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Types of Piles Treatment

Piles and their Treatments

Piles, or haemorrhoids, are swollen blood vessels in the rectum and anus. Piles are very common and there are many types of piles treatments available to treat different types of piles. Piles should be treated as they can be a source of great discomfort, and may worsen in severity.

The recommended types of piles treatments will depend on the location and severity of the piles. Smaller haemorrhoids may resolve on their own, with symptoms manageable through diet and lifestyle modifications and medications. Piles whose symptoms do not improve with conservative treatments or are already causing significant pain may require surgery to treat. Surgery may be recommended for piles that have prolapsed (protruding through the anus) or are thrombosed (developed a blood clot).

Different Types of Piles

Different Types of Piles Treatments

Piles treatments can be divided into two main categories: non-surgical and surgical.


Non-Surgical Piles Treatments

Non-surgical treatments include:

  • Medications and suppositories - Mild pain can be relieved using over-the-counter or prescribed pain relief medications. Topical and rectal suppositories may also be given to alleviate pain, itching and swelling.
  • Rubber band ligation - Commonly known as banding, this procedure involves placing a band tightly around the base of the haemorrhoid. This cuts off the haemorrhoid’s blood supply, causing it to shrink and fall off naturally. Banding is typically done to address prolapsed piles.
  • Energy ligation of haemorrhoidal arteries - This procedure is similar to a rubber band ligation, in which the goal is to shrink the haemorrhoid by cutting off its blood supply. The difference is that this technique typically uses heat energy. The discomfort that comes with technique is minimal.

Surgical Piles Treatments

Surgical treatments include:

  • Conventional excisional haemorrhoidectomy - The traditional method to treat piles, this procedure involves opening up the anus using surgical scissors or laser to remove the piles. The resulting wounds are left open to heal. A conventional excisional haemorrhoidectomy is done under general anaesthesia. As with open surgery, the recovery is longer and more uncomfortable than less-invasive methods.
  • Closed-wound excisional haemorrhoidectomy - The procedure is similar to a conventional excisional haemorrhoidectomy, except that the resulting wound is sutured closed using absorbable sutures. A closed-wound excisional haemorrhoidectomy has a shorter and less painful recovery period.
  • Stapled haemorrhoidectomy - This procedure is performed to treat internal and prolapsed haemorrhoids. It involves stapling the haemorrhoid back into its original position in such a way that its blood supply is also cut off. Stapling has a quicker recovery period than an excisional haemorrhoidectomy, but the chance of the haemorrhoid recurring is higher.
  • Ligasure haemorrhoidectomy - This procedure is similar to a haemorrhoidectomy, with the exception that it also involves coagulating the tissue first before it is removed to help control the bleeding. Doing so minimizes the risk of complications and helps reduce blood loss and pain after surgery.
  • Transanal haemorrhoidal dearterialization (THD) - Also known as haemorrhoidal artery ligation (HAL), this procedure involves using ultrasound to first locate the blood vessels that need to be ligated and cut off. It cannot be done to treat prolapsed haemorrhoids.

Our Surgeons

Dr Dennis Koh

Dr Dennis KohMedical Director & Senior Consultant Colorectal Surgeon

MBBS (Nottingham), B Med Sci (Nottingham)
MMed (Surgery), FRCS (Edinburgh), FAMS

Dr Dennis Koh is a MOH-accredited and experienced colorectal surgeon; and currently the Medical Director at Colorectal Practice.

Dr Koh strives to provide a customized treatment plan for each patient, which allows for better outcomes. He also honed his skills in proctology abroad in Geneva, bringing a more diverse touch to his practice.

Dr Sharon Koh Zhiling

Dr Sharon Koh ZhilingSenior Consultant Colorectal Surgeon

MBBS (Singapore), MMed (Surgery),
FRCS (Edinburgh), FAMS

Dr Sharon Koh is an experienced colorectal surgeon and the former Director of Endoscopy at Alexandra Health.

Dr Koh completed her fellowship at Cedars-Sinai Medical Centre in the US after being awarded the Academic Medicine Development Award by the National University Hospital.

Comprehensive Range of Colorectal Services for Your Peace of Mind

We tailor our treatments based on your lifestyle requirements and healthcare needs. At our colorectal clinic, we believe in providing personalized care as it allows for better surgical outcomes and creates a supportive environment for our patients.

For a detailed consultation, contact us at 6262 1226 or fill up the contact form below.

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