DRHC Dubai Proctology Clinic

Hemorrhoids or Piles Treatment - Dubai Proctology Clinic


What are hemorrhoids or piles?

Hemorrhoids, also known as” piles”, are natural cushions of tissue and veins located at the junction between the rectum and anus.
Hemorrhoids play a significant physiologic role in protecting the anal sphincter muscles and work with them to close the anal canal when abdominal pressure increases (e.g., coughing, sneezing) to prevent incontinence and contribute 15 to 20% of the resting anal canal pressure. This tissue is also thought to help differentiate stool, liquid, and gas in the anal canal. Everyone has them, even newborns; problems only arise when they prolapse and become larger than they should. In fact, when Park's ligaments become loose for different reasons (pregnancies, childbirth, chronic constipation.), hemorrhoids prolapse down to the anal verge, get enlarged, and the overlying tissue becomes thinner and prone to bleed. For this reason, is more correct to call the disease ‘hemorrhoidal prolapse or simply ‘prolapse’, since hemorrhoids are present in the normal anal canal. 

According to the Goligher classification, hemorrhoids can be of 4 grades

  • Grade 1 internal hemorrhoids that stay inside the anal canal
  • Grade 2 internal hemorrhoids that are protruding out the anus after defecation but are spontaneously reducing
  • Grade 3 internal hemorrhoids that are protruding out the anus after defecation and need manual help to be reduced
  • Grade 4 external hemorrhoids that are permanently protruding out of the anus and cannot be replaced in the anal canal

 hemorrhoids grades


Symptoms of hemorrhoidal prolapse:

  • Bleeding during bowel movements; usually in the form of bright red blood on the toilet paper after a bowel movement, in advanced cases, blood can be seen even on the toilet
  • Swelling protruding from the anus: hemorrhoids might feel like smaller or bigger lumps in the anus after straining on the toilet; in more severe cases, swellings will be constantly visible
  • Hemorrhoids can cause perianal skin irritation and intense itching
  • When one of the hemorrhoids gets thrombosed (dark purple color and hard consistency), hemorrhoids may cause dull pain

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Hemorrhoids & Piles treatment:

At Dr. Rami Hamed Center Dubai, we specialize in advanced techniques for the treatment of hemorrhoids and piles. Our approach prioritizes patient comfort and rapid recovery, utilizing cutting-edge procedures to ensure optimal outcomes. Here's an overview of the advanced techniques we employ:

As a general rule: most hemorrhoidal prolapses require only medications and lifestyle modifications, but some of them are best treated with surgery.

Traditional methods like Ferguson and Milligan-Morgan procedures require surgical asportation with a very painful postoperative course.

Conversely, we believe in modern hemorrhoid treatment surgery, with the aim of guaranteeing patients a smooth and quick recovery after surgery. 

Doppler Ligation and Pexy:

So either we use the Doppler ligation of the vessels feeding the hemorrhoids and a pexy of the redundant tissue or we definitely resect the prolapse with a circular stapler, therefore repositioning the hemorrhoids in the normal anatomical position (Longo technique and STARR).

Hemorrhoidal Artery Ligation and Recto Anal Repair Systems (HAL-RAR or THD):

Hemorrhoidal Artery Ligation and Recto Anal Repair Systems (HAL-RAR or THD) is a Day Case procedure, with no cutting, no removal of tissue, and no open wounds, with a short procedure time and quick return to daily activities.

Laser Hemorrhoid Treatment:

The process involves using a focused beam of light to Treat hemorrhoidal tissue, effectively sealing off the affected blood vessels and reducing swelling.

Circular Stapler Resection (Longo Technique and STARR):

(STARR) techniques are normally used for 4th-degree prolapses or in women patients with descending perineum and the presence of rectocele.


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The proctologist at the proctology clinic at our DRHC provides the best diagnosis of hemorrhoids, hemorrhoid treatment, hemorrhoidectomy, and hemorrhoid surgery.

To book an appointment call now +97142798200.