Not all piles will require treatment as many cause no symptoms. Indications for treatment include persistent bleeding and/or prolapse (popping out) from the anal margin.

Non-operative methods

Several methods of treating piles are available which can be performed in an office or clinic setting. They are all very similar in their effectiveness and are most suitable for “internal” piles which are bleeding but not prolapsing. None are a definitive treatment but can be repeated over months or years in response to symptoms.

Injection sclerotherapy

The piles are injected with a mildly corrosive solution of 5% phenol, which makes them shrivel up over a period of time.

Following the procedure, a small amount of bleeding and discomfort is to be expected.  The treatment is usually spread over 3 separate sessions, spaced 4 to 6 weeks apart.

Banding (includes suction banding)

The piles are grasped either by forceps or suction and effectively strangled with a tiny rubber band.  As with injection treatment, a certain amount of discomfort is to be expected after treatment and often bleeding occurs around the fifth day as the pile separates.

Infrared coagulation

Heat destruction of piles.


Freezing destruction of piles.