You of all people know that the “smallest” problems can sometimes be the most annoying. Hemorrhoids for example – a relatively mild ailment – can make the lives of hemorrhoid sufferers miserable and disrupt their daily activity.
Most of the treatment options available today involve a great deal of pain for the patient, prolonged preoperative preparations, a lengthy recovery period, full or partial anesthesia and an unimpressive success rate.
 
For the first time in Israel!
An innovative, painless treatment, without the need for hospitalization
or anesthesia, is now available through a revolutionary, innovative technique:
 
 
§ Treats the problem rather than the symptoms
§ Achieves immediate results
§ Does not require hospitalization
§ Treatment is administered by a certified Israeli specialist
 
The treatment is provided at the “Rafael Center”, 4 Magdiel St., Hod Hasharon, by a senior surgeon specializing in general and endocrinological surgery.
To obtain further information and schedule an appointment ASAP, please call:
03-6093669.
 
For information and appointments call: 03-609-3669
 
To view the interview with Dr. Schachter on the “Odetta” program – click here
To view the interview on the IFeel program – click here
 
 

Hemorrhoids

Hemorrhoids have plagued humankind since time immemorial. Symptoms caused by this ailment were already described in Ancient Greece and it is even said that   hemorrhoids caused Napoleon to sit side-saddle.
Hemorrhoids are a very common occurrence, namely about 70% - and perhaps even more - of the adult population experience symptoms of the ailment in one form or another and about 25% of the population suffer a severe - and even medically endangering - disruption to their daily lives.
What then are hemorrhoids? What causes them? How are hemorrhoids diagnosed? How are they treated?
 
The anus, like any other organ in the human body, gets ample arterial blood supply. 
The arteries divide into arterioles and then into capillaries, which are very thin-walled, large capacity vessels. This is where the blood begins to drain into venules and veins that return the blood to the heart. Research indicates a greater than usual blood flow in the arteries of people with hemorrhoids. Moreover, these people were shown to have several arteries with a larger than normal diameter. The regular supply of excess blood causes swelling that gradually progresses to the arteriola and capillaries. The ensuing swelling pushes the mucous membrane toward the rectal cavity and causes internal hemorrhoids. Individuals with this defect in their arteries develop hemorrhoids at an early age. The rate of the hemorrhoids’ growth and the emergence of symptoms also depend on lifestyle, pregnancies, nutrition, fluid intake and primarily bowel habits.
Internal hemorrhoids cause a significant narrowing of the anal canal, thereby creating pressure on the veins surrounding the anus and interfering with normal blood drainage, especially if the stools are hard. These veins swell and develop into purple protrusions around the rim of the anus known as external hemorrhoids. These hemorrhoids, which stem from swollen internal hemorrhoids, cause intense pain on contact, when sitting and even lying down, and are clearly visible around the anus during a hemorrhoid attack.
Another manifestation of a combination of internal hemorrhoids and hard stools is the formation of a fissure, which is a thin slit-like tear in the anal tissue. The hard stool passing through the anal canal constricted by the hemorrhoids can cause a (sometimes deep) tear that leads to intense pain, burning, slight bleeding - mostly on the toilet paper - and discharge. Due to the pain associated with defecation, people suffering from anal fissures avoid regular bowel habits, thereby greatly exacerbating the state of the internal and external hemorrhoids and causing an acute hemorrhoid attack.
 
The most prominent and dangerous symptom of internal hemorrhoids is bleeding. Hard stool damages the delicate mucosa coating the hemorrhoid and the hemorrhoidal tissue – which consists of blood vessels – bleeds. The bleeding can range from very mild – a few drops in the toilet bowl – to very severe cases required blood transfusions. This condition is particularly dangerous for patients taking blood thinning medication, for whom the bleeding can be truly life-threatening.
 

Diagnosis

It is important to consult a doctor at any sign of bleeding during bowel movements. Bleeding could be a symptom of many digestive system diseases, including colon cancer.
The diagnostic test for external hemorrhoids consists of an external examination of the anal area.
The diagnostic test for internal hemorrhoids involves an exam with an anoscope, a hollow, lighted tube that is placed about 7 cm into the rectum in order to look inside. This examination determines the presence and severity of the hemorrhoids.
External hemorrhoids and fissures can be diagnosed through visual inspection of the anal area. Internal hemorrhoids are diagnosed with the help of a procedure called anoscopy. A hollow instrument with a light source is inserted in order to view the inner part of the rectum and the internal hemorrhoids. This examination makes it possible to determine the severity of the hemorrhoids. There are four degrees of severity, according to the hemorrhoids’ size and degree of prolapse.
 

Treatment

There is a wide range of treatment methods for hemorrhoids:
1.    From “home remedies” to potent systemic drugs.
2.    Invasive procedures such as ligation, coagulation, laser surgery, cryosurgery and infrared ray therapy.
3.    Several forms of surgery requiring hospitalization and anesthesia.
4.    Topical ointments, suppositories and moist cloths are designed to alleviate symptoms of pain and edema during an attack when none of the other treatments can be administered.
5.    Ligation in fact shrinks the hemorrhoid by destroying part of its tissue using one of the aforementioned methods. This procedure alleviates anal blockage and also stops the bleeding, but only for a certain period of time since the main problem of increased arterial flow is not resolved and the ailment almost always recurs.
6.    A hemorrhoidectomy involves hospitalization, anesthesia, a difficult and prolonged recovery, complications (such as fecal incontinence) and a recurrence of about 30% over 5 years.
 
Years of research have produced an innovative instrument for the treatment of hemorrhoids. The revolutionary method is based on the use of ultrasound to precisely pinpoint the location of the diseased arteries in the rectal area – the arteries that are directly responsible for the hemorrhoids. The innovative instrument makes it possible to use a minimally invasive procedure to treat the actual cause of the problem.
Once the arteries are identified and located, a suture is tied to ligate the artery and the instrument then makes is possible to ascertain that the blood flow has actually been cut off. Cutting off the excess flow causes the hemorrhoids to atrophy within a short time. Once the cause of the local pressure is eliminated, there is a significant improvement in venous drainage in the area and the external hemorrhoids are also drained of blood and cease to be bothersome. All of this is accomplished without injuring the anal area or causing the severe pain associated with standard surgery. Moreover, the instrument makes it possible to identify hemorrhoidal arteries that are not visible to the surgeon during the surgery and to achieve better long-term results.
 
There are many benefits to this hemorrhoid treatment method:
-          This is an office procedure that does not require hospitalization, anesthesia or any special preparation
-          A single treatment is enough to locate and ligate all of the pathological arteries
-          The treatment can be administered during pregnancy – even during the late stages – as well as during an acute hemorrhoid attack
-          The recovery period is short and regular activity can in fact already be resumed on the following day
-          There are no significant complications associated with this treatment
-          The success rates are particularly high – over 93% in the world literature and among about 100 Proctotech patients.
 
The Proctotech Clinic, under the management of senior surgeon Dr. Pinhas Schachter, has pioneered the innovative hemorrhoid treatment using the Doppler Ultrasound Guided Hemorrhoidal Artery Ligation (or HAL) technique in Israel. This treatment is an effective, quick and surgery-free solution to the problem of hemorrhoids.
The Proctotech Clinic
4 Magdiel St., Hod Hasharon
Tel: 09-9561708 / www.proctotech.co.il