A Personal Experience in Comparing Three Nonoperative Techniques for Treating Internal Hemorrhoids

Sheldon S. Zinberg, David H. Stern, Donald S. Furman, Joel M. Wittles

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Infrared photocoagulation therapy was used on a total of 302 patients. Approximately 20% of the patients experienced minor bleeding; however, two required surgery, and 30% of the patients experienced discomfort during a 14‐day period following the procedure. Good results were obtained in patients with first‐ and second‐degree hemorrhoids. Heater probe coagulation therapy was conducted in a total of 264 patients. Good results were achieved in 90% of patients with first‐ and second‐degree hemorrhoids, minor pain and bleeding occurred in approximately 10% of these patients, and one patient with third‐degree hemorrhoids who was treated with this technique failed to respond and required surgery. Ultroid d.c. current therapy was utilized in 192 patients, and follow‐up results were good in 95% of these cases. Minor bleeding occurred in four patients. It is concluded that all three techniques, performed on an outpatient basis with little or no sedation, are effective modalities for first‐ and second‐degree hemorrhoids, but that Ultroid d.c. current therapy is associated with less discomfort and fewer complications and that Ultroid therapy may yield good results in some patients with third‐ or even fourth‐degree hemorrhoids.

Original languageEnglish (US)
Pages (from-to)488-492
Number of pages5
JournalThe American journal of gastroenterology
Volume84
Issue number5
DOIs
StatePublished - May 1989
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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