Transanal Hemorrhoidal Dearterialization

THD (Transanal Hemorrhoidal Dearterialization)

THD (Transanal Hemorrhoidal Dearterialization) is a minimally invasive surgical treatment for hemorrhoids (piles). The surgeon ties off the arteries supplying blood to the hemorrhoids, with a stitch. This reduces blood flow, causing the hemorrhoids to shrink. If hemorrhoidal tissue has prolapsed (protruded), it can also be gently lifted and stitched back into its normal position.

THD may be recommended for patients with symptomatic internal hemorrhoids that cause:

Rectal bleeding
Prolapse (hemorrhoids that protrude during bowel movements)
Discomfort, pain, itching, or irritation
Recurrent symptoms despite dietary changes, medications, or office-based treatments

Who is a suitable candidate?

THD is generally suitable for adults with Grade II, III, or selected Grade IV internal hemorrhoids. Dr. Peter will assess your symptoms and medical history and will perform a physical examination with anoscopy to determine whether THD is the most appropriate treatment option for you.

Minimally invasive procedure
Much less postoperative pain compared with traditional hemorrhoid surgery
No surgical wounds in the sensitive anal area
Faster return to normal daily activities
Effective treatment for bleeding and prolapsing hemorrhoids

THD is a straightforward and very safe procedure, but nonetheless carries some risks, including:

Temporary bleeding
Difficulty passing urine in the immediate postoperative period
Infection (uncommon)
Some mild to moderate pain expected temporarily

Dr. Peter will discuss the potential risks and benefits based on your individual condition.

Patients return home on the same day of surgery. Recovery recommendations typically include:

Drink plenty of fluids and maintain a high‑fibre diet
Use prescribed pain relief medications as directed
Avoid straining during bowel movements
Take stool softeners if recommended by your doctor
Resume light activities as tolerated, usually within a few days
Avoid heavy lifting and strenuous exercise for approximately 1–2 weeks, or as advised by your surgeon

At ELEMENTAL Day Surgical Center, we fully understand the sensitive nature of proctological conditions. Therefore, we have created a comfortable, private, and supportive environment for all patients seeking proctology care. Our clinic strictly adheres to all legal requirements and regulations set by the Dubai Health Authority (DHA), ensuring that every patient receives safe, compliant, and high‑quality medical attention.

Doctors