Hemorrhoids Treatments Comparison: Rubber Band vs Laser vs Sclerotherapy



Hemorrhoids is a condition that can be cured by various treatment methods. Learning the advantages and disadvantages of each method can help physicians determine the most suitable procedure to their patients. Here we will look at the benefits and pitfalls of various hemorrhoids treatment.

Rubber Band Ligation

Rubber band ligation is the most popular procedure used for treating second and third grade hemorrhoids. It is the barometer for comparing with other methods.

Procedure

In this procedure, a band ligature is inserted through an anoscope and positioned on the rectal mucosa proximal all the way to the dentate line.

Rate of Success

The percentage of success in rubber band ligation is high with eight out of ten patients undergoing this method claiming to have marked improvements on their symptoms.

Likewise, its efficiency is long-term as it eliminates the need to undergo the same procedure when manifestations reappear.

Disadvantage

The disadvantage of rubber band ligation is that it is accompanied by extreme pain that reacts to pain killers. Aside from that, there is bleeding from the anus. Likewise, it has serious complications that is manifested a week or two after the procedure.

Laser or Infrared Coagulation

Another popular method of hemorrhoids treatment is laser or infrared coagulation.

This procedure uses laser or infrared technology to eliminate hemorrhoids. It forms a scar tissue as the infected area heals.

This treatment method effectively treats first, second, and some third grade hemorrhoids.

With coagulation, there are fewer and minimal severe complications compared with ligation.

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Likewise, it is simple and fast. However, the rate of recurrence is much higher than in ligation.

Sclerotherapy

In sclerotherapy, the blood vessel is injected with a chemical solution, such as phenol, concentrated salt, and polidocanol, to reduce the hemorrhoid.

This is an alternative procedure for rubber band ligation. Injecting the wrong solution can bring about infections in the pelvic region and impotence.

When compared with rubber band ligation, the complications of sclerotherapy are fewer and less severe.

However, the rate of recurrence is likewise high. This procedure can lead to urological disorders. Sclerotherapy is not recommended for anterior hemorrhoids.

For occasional, comprehensive, or severe internal or external hemorrhoid, a surgical procedure called hemorrhoidectomy is required.

This is the most successful treatment method for hemorrhoids. Likewise, it is the most ideal treatment for fourth grade hemorrhoids.

On the other hand, while it has the highest rate of success, hemorrhoidectomy likewise offers the highest percentage of pain and complications, ranging from 10 to 20%.

Over-the-counter medicines

Over-the-counter medicines, such as creams for hemorrhoids and suppositories, are readily available. They can ease the pain, itchiness, and swelling in the affected area and has no record of further complications. However, OTC methods do not eliminate hemorrhoids.



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