Estera of Northeast Pennsylvania
Center for Veins and Joints

Hemorrhoid Embolization (HAE)

Our Embolization Services:

What Is Hemorrhoid Embolization? (HAE)?

Hemorrhoid Embolization, also called Hemorrhoidal Artery Embolization (HAE) or Embolization technique, is a minimally invasive, non-surgical procedure used to treat symptomatic internal hemorrhoids that cause bleeding, discomfort, or swelling.

Unlike traditional surgery, this advanced treatment works by blocking the abnormal blood flow feeding the hemorrhoidal tissue, leading to shrinkage and long-term relief, with no cutting, stitches, or general anesthesia.

How It Works

During the procedure, a vascular or interventional specialist:

  • Inserts a small catheter through a tiny puncture in the wrist or groin.
  • Uses advanced imaging guidance to locate the superior rectal arteries that supply blood to the hemorrhoids.
  • Injects microscopic embolization particles to block excessive blood flow to the hemorrhoidal veins.

By reducing blood supply, the swollen hemorrhoidal tissue gradually shrinks, relieving symptoms while preserving normal rectal and anal function.

Benefits of HAE
  • Minimally invasive – No incisions, stitches, or general anesthesia
  • Quick recovery – Most patients return to normal activity within 24–48 hours
  • No hospital stay – Performed as an outpatient procedure
  • Effective and well-tolerated – Proven long-term reduction in bleeding, pain, and prolapse
  • Preserves anal sphincter – No risk of incontinence or scarring
Who Is a Candidate

Hemorrhoid Embolization may be an excellent option if you:

  • Have persistent internal hemorrhoids with bleeding or discomfort
  • Have not responded to conservative treatments (diet changes, medications, or banding)
  • Wish to avoid traditional hemorrhoid surgery (hemorrhoidectomy)
  • Are looking for a gentle, outpatient solution with faster recovery and minimal pain

What to Expect

  • The procedure typically takes 45–60 minutes under light sedation.
  • You’ll go home the same day with only a small bandage, no stitches needed.
  • Mild discomfort or fullness may occur for a few days.
  • Noticeable improvement in bleeding and pain usually occurs within 1–2 weeks, with continued healing over several months.

A Modern Solution for Lasting Relief

At Estera, our specialists provide advanced embolization treatments that offer relief from hemorrhoids safely and comfortably, without surgery.

If you suffer from chronic hemorrhoid symptoms, schedule a consultation today to learn whether Hemorrhoid Embolization is right for you.

1. Recovery and Healing

Your recovery depends on the type of treatment you receive:

After a minimally invasive procedure (such as angioplasty, stenting, or atherectomy):

Most patients use our same-day in-house treatment and go home afterward. You may notice relief from leg pain within days as blood flow improves. Mild soreness or bruising at the incision site is normal and should be resolved within a week.

2. Follow-Up Care

Regular follow-up visits are essential to ensure your arteries stay open and healthy. These visits may include:

  • Ultrasound or vascular imaging to check blood flow
  • Medication review and adjustments to prevent new blockages
  • Wound checks if you had an incision or ulcer prior to treatment

The Estera team monitors your progress closely and works with you to keep your circulation strong.

3. Lifestyle and Long-Term Management

Successful treatment is just the beginning. To maintain the results and prevent recurrence, you’ll be encouraged to:

  • Stop smoking completely – this is the single most crucial step you can take
  • Exercise regularly, especially walking, to strengthen your leg muscles and improve blood flow
  • Eat a heart-healthy diet low in saturated fats and rich in fruits, vegetables, and lean proteins
  • Manage underlying conditions such as diabetes, high blood pressure, and cholesterol
4. When to Call Your Doctor

Contact us right away if you experience:

  • New or worsening leg pain or numbness
  • Swelling, redness, or drainage at the incision site
  • Fever, chills, or sudden color changes in your foot or toes

Prompt attention helps prevent complications and keeps your recovery on track.

5. Moving Forward

Most patients experience significant improvement in walking distance, energy, and quality of life after treatment. Our team remains your long-term partner in vascular health, helping you stay active, independent, and pain-free.

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