Piles Treatment in Singapore

Piles are a very common problem in Asia. Piles are an abnormal swelling of blood vessels in the anus. Sometimes, these swellings can enlarge gradually to become a big lump at the anus. At other times, these blood vessels swelling can burst and result in passage of fresh blood from the anus after defecation.

Conservative & Surgical Treatments
Conservative & Surgical Treatments
Minimal Downtime by Skilled Specialist
Minimal Downtime by Skilled Specialist

What are the Symptoms of Piles?

  • Bleeding from the rectum
  • Lump in the anal region
  • Anal itch
  • Anal pain

What are the Various Grades of Piles?

Piles Grade 1
Bleeding with no lump at the anus
Piles Grade 2
Lump at the anus that protrudes after passage of stool, but disappears spontaneously later
Piles Grade 3
Lump at the anus that protrudes after passage of stool, but disappears after being pushed back into the anus
Piles Grade 4
Permanent lump at the anus
Piles Treatment Options

What are the Piles Treatment Options?

  • Medications
  • Rubberband Ligation
  • Injection Sclerotherapy
  • Traditional Haemorrhoids Surgery (Haemorrhoidectomy)
  • THD (Transanal Haemorrhoidal Dearterisation)
  • Stapled Haemorrhoidectomy

THD (Transanal Haemorrhoidal Dearterisation)

Many modalities have been used for first- and second-degree piles treatment, including medications, rubber ligation and sclerotherapy. Surgical excision is performed if non-surgical options failed to address the problem. A newer technique of Transanal Haemorrhoidal Dearterisation (THD) has gained popularity in the treatment of early stages of piles over the past 5 years. This technique involved the ligation of the distal branches of the superior rectal artery and thus drastically reducing blood supply to the haemorrhoidal plexus. This in turn reduces the haemorrhoidal congestion with the result of decrease haemorrhoidal bleeding and prolapse. The use of a transanal vascular Doppler allows precise ligation of the haemorrhoidal vessels at or above the level of the anorectal junction. Unlike rubberband ligation of piles, this procedure does not produce the distressing sensation of tenesmus. It is relatively painless procedure as the ligation of vessel is proximal to the dentate line and transitional epithelium of the anal canal. A haemorrhoidopexy can also be performed if there is a small component of hemorrhoidal prolapse. Many studies have shown that THD is a very effective procedure for the treatment of first- and second-degree piles. THD is less effective for third degree piles, especially if the predominant symptom is prolapsed and not bleeding. However, THD can still be offered to patients with third degree piles and refused excisional haemorrhoidectomy.

KH Ng et al. The Forth Branch of the Superior Rectal Artery and its Significance in Transanal Haemorrhoidal Dearterisation (THD). Techniques in Coloproctology 2010 Dec;14(4):345-8.
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