Class IV Internal Hemorrhoid. What Are The Treatment Options?

Posted on Mon, 25 Jun 2012

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 25 Jun 2012 Answered on

Mon, 16 Jul 2012 Last reviewed on

Question : I have a class IV XXXXXXX Hemorrhoid. What are my treatment options

Answered by Dr. Ajit Naniksingh Kukreja (8 hours later)

Hi

Thanks for posting your query

If a surgeon has diagnosed it as grade four hemorrhoids which is an irreversible prolapse (we cannot put them back) with or without necrosis, the best option is Doppler Guided Hemorrhoidal Artery Ligation and Recto Anal Repair. This is evidence based procedure and painless.

Earlier Rubber Band ligation and conventional hemorrhoidectomy were being done. As there is symptomatic recurrence it is not being undertaken by experienced Colo-rectal surgeons though some still prefer to practice the same.

Hope this helps. Am available for followup queries

Wishing you good health ahead.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar