Haemorrhoids new research has just been published in a specialist Medical Journal called “Phlebology”.
Haemorroids (or piles) affect about 50% of adults at some time during their life. They can cause bleeding and can clot (thrombose) causing pain.
In the past, they have been thought to be a bowel problem.
A new research paper, just published, has shown that haemorrhoids (piles) are varicose veins arising from pelvic varicose veins.
The revolutionary research, from The Whiteley Clinic, looked at scans from women being examined for pelvic varicose veins. In this group of women, those with haemorrhoids were found to have underlying vein problems in the pelvic veins.
Just as varicose veins in the legs have deeper underlying veins causing them, haemorrhoids seem to have underlying veins causing them. These underlying veins lie deep in the pelvis.
This finding is very important for patients suffering from haemorrhoids (piles). In the past, bowel surgeons have treated them directly. Such direct treatments include cutting them away, banding them or stapling them. In addition, bowel surgeons have been injecting them.
More recently bowel surgeons have been treating the haemorrhoidal artery. Some have been ligating (tying) these off. Others have closed the haemorrhoidal artery with laser, radiofrequency, ultrasound or other heat methods.
However the recurrence rate after all of these treatments is quite high.
This research suggests that the pelvic varicose veins need treating first, to stop the haemorrhoids coming back again in the future. This is exactly the same with varicose veins in the legs. When patients with leg varicose veins don’t have the underlying varicose veins treated properly (including pelvic varicose veins in many women) the leg varicose veins are more likely to come back (see: https://thewhiteleyclinic.co.uk/research/published-research/varicose-veins-come-back-dont-check-pelvic-veins/).
This had led the researchers at The Whiteley Clinic to develop the a new procedure for haemorrhoids. The Hembolize™ procedure is due to be launched in the very near future.