How It Works

  • Through a proctoscope, the internal pile is identified
  • A small volume of sclerosant solution is injected into the submucosal tissue at the base of the pile
  • The solution causes controlled inflammation and eventual scarring
  • Over 2 to 6 weeks, the pile shrinks
  • Bleeding usually stops within days

What to Expect

During Procedure (5 to 10 minutes): positioning similar to rubber band ligation, injection is quick, mild discomfort during.

After: minimal discomfort, no downtime, return to work same day possible.

Suitable For

  • Grade I piles with bleeding
  • Early Grade II piles
  • Patients where rubber band ligation is not preferred
  • Combined use with other treatments in select cases

Sessions Needed

Often 1 to 3 sessions spaced 2 to 4 weeks apart.

Advantages

  • Very simple
  • Very quick
  • No cutting
  • No band
  • Repeatable
  • Useful for smaller early piles