Hemorrhoidal disease: Four stadiums
The generally accepted classification of the severity of haemorrhoids refers to the size, external protrusion of the haemorrhoids (prolapse) and the need to push the haemorrhoids back by hand. Depending on the state of filling with blood, the haemorrhoids are not always the same size, there is no standard for the size. A prolapse does not always necessarily occur, the degree of subjective impairment varies from patient to patient.
- Stage I: Magnification, no incident. Bright red bleeding, feeling of pressure
- Stage II: Prolapse during pressing, spontaneous degeneration, irritation of the skin around the anus (irritative anal eczema), itching
- Stage III: Incident, pushing back possible, smearing stools
- Stage IV: Prolapse, pushing back no longer possible, pain, weak stool position (incontinence)
Hemorrhoid treatment: step-by-step plan
In stages 1 and 2 and with moderate complaints, the treatment is conservative through stool regulation, sometimes only instruction to change stool behaviour (avoidance of stronger fixed or longer "toilet sessions") and with connective tissue stabilising measures such as sclerotherapy (classical injection treatment or non-ablative laser treatment). We will only advise surgery if the haemorrhoids protrude far from the anus and cannot be returned to their normal position (stage four) or if frequent bleeding or pain occurs. Our strategy for haemorrhoid surgery is based on a step-by-step plan that is performed within one procedure:
- Evaluation of each haemorrhoid
- Inner gathering with the HAL-RAR seam
- If the assessment after the HAL-RAR seams have been created suggests a very good result, the operation is complete. If the haemorrhoids are still very voluminous or tend to bleed, laser haemorrhoidoplasty is performed, and if the return of the hemorrhoid is inadequate, cutting can be performed with laser haemorrhoidectomy.
Our specialists Dr. Hofer, Mr. Bärtl and Dr. Schuster are there for you if you suffer from haemorrhoidal disease. Call us and make an appointment. We'll take care of you.