s unique needs. Our approach considers individual lifestyle factors, severity of symptoms, and overall health.

For patients with painful internal hemorrhoids, we may recommend a combination of dietary changes and minimally invasive procedures like hemorrhoid artery embolization. This technique can provide relief without the need for surgery.

We also emphasize the importance of regular exercise and maintaining a healthy weight. These factors can improve circulation and reduce pressure on the rectal area, alleviating hemorrhoid symptoms.

Frequently Asked Questions

Hemorrhoid artery embolization has a high success rate in treating internal hemorrhoids. Many studies show it to be an effective and safe treatment option.

We typically see significant symptom improvement in our patients within 6-12 weeks after the procedure. The recurrence rate is generally lower compared to traditional surgical methods.

We consider patients with internal hemorrhoids who haven’t responded well to conservative treatments as potential candidates for hemorrhoid embolization.

This procedure is particularly suitable for those seeking a minimally invasive alternative to traditional surgery. We assess each patient individually to determine if they’re a good fit for this treatment.

Hemorrhoid embolization is primarily designed to treat internal hemorrhoids. The procedure targets the blood supply to internal hemorrhoids, reducing their size and symptoms.

External hemorrhoids typically require different treatment approaches. We recommend a consultation to discuss the most appropriate options for your specific condition.

While hemorrhoid embolization is effective for many cases of internal hemorrhoids, not all hemorrhoids can be treated with this method.

Some advanced cases or complications may require alternative treatments. We evaluate each case individually to determine the most suitable approach.

As with any medical procedure, hemorrhoid embolization carries some risks. However, complications are generally rare due to its minimally invasive nature.

Potential risks may include temporary discomfort, bleeding, or infection at the insertion site. We thoroughly discuss all potential risks and benefits with our patients before proceeding with the treatment.