An operation to remove haemorrhoids carried out under general anaesthetic, in which the haemorrhoids are cut off from within the anus.
This offers a one in twenty chance of the piles returning, making it a far more effective choice than other non-surgical treatments, and has a relatively quick recovery time following surgery.
Total Haemorrhoidal De-arterialsation (THD) is another choice. It is a minimally invasiive approach to haemorrhoids. It is approved by NICE. The surgeon can perform treatment while the patient is under general anaesthetic, allowing the placement of a stitch to prevent blood flow to haemorrhoids, causing them to shrink.