Hemorrhoids pp 143-149 | Cite as

Why and When I Do Prefer the Outpatient Treatments for Hemorrhoids

  • Steven R. BrownEmail author
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)


The perfect outpatient treatment must meet several criteria including appropriateness, broad tolerance, minimal side effects and inconvenience, and a high and long-lasting efficacy. Of the various outpatient therapies, rubber band ligation and injection sclerotherapy are the two most commonly utilized. However, selection and individualization according to patient choice and degree of hemorrhoidal disease along with simple refinement of technique is essential if optimal results are to be obtained. Outpatient therapy should also be a package of care that includes careful counseling as to risks and benefits and alternative options as well as lifestyle advice. In addition, there are some patients such as the immunocompromised, the pregnant, and the cirrhotic, where some therapies may be inappropriate.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgerySheffield Teaching HospitalsSheffieldUK

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