Condition
Hemorrhoid Embolization
A minimally invasive, non-surgical treatment for bleeding internal hemorrhoids.
Overview
Through a tiny skin puncture in the wrist or groin, a small catheter is guided to the arteries supplying the hemorrhoids. Using specialized imaging, these vessels are blocked with tiny particles (embolics) and/or metal coils to reduce blood flow to the bleeding or symptomatic internal hemorrhoids. This decreases swelling and bleeding without surgery or tissue removal.
Symptoms
Common symptoms
- Bright red blood during or after bowel movements
- Mucus discharge or staining
- Feeling of fullness or incomplete emptying
- In advanced cases, tissue may prolapse (protrude) outside the anus
Internal vs. External Hemorrhoids
Internal vs. External Hemorrhoids
Internal hemorrhoids develop inside the rectum, most often cause painless bright-red bleeding with bowel movements, and may cause pressure or fullness but usually no visible external lump. These are the primary candidates for our office for Hemorrhoid Embolization (HAE/"Emborrhoid").
External hemorrhoids form under the skin around the anus, causing swelling, itching, and pain (especially if clotted/thrombosed). These are typically treated with creams, lifestyle measures, or office procedures — not embolization. If your main symptom is bleeding from internal hemorrhoids, you may be a candidate for HAE.
Who Is a Candidate?
Who Is a Candidate?
You may be a good candidate if you have:
- Grade I, II or III internal hemorrhoids with persistent bleeding
- Symptoms not improved with diet, creams, banding, or other procedures
- A preference to avoid invasive surgery or if you are not a good surgical candidate
- Recurrent symptoms after 3 to 6 months of optimized medical therapy
Who Is Not a Candidate?
Who Is Not a Candidate?
- Grade IV hemorrhoids or severe prolapse that usually require surgical removal
- Active infection, uncontrolled bleeding disorders, or severe contrast allergy that cannot be safely managed
Benefits of HAE at Buffalo Vascular Care
Benefits of HAE at Buffalo Vascular Care
- No incisions or stitches — only a pinhole skin puncture
- No general anesthesia — performed with local anesthesia and comfort sedation
- Same-day discharge — outpatient procedure
- Rapid recovery and quick return to normal activities
- Reduced recurrence rates compared with some traditional methods
- Procedure performed in the comfort of our centrally located, office-based interventional suite
Common Questions
Frequently asked questions
Will it hurt?
Most patients feel little to no pain. We use local anesthesia and sedation to keep you comfortable.
How long does it take?
Usually 1–2 hours. You go home the same day.
When will I see results?
Many patients notice reduced bleeding within days to weeks, with continued improvement over time.
Is this permanent?
Relief is long-lasting for many, though results vary. If bleeding returns due to collateral arteries, a targeted re-embolization may help.
Do I still need lifestyle measures?
Yes. Even after HAE, it's important to:
- Maintain a high-fiber diet (fruits, vegetables, whole grains)
- Drink plenty of water
- Use stool softeners if recommended by your provider
- Avoid excess straining or prolonged sitting on the toilet
- Stay physically active to support bowel health
Talk to Dr. Azher Iqbal about Hemorrhoid Embolization
Request a consultation to discuss your symptoms and treatment options.
Most insurance accepted