Contents
Hemorrhoid Sclerotherapy
What is hemorrhoid?
After humans became bipedal, blood flow became more likely to stagnate in the buttocks, causing hemorrhoids. Therefore, none of the four-legged monkeys and chimpanzees have hemorrhoids. It is said that 70 to 80% of people, regardless of ethnicity, have experienced hemorrhoid symptoms, but it is estimated that 30% are clearly diagnosed with hemorrhoids, and of these, about 5% require treatment. With surgical treatment, the frequency is even lower.
When it comes to hemorrhoids, there are the following types:
Hemorrhoid
External hemorrhoids or thrombosed external hemorrhoids → excision or incision
Internal hemorrhoids → Internal hemorrhoids/anal prolapse → Sclerotherapy (treatment without excision)
① Anal fistula → surgery (radical treatment), perianal abscess → incision
② Anal fissure → Surgery for severe cases (radical treatment)
③ Anal polyp → removal
What is hemorrhoid sclerotherapy?
A treatment method in which a hardening agent is injected into internal hemorrhoids (hemorrhoids) to cause inflammation in the lumen of the hemorrhoidal veins and the surrounding connective tissue, and then harden the hemorrhoidal veins by causing fibrosis and shrink the internal hemorrhoids. It was originally created by improving a treatment method using anti-hemorrhoids that was practiced in China. It is indicated for all internal hemorrhoids other than incarcerated hemorrhoids, and is a radical treatment that aims to improve anal prolapse and bleeding by shrinking the hemorrhoid. Since the hemorrhoids are not removed, this is an innovative treatment that causes less pain and bleeding after removal, allowing the patient to go home the same day, and is expected to have the same therapeutic effect as hemorrhoid removal.
Effect of hardening agent (mixture of potassium aluminum sulfate and tannic acid)
① Injection of hardening agent into hemorrhoids → 3 locations per hemorrhoid
② Hemostatic effect due to vasoconstriction within hemorrhoids
Acute sterile inflammation
③ Fibrosis of hemorrhoids
④ Hardening and regression of hemorrhoids
Progress after hemorrhoid sclerotherapy
Treatment progress
| Time | Details | Notes |
|---|---|---|
| Until the day before treatment | Infectious disease testing | HB, HC Virus, HIV |
| On the day | Return home after treatment Prescription drugs/injections | Lower blood pressure, lower abdominal pain, nausea |
| The next day | home treatment | Anal discomfort/heavy feeling (disappears in a few days) |
| 4th day of operation | Completion of prescription medication and medical examination | anus narrow |
| 2–3 weeks after operation | Transient fever for around 2 weeks (sterile) | |
| 1 month after operation | Anal normalization | |
| 3 months after operation | Injection treatment completed | Disappearance of discomfort during defecation |
Before hemorrhoid sclerotherapy・・・
○Preoperative examination○
・Blood sampling (infectious disease check)
・Electro-cardiogram
○Reservation○
Basically, reservations are required. Currently open Mondays, Thursdays and Saturdays from 10am to 2pm. Telephone reservation required
○Surgical consent form○
Send it in advance and bring it after signing. You can also sign on the day.
Flow of hemorrhoid sclerotherapy (about 1 hour)
Preparation (see below)
Reception → (Once we confirm your visit, we will create an IV drip)
→Confirmation of defecation and changing clothes (GE100ml if unable to defecate)
→While changing, check monitor/record form/consent form
→After changing, explanation of the treatment process
→Intravenous drip (antibiotics), monitor, buttock fixation
→Treatment begins after local anesthesia (approximately 20 minutes with only sclerosing agent injection) Treatment assistance/recording
→Treatment/infusion completed. Explanation after treatment (life after treatment and hemostasis)
→Changing clothes → Going home
Cost
Treatment fee (includes hemorrhoid sclerotherapy, local anesthesia, intravenous antibiotics, and intraoperative drug fee)
445,000 yen (tax included)
Preoperative examination fee (infectious disease, electrocardiogram)
15,000 yen (tax included)
Postoperative drug cost (for one month of internal and external use)
10,000 yen (tax included)
Total: 470,000 yen (tax included)
