Transanal Hemorrhoidal Dearterialization (THD) at Liv & Harley Street Hospital offers a minimally invasive, quicker-recovery alternative to traditional hemorrhoid surgery. If you’re struggling with persistent hemorrhoids that affect your quality of life, contact us to explore whether THD is right for you. Our dedicated colorectal specialists will provide compassionate, expert guidance every step of the way.
Transanal Hemorrhoidal Dearterialization (THD) at Liv & Harley Street Hospital
Find Relief with a Low-Risk, High-Reward Option
What does Transanal Hemorrhoidal Dearterialization (THD) Mean?
Transanal Hemorrhoidal Dearterialization (THD) is a minimally invasive procedure targeting symptomatic hemorrhoids that don’t respond to standard measures like lifestyle changes, medications, or topical treatments. By using a specialized device to locate and ligate (tie off) the arteries supplying the hemorrhoids, THD causes the hemorrhoidal tissue to shrink and resolve, reducing pain, bleeding, and prolapse without traditional incisions or lengthy recovery.
Who do we treat?
Who Should Have Transanal Hemorrhoidal Dearterialization (THD) Treatment?
Moderate to Severe Hemorrhoids: Those suffering pain, bleeding, or prolapse that disrupts daily activities.
Refractory Cases: Patients whose hemorrhoids persist despite conservative treatments like fiber supplements or topical remedies.
Preference for Minimally Invasive: Individuals wanting to avoid the extensive downtime and discomfort linked with conventional hemorrhoidectomy.
Grade II or III Hemorrhoids: Hemorrhoids that prolapse but can be managed without full surgery.
Who Can Have Transanal Hemorrhoidal Dearterialization (THD) ?
Adults with Hemorrhoid Symptoms: Bleeding, pain, itching, and mild prolapse.
Candidates for Local or Light Sedation: People in overall good health able to tolerate a minimally invasive procedure.
Outpatient Candidates: Individuals seeking a procedure done in a day surgery setting with a short recovery window.
Unresponsive to Other Treatments: Patients who’ve tried but not found relief from lifestyle adjustments or over-the-counter solutions.
Consult Your Physician Before Having Transanal Hemorrhoidal Dearterialization (THD), If You Have The Following Symptoms!
Severe Hemorrhoid Prolapse: Grade IV or severe cases often require more invasive surgery.
Acute Anal/Rectal Infections: Conditions like active abscesses or fistulas.
High-Risk Patients: Those with serious cardiovascular issues or an inability to safely undergo anesthesia.
Pregnancy (Unless Necessary): Only considered after thorough risk assessment with a specialist.
Uncontrolled Bleeding Disorders: Patients on blood thinners or with coagulopathy that cannot be managed during the procedure.
Certain Systemic Conditions: Uncontrolled diabetes or other serious health issues raising procedural risks.
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Why Choose Liv & Harley Street Hospital
Why Trust Us for This Treatment
Expert Colorectal Team
Our specialists have deep experience performing advanced hemorrhoid procedures, including THD, delivering safe, patient-focused care.
State-of-the-Art Facilities
Located in London’s prestigious Harley Street district, our operating suites feature modern equipment and strict safety protocols.
Minimally Invasive Approach
THD requires no large incisions, reducing post-op discomfort and speeding recovery—a standard we strive for across our colorectal services.
Comprehensive Support
From the initial consultation to follow-up visits, we prioritize clear communication, personalized treatment planning, and thorough aftercare guidance.
Transanal Hemorrhoidal Dearterialization (THD) Procedure Details
Pain Relief: Local anesthesia or mild sedation, ensuring comfort without the need for general anesthesia in most cases.
After Treatment: Patients often report only mild discomfort or a sensation of fullness.
Number of Sessions: THD typically resolves hemorrhoids in a single session, but follow-up appointments help confirm success.
Duration: Usually completed in 30–60 minutes.
Recovery Time: Most return to normal routines within 1–2 days.
Procedure Process
Using a specialized Doppler-equipped proctoscope, the surgeon locates the arteries supplying the hemorrhoids. These arteries are then ligated (tied off), reducing blood flow so hemorrhoids shrink and eventually resolve. The procedure avoids large incisions and lengthy healing periods, distinguishing it from traditional hemorrhoidectomy methods.
Benefits of Transanal Hemorrhoidal Dearterialization
No Major Incisions: Less scarring, quicker healing, and reduced infection risk.
Rapid Recovery: Many patients resume normal activities within a day or two.
Minimal Post-Op Pain: Generally far less pain than conventional hemorrhoidectomy.
Sedation Options: Can be done under local anesthesia or light sedation, lowering anesthesia-related risks.
Effective for Grades II and III: Ideal for hemorrhoids not requiring invasive surgical removal.
Outpatient Convenience: No overnight hospital stay is typically needed.
Low Risk of Complications: Reduced chance of fecal incontinence compared to more invasive operations.
Potential Risks & Limitations
Mild Discomfort: Temporary fullness or minor pain post-procedure.
Infection: Rare but treatable with antibiotics if it occurs.
Recurrence: Hemorrhoids may reappear if lifestyle factors remain unaddressed.
Tissue Injury: Very low risk of injury to surrounding tissues.
Additional Treatments: Some patients may require further procedures if hemorrhoids persist or recur.
Post-Procedure Care & Recovery
Pain Management: Over-the-counter pain relievers (e.g., acetaminophen or ibuprofen) often suffice.
High-Fiber Diet: Encouraged to prevent constipation and reduce straining.
Activity Restrictions: Avoid heavy lifting or strenuous exercise for 2–3 weeks.
Sitz Baths: Can alleviate mild anal discomfort and support hygiene.
Follow-Up Visits: Scheduled to assess healing progress and symptom relief.
Watch for Complications: Contact your healthcare provider if you experience severe pain, heavy bleeding, fever, or signs of infection.
FAQ
Frequently Ask Questions.
Everything you want to know about Transanal Hemorrhoidal Dearterialization (THD) in London Liv & Harley Street Hospital.
THD uses Doppler guidance to ligate hemorrhoidal arteries, avoiding large incisions, resulting in less pain and faster recovery compared to a surgical hemorrhoidectomy.
Local anesthesia or sedation is administered to ensure you remain comfortable. Some report mild pressure or fullness but no significant pain.
Recurrence is possible, especially if bowel habits remain the same. Maintaining a high-fiber diet and healthy lifestyle can help prevent future flare-ups.
Many patients resume normal activities within 1–2 days, but you should avoid strenuous tasks for a few weeks to promote optimal healing.
Coverage varies; check with your provider. Often, minimally invasive hemorrhoid procedures are covered if medically necessary.