An in-office treatment option for selected patients

Sclerotherapy is a non-surgical, office-based treatment used for mild internal hemorrhoids. It is an alternative to hemorrhoidal banding in specific situations.

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What Is Sclerotherapy?

Sclerotherapy involves injecting a small amount of medication directly into an internal hemorrhoid.  This causes the hemorrhoid to shrink over time by reducing blood flow and creating controlled scarring.  The procedure is performed in the clinic and does not require sedation.

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Who Is Sclerotherapy Best For?

Sclerotherapy is most effective for:

• Mild internal hemorrhoids (Grade I to early Grade II)

• Hemorrhoids without significant prolapse

It may be preferred for patients who:

• Take blood thinners (such as apixaban or warfarin)

• Should not stop anticoagulation

• Have a higher risk of bleeding

• Prefer a less mechanically invasive treatment

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How Effective Is Sclerotherapy?

Sclerotherapy is generally less effective long-term than hemorrhoidal banding.

• Reported success rates are approximately 50–70%

• Symptoms are more likely to recur

• Additional treatments are more commonly required

For this reason, hemorrhoidal banding is usually preferred when appropriate.

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What to Expect During and After the Procedure

The procedure is quick and usually well tolerated.

Some patients experience:

• A burning or aching sensation in the pelvis

• Temporary discomfort that may last hours to a few days

Serious complications are uncommon.

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When to Call Us Urgently

Please contact the clinic urgently if you experience:

• Severe or worsening pelvic pain

• Fever or chills

• Increasing rectal pain or swelling

• Significant or ongoing bleeding

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Sclerotherapy vs Hemorrhoidal Banding

Hemorrhoidal banding:

• Provides better long-term symptom control

• Has a slightly higher risk of post-procedure discomfort and bleeding

Sclerotherapy:

• Has a lower bleeding risk

• Can often be performed without stopping blood thinners

• Is less effective long-term

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The most appropriate treatment is decided after careful assessment and discussion with you.

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This information is provided for patient education and does not replace individualized medical advice.

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Failure to cancel a booked procedure without 72 hours notice will result in a $75.00 charge.