Hemorrhoid Artery Embolization (HAE)

What is Hemorrhoid Artery Embolization (HAE)?

Hemorrhoid Artery Embolization (HAE) is a minimally invasive procedure designed to treat symptomatic hemorrhoids, particularly those that persist despite conservative treatments like dietary changes, topical therapies, or banding. HAE addresses the root cause of hemorrhoids—excessive blood flow to the hemorrhoidal tissue—by reducing blood supply, which alleviates swelling, pain, and bleeding.

Research

Long-lasting relief from symptoms of an enlarged prostate.

Urologytimes

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Key Features of HAE

Minimally Invasive Procedure

HAE is performed through a tiny skin puncture, typically in the groin or wrist, avoiding large incisions or direct manipulation of the hemorrhoidal tissue. This minimizes pain, scarring, and recovery time.

Advanced Imaging Guidance

An interventional radiologist uses fluoroscopy or other imaging techniques to guide a catheter into the arteries supplying the hemorrhoids. Tiny embolic particles are then injected to reduce blood flow, shrinking the hemorrhoidal tissue.

Lower Risk of Complications

Compared to surgical options like hemorrhoidectomy, HAE has a significantly reduced risk of complications such as infection, excessive bleeding, or damage to surrounding tissue.

Same-Day Discharge

Due to its minimally invasive nature, most HAE patients can go home the same day.

Minimal Pain

Unlike traditional surgical approaches, HAE results in minimal postoperative pain, often managed with over-the-counter pain relievers.

Faster Recovery

Most patients experience relief from symptoms within days and resume normal activities within a week. Most patients can return to work the next day!

Preservation of Anal Anatomy

HAE avoids direct removal or cutting of hemorrhoidal tissue, preserving the natural anatomy and reducing the risk of incontinence or scarring.

Ideal for Non-Surgical Candidates

HAE is an excellent option for patients who are not candidates for surgery due to other health conditions or those seeking a less invasive alternative.

High Patient Satisfaction

Patients consistently report significant symptom relief and improved quality of life with minimal discomfort and downtime.

Your Choice?

Is HAE the Right Option for You?

HAE is suitable for patients experiencing moderate to severe hemorrhoidal symptoms that have not responded to other treatments. Your specific eligibility depends on several factors such as your overall health, degee of hemorrhiodal disease, preferences for recovery, and patient expectations.

Effective for Persistent Hemorrhoids

HAE is particularly effective for individuals with internal hemorrhoids causing rectal bleeding, pain, or prolapse, especially if conservative measures have failed.

Minimally Invasive for Complex Cases

Patients with conditions that make surgical interventions risky, such as cardiovascular disease or bleeding disorders, may find HAE a safer alternative.

Reduced Postoperative Complications

If you are concerned about the pain, scarring, or recovery associated with surgery, HAE offers a far less invasive option with faster recovery times.

Discussion

Consultation with an Interventional Radiologist

A detailed evaluation with a specialist is necessary to determine your eligibility for HAE. This includes a review of your medical history, imaging studies, and a discussion of risks and benefits tailored to your condition. A thorough work-up including possibly identifying risk factors such as GI issues, occupation etc.

Factors to Consider

The severity of symptoms, such as bleeding, prolapse, or pain.

Any underlying health conditions that might make surgery risky.

Decision

Making the Decision

Deciding on HAE should be a collaborative process between you and your healthcare provider. If you’re seeking a safe, effective, and minimally invasive solution for persistent hemorrhoids, HAE could be the right choice for you.

If you’re considering HAE, consult with an interventional radiologist to explore how this innovative procedure can improve your quality of life and provide lasting relief from hemorrhoid symptoms.

Dr. Shivank Bhatia M.D., FSIR.

Delray Beach, FL

Naples, FL