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Outpatient interventions for haemorrhoids

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Outpatient interventions for treating haemorrhoids include:

  • sclerotherapy (1)
  • rubber band ligation (2)
  • photocoagulation (3)
  • cryotherapy (4)

These treatments are appropriate for:

  • patients with small haemorrhoids (grade I or II)
  • patients with larger piles who do not wish to undergo inpatient treatment

The treatment must be applied as high as possible avoid excessive discomfort. There may be some minor bleeding following treatment


1. Acheson AG, Scholefield JH. Management of haemorrhoids. BMJ. 2008 Feb 16;336(7640):380-3.

2. Brown SR, Watson A. Comments to 'Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids'. Tech Coloproctol. 2016 Sep;20(9):659-61.

3. The Clinical Efficacy of Infrared Photocoagulation Versus Closed Haemorrhoidectomy in Treatment of Haemorrhoids. J Lasers Med Sci. 2018 Winter; 9(1): 23–26.

4. Guindic. L. Treatment of uncomplicated haemorrhoids with a cryotherapy device: a randomized, prospective, comparative study. J Pain Res. 2014; 7: 57–63

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