Hemorrhoids without or with little prolapse (stage I and II) can be treated well by sclerotherapy or constriction. In Sclerosing , a substance is injected into the hemorrhoids tissue, resulting in shrinkage and scarring. In constriction , hemorrhoid tissue is bound with small rubber bands. Both methods are almost pain-free, but they have to be performed several times a few weeks apart.
Hemorrhoids with prolapse or prolapse (Stage III and IV) usually need to be treated surgically in anesthesia. If there is only one prolapse at one point, a small excision with or without a seam will occur (Milligan-Morgan, Ferguson) . If the prolapse is pronounced, more extensive operations are necessary (Parks, Fansler-Arnold) .
For a prolapse, which can be pushed well into the anus, there are newer, less painful procedures without cutting hemorrhoids. In the OP to Longo , the intestinal mucosa above the haemorrhoids area is ruptured with a special stapling sewing machine and thereby the prolapse is eliminated. In the THD method , the haemorrhoidal arteries are examined and prevented by ultrasound. This method alone is also suitable for larger hemorrhoids without prolapse. By additional gathering seams the simultaneous elimination of a prolapse occurs. For a TV contribution to the THD method , please visit www.youtube.com/watch?v=BziRhoYdspA , more information at http://www.haemorrhoidenbehandeln.de/.