Hemorrhoid Embolization in Chicago
What is hemorrhoid embolization?
Hemorrhoid embolization is a minimally invasive treatment for bleeding internal hemorrhoids. An interventional radiologist blocks the small arteries that feed the hemorrhoids through a tiny entry point in the wrist or groin, so the hemorrhoids shrink and bleed less. There is no cut near the anus, and most patients go home the same day.
Who can get hemorrhoid embolization?
Hemorrhoid embolization treatment is generally suitable for patients suffering from symptomatic hemorrhoids who have not responded to conservative treatments such as dietary and lifestyle changes or over-the-counter medications. It may also be an option when bleeding continues after rubber band ligation, a common office treatment for hemorrhoids.
It can also be an appropriate alternative for those who cannot undergo traditional surgical procedures due to reasons such as advanced age or underlying health conditions. However, every case is unique and depends on an individual's health status and the severity of hemorrhoids. A consultation with a MIMIT doctor shows whether embolization is the right fit for you.
How is the procedure performed?
Hemorrhoid embolization is performed by an interventional radiologist using fluoroscopic guidance. The procedure typically lasts approximately 30-45 minutes, and patients can usually go home the same day.
Numbing: a local anesthetic numbs a small spot on the wrist or groin.
Small entry point: a needle and a thin tube enter the artery through a tiny nick in the skin.
Guiding the catheter: using live X-ray imaging (fluoroscopy), the radiologist guides a catheter to the superior rectal arteries that feed the hemorrhoids.
Blocking the arteries: small particles or coils are placed to reduce blood flow.
Afterward: the hemorrhoids gradually shrink and bleed less.
Hemorrhoid embolization side effects
Hemorrhoid embolization side effects are usually mild and short-lived. The most common are bruising or soreness where the catheter entered the wrist or groin, mild pelvic or rectal discomfort, mild anal discharge, a temporary urge to pass stool, and light rectal bleeding. Rare complications include infection, a reaction to the X-ray dye, or injury to rectal tissue if blood flow is reduced in the wrong area. Call your care team right away if you have a fever, severe or worsening pain, or heavy bleeding.
What to Expect During a Visit?
During your visit to the healthcare provider for hemorrhoids, you can expect a detailed discussion about your symptoms, medical history, and lifestyle habits.
The next step is the physical examination, which may involve a visual inspection of your anal area and a digital rectal examination. Depending on your symptoms and the findings of the preliminary examination, further diagnostic tests like an anoscopy, sigmoidoscopy, or colonoscopy may be recommended.
Your provider will then discuss the appropriate treatment options, which may range from lifestyle modifications and over-the-counter treatments to medical procedures such as hemorrhoid embolization. You will have the opportunity to ask any questions you may have and discuss any concerns about your symptoms or treatment options. Remember that open communication with your healthcare provider is important for effective treatment.
Recovery and Aftercare:
After hemorrhoid embolization, patients usually experience a quick recovery. They can often return to their regular activities within a few days. However, it's important to follow all aftercare instructions provided by the healthcare provider for optimal recovery, including:
Pain Management:
Any post-procedure discomfort can typically be managed with over-the-counter pain relievers. If pain persists or worsens, it's advisable to contact the healthcare provider.
Physical Activity:
Light physical activity, such as walking, can help promote blood flow and expedite healing. However, strenuous activities should be avoided until the healthcare provider gives a go-ahead.
Dietary Adjustments:
Eating a high-fiber diet and drinking plenty of water can help soften stools, reducing the strain on the rectal area and aiding in healing.
Hygiene:
Keeping the anal area clean is important to prevent infection. Warm sitz baths may also be recommended to alleviate discomfort and promote healing.
Follow-up Appointments:
Regular follow-up appointments are important to monitor the progress of recovery and ensure any complications are addressed promptly.
Medication Adherence:
If the healthcare provider prescribes any medication, such as stool softeners or antibiotics, it's important to follow the prescription instructions accurately. This will aid in healing and help prevent complications.
Related treatments at MIMIT
Embolization is also used to treat an enlarged prostate and uterine fibroids.
Hemorrhoid Embolization FAQs
-
No, nothing is placed inside the rectum during hemorrhoid embolization. The treatment, also called hemorrhoid artery embolization, is done through a tiny entry point in the wrist or groin. Using live X-ray imaging, the doctor guides a thin, flexible tube called a catheter to the arteries that feed internal hemorrhoids. Tiny coils or particles then block those arteries, so the hemorrhoid tissue is not cut or removed.
-
Most patients are awake during hemorrhoid embolization. A small shot of local anesthetic numbs the entry point in the wrist or groin. You may feel a brief sting or some pressure where the catheter goes in, but the procedure is not expected to be painful. The hemorrhoid embolization procedure typically takes about 30 to 45 minutes.
-
Most people go home the same day after hemorrhoid embolization and return to regular activities within a few days. Light walking is encouraged, while heavy lifting and strenuous exercise should wait until your care team says it is safe. Your exact timeline depends on your health and your job, so follow the instructions you receive before you leave.
-
Hemorrhoid embolization reduces bleeding for many patients, but results vary and bleeding can return. Some patients need a second treatment. Long-term research is still growing, so your doctor will talk with you about realistic goals and follow-up rather than promise a permanent cure.
-
Hemorrhoid embolization is not automatically better than rubber band ligation, a common office treatment that places a small band around a hemorrhoid. Banding is often tried first when diet changes and medicines have not helped. Embolization is usually considered when bleeding continues after banding or when other treatments are not a good fit. Your doctor will explain which option suits your hemorrhoids.
-
Surgery to remove hemorrhoids, called a hemorrhoidectomy, may still be the better choice when large external hemorrhoids or tissue that stays outside the anus are the main problem. Hemorrhoid embolization reduces blood flow to internal hemorrhoids rather than removing tissue. Your doctor can tell you whether controlling bleeding or removing tissue should be the main goal.
-
Coverage for hemorrhoid embolization depends on your insurance plan and your diagnosis, and some plans require approval before treatment. MIMIT Health does not accept Medicaid, including plans that combine Medicare and Medicaid. Call (708) 486-2600 to check your coverage and ask about any costs before you schedule.
-
To get started with hemorrhoid embolization in Chicago, call MIMIT Health at (708) 486-2600 or request a consultation online. A hemorrhoid doctor on our team will review your symptoms, past treatments and any colonoscopy reports to see whether embolization fits your needs. MIMIT performs hemorrhoid embolization at all four offices: Des Plaines, Hinsdale, Chicago South Loop and Chicago North. We welcome referrals from your doctor.
Medically reviewed by Dr. Paramjit "Romi" Chopra, M.D., interventional radiologist - October 2026
