Piles Treatment, Birmingham

Man with hemorrhoids holding his butt in pain, in a white background

We offer our patients the most appropriate treatment option for the severity and anatomy of their haemorrhoids. Your surgeon will discuss each suitable procedure with you at your consultation and support you to make an informed choice.

Our treatment options include:

  • Rubber band ligation
  • Transanal Haemorrhoidal Dearterialisation (THD)
  • Rafaelo
  • eXroid
  • Conventional haemorrhoidectomy

Irrespective of the piles treatment offered, we advise our patients to adopt a bowel-friendly diet. This helps to soften stools so that they pass out of the body without the need to strain.

What our patients say

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Treatments for piles

Rubber Band Ligation (Banding) - effective & simple

This effective, simple treatment is suitable for Grade I and II haemorrhoids. It can be performed in the clinic or at the same time as an investigation of the lower bowel. The doctor inserts a special device into the anal canal which delivers a small, tight rubber band onto the base of the haemorrhoid to cut off the blood flow. The haemorrhoid will shrink and fall off, usually within a week. The patient may need more than one procedure to resolve the condition completely.

Transanal Haemorrhoidal Dearterialisation (THD) - painless & performed under general anaesthetic

THD is a painless procedure performed under a general anaesthetic. It uses a Doppler probe to identify the site of the haemorrhoidal arteries within the anal canal. Once located, the surgeon ties the arteries off with an accurately placed stitch. Further stitches are required to pull the haemorrhoidal tissue back up inside the anal canal.

In most cases, patients resume normal activities within 24 – 48 hours. After the procedure, some patients report mild discomfort in the rectal area and an urge to defecate. Both symptoms usually disappear within a few days.
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Rafaelo - minimally invasive & performed under local anaesthetic

The Rafaelo Procedure uses radiofrequency technology to reduce or eliminate the common symptoms of haemorrhoids (Grade I-III). It is a minimally invasive day case procedure, which typically takes no longer than 15 minutes to perform. It can be carried out using a local anaesthetic, with or without a mild sedative. Most patients report very little pain or discomfort, and they resume normal activities quickly.

The Rafaelo Procedure is a novel treatment, which means that there is limited published evidence about how well it works, its long-term effects, or how safe it is for treating haemorrhoids; however, it has been approved by The National Institute for Health and Care Excellence (NICE).

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eXroid - minimally invasive & straightforward

eXroid applies a gentle current (Electrotherapy) to the base of each haemorrhoid for up to ten minutes. During the procedure, the piles shrink. They often disappear completely, but if not, they can continue to shrink for a week or more following treatment.

The majority of eXroid patients say that this straightforward procedure incurs minimal or no discomfort. Sedation and anaesthetic are not required. The patient may need more than one procedure to resolve the condition completely.

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Conventional Haemorrhoidectomy - the gold standard treatment

A conventional haemorrhoidectomy is performed under a general anaesthetic, usually as a day case. The haemorrhoids are excised and the wounds left open to heal naturally over the next few weeks.

This technique is still considered the ‘gold standard’ and is thought to provide the most durable results. However, it involves tissue removal, so it is a more painful treatment than alternative minimally invasive techniques.

Performed under general anaesthetic, the haemorrhoids are excised and the wounds left open to heal naturally over the next few weeks.

A haemorrhoidectomy is thought to provide the most durable results; however, it is known as quite a painful procedure. Much effort has been spent in trying to make the operation more comfortable and it can now be undertaken as a day case in most instances.

What are the risks?

Specific complications of a haemorrhoidectomy can include:

  • Pain that can last for several weeks, although it usually eases off during that time
  • Constipation for a few days after the operation – this can usually be treated through dietary measures and laxatives
  • An infection of the operation site or the urinary tract
  • Scar tissue causing the anus to become tighter (stenosis)
  • Bleeding, either immediately after the operation, or that starts a week or more after the operation

The chance of complications depends on the exact type of operation you are having and other factors such as your general health. Your surgeon will explain how any risks apply to you. Click on the button below to find out about our treatment prices.


Book a consultation

To book a consultation, call us on 0121 803 6633 or email us at [email protected].