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Endoscopic Hemorrhoidectomy(EH)

Endoscopic hemorrhoidectomy is an advanced procedure for internal hemorrhoids. It was first developed by ProctoCan and presented at the European Society of Coloproctology Meeting in 2022.

It is usually done under regular endoscopy sedation, which does not require a short hospital stay. An endoscope is a flexible tube with a camera at the end that allows the surgeon to see inside the rectum and anus. Patients may experience some discomfort after the procedure, but most can return to normal activities within a day or two after the procedure with the same side-effect profile as the older less effective procedure of rubber band ligation (RBL).


  • This technique, as all techniques are prone to recurrence and suffers from the same problems with most techniques like RBL and cutting surgery; it only partially treats the whole problem; It only partially treats the whole problem. You will likely need more than one treatment or perhaps more removal or other surgery to try and fix your problem more permanently.
  • Extremely rarely, you may get very sick and require hospitalization, to treat infections like fistula or abscess either to help to urinate or with infection or bleeding.
  • Infrequently, you may have mild to moderate and very rarely severe or prolonged pain, bleeding and swelling of your anal tissues after such procedures.
  • No surgical procedure is perfect, unfortunately you may need further treatment. We are repeating ourselves here for emphasis!
  • You will have some slight burning pain and discomfort usually afterwards when hemorrhoids are treated in this way.

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