Exploring Non-Surgical Treatments for Hemorrhoids: Is It Worth the Cost? - Surgery

Share to:

Dry hemorrhoid therapy


Hello, Director Ke.
Recently, I have been experiencing pain after bowel movements, and my internal hemorrhoids feel larger (I have researched and believe I am at grade 3).
I visited a clinic called "Hong An Hemorrhoid Clinic" in Banqiao.
After the examination, they mentioned that my condition might require surgery.
Later, they said that due to complications from surgery experienced by other patients, the doctor proposed a special non-surgical treatment that only requires three sessions (and it is painless).
However, each session costs NT$18,000, which I find quite expensive.
I would like to ask if the "Hong An" clinic's method for treating hemorrhoids is truly effective, as I prefer to avoid surgery.
My condition involves multiple hemorrhoids on both sides.
Is the rubber band ligation method applicable in my case? Additionally, what is the general cost for the non-surgical hemorrhoid treatment? Thank you very much!

Xiao Long, 30~39 year old female. Ask Date: 2008/01/17

Dr. Ke Fangxu reply Surgery


Dear Xiao Long: The need for surgery for hemorrhoids has strict indications.
In simple terms, persistent bleeding and severe pain necessitate surgical treatment.
If you seek treatment from a qualified physician, aside from experiencing some abnormal sensations in the anal area for a week post-surgery, there will be no lasting side effects.
As for hemorrhoidal prolapse, it falls under relative indications, meaning that surgery is optional and depends on the individual patient's needs.
If you prefer not to have surgery, the National Health Insurance also covers rubber band ligation and sclerotherapy for hemorrhoids, which do not require out-of-pocket expenses.
Please consult a qualified physician at a major hospital, preferably a colorectal surgeon, for advice and assistance.

Reply Date: 2008/01/17

More Info


When considering non-surgical treatments for hemorrhoids, particularly for a case classified as Grade 3, it's essential to weigh the effectiveness and costs of various options. Hemorrhoids, especially when they become symptomatic, can significantly impact quality of life, leading to discomfort, pain, and even complications if left untreated.


Non-Surgical Treatment Options
1. Rubber Band Ligation: This is a common non-surgical procedure for treating hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply. The hemorrhoid then shrinks and falls off within a week or so. This method is generally effective for Grade 2 and Grade 3 hemorrhoids and is less invasive than traditional surgery. The cost can vary widely, but it typically ranges from $300 to $1,500 per session, depending on the provider and location.

2. Sclerotherapy: This involves injecting a solution into the hemorrhoid, causing it to shrink. It is less painful than surgery and can be done in a doctor's office. The cost is usually lower than surgical options, often between $300 and $800 per session.

3. Infrared Coagulation (IRC): This method uses infrared light to coagulate the blood vessels feeding the hemorrhoid, leading to its shrinkage. The costs are similar to sclerotherapy and rubber band ligation.

4. Cryotherapy: This treatment involves freezing the hemorrhoid tissue, which can also lead to its shrinkage. While effective, it is less commonly used than the other methods mentioned.


The Cost-Benefit Analysis
Regarding the specific treatment you mentioned at 弘安痔科, which costs $18,000 per session for a special therapy, it is crucial to evaluate the claims made by the clinic. While some clinics may offer innovative treatments, it is essential to consider the following:
- Efficacy: Is there scientific evidence supporting the effectiveness of this therapy? Research and clinical trials can provide insights into whether the treatment is genuinely beneficial.

- Cost: Compare the cost of this therapy with more established non-surgical options. If the therapy is significantly more expensive, it may not be justified unless it has proven superior results.

- Consultation: Seek a second opinion from another healthcare provider. They may offer alternative treatments or confirm the necessity of the proposed therapy.


Surgical Considerations
If non-surgical treatments fail or if the hemorrhoids are particularly severe, surgical options may be necessary. Surgical procedures, such as hemorrhoidectomy, are generally more invasive and come with risks, including pain, bleeding, and complications. The success rate for surgical interventions is high, but recovery can be longer compared to non-surgical methods.


Conclusion
In summary, while non-surgical treatments for hemorrhoids can be effective, it's essential to evaluate the costs and benefits critically. Treatments like rubber band ligation and sclerotherapy are well-established and may offer a more cost-effective solution compared to the specialized therapy proposed by 弘安痔科. Always consider consulting with multiple healthcare providers to ensure you receive the best possible care tailored to your specific condition.

Similar Q&A

Non-Surgical Treatments for Hemorrhoids: Effective Options Explained

Hello Dr. Li: I would like to ask if the non-surgical methods for treating hemorrhoids that are reported to be effective are currently adopted by general hospitals. If the hemorrhoids are quite severe and bleeding, are these methods still applicable?


Dr. Li Junda reply Surgery
The report mentions that non-surgical treatments include ligation, sclerotherapy, or cryotherapy, but these are primarily aimed at internal hemorrhoids and less severe cases, and are not suitable for all degrees of severity. Our hospital also offers rubber band ligation, which ca...

[Read More] Non-Surgical Treatments for Hemorrhoids: Effective Options Explained


Can Hemorrhoids Be Treated Without Surgery? Exploring Non-Surgical Options

Hello, doctor. I visited a gastroenterology clinic at the beginning of November, and I’m not sure what kind of examination was performed; I was just asked to lie on my side, and it seemed like the doctor examined my rectum manually. The doctor diagnosed me with hemorrhoids and pr...


Dr. Ke Fangxu reply Surgery
My personal principle is to recommend surgery only for hemorrhoids that are accompanied by persistent bleeding, severe pain, or significant prolapse. Otherwise, conservative treatment targeting the symptoms can be pursued first. As long as there are no uncomfortable symptoms, the...

[Read More] Can Hemorrhoids Be Treated Without Surgery? Exploring Non-Surgical Options


Managing Hemorrhoids: Alternatives to Surgery and Post-Operative Concerns

Hello, doctor. I have had hemorrhoids for many years (about twenty years). Although I have never seen blood in my stool, I have to wash with clean water after each bowel movement and push the protruding hemorrhoids back into the anus, which is not very convenient. However, seeing...


Dr. Ke Fangxu reply Surgery
Hello, Xiao Qiang: Generally speaking, if hemorrhoids have already protruded outside during a bowel movement and need to be pushed back in by hand, surgical treatment is likely to be the most effective option. If you prefer not to undergo surgery, the various non-surgical treatme...

[Read More] Managing Hemorrhoids: Alternatives to Surgery and Post-Operative Concerns


Overcoming the Silence: Understanding and Treating Hemorrhoids

Hello: This issue has been with me for quite a while. I haven't seen a doctor because it's difficult to talk about. After each bowel movement, my hemorrhoids protrude. Based on information I found online, I believe I have grade 3 to 4 internal and external hemorrhoids. ...


Dr. Wang Qichao reply Surgery
Hello: If it is convenient for you, I would be happy to assist you. Sincerely, Dr. Wang Qi-Chao, Department of Surgery, Taoyuan Hospital.

[Read More] Overcoming the Silence: Understanding and Treating Hemorrhoids


Related FAQ