Hemorrhoid sclerotherapy and Rubber band ligation

Hemorrhoids in the early stage (1st and 2nd degree) are mainly treated with sclerotherapy or with
rubber band ligatures.

The Sclerotherapy:

Hemorrhoids with occasionally bright red bleeding (first-degree) are successfully treated with
sclerotherapy. This treatment is done as an outpatient treatment. The tissue to be sclerosed is not
sensitive to pain and no anaesthesia is necessary. The sclerosing agent (aethoxysclerol) is injected into
the enlarged hemorrhoids tissue as a liquid or as a micro-fine foam. Sclerotherapy can be repeated two
to three times in a two to the three-week interval.

Rubber band ligation:

A rubber band ligation is often performed in patients with grade II hemorrhoids (the
hemorrhoids bulge outwards when pressed). With this treatment, enlarged hemorrhoids are tied off with the help
of a small rubber ring. After a few days, the ring falls off together with the dead hemorrhoids tissue
and is excreted naturally. The rubber band ligation is usually not painful and is performed on an
outpatient basis.

Usually, multiple sclerotherapies or tying with rubber rings brings good success. Sometimes you can
combine the sclerotherapy and rubber band ligature in one session.

A supplementary basic therapy (healthy lifestyle, physical activity and high fibre diet etc.) supports the
the success of the therapy.

If this is unsuccessful or if the hemorrhoids disease has progressed, too far, surgical treatment is
required.