THD - Treatment for Haemorrhoids

Haemorrhoids, commonly known as piles, are extremely common and affect at least 50% of people at some point in their life. Haemorrhoids are normal body structures that we are born with. They look like oval pink-bluish swellings but are actually a cluster of veins filled with blood which comes from six arteries in the rectal wall. In situations of stress, constipation, obesity, pregnancy, or if they are common in your family, these piles may become swollen and engorged with a lot of blood. This is when they start to cause problems.

THD is scientifically designed to deal with the principle cause of haemorrhoids

Spire Washington Hospital are now able to offer patients suffering from haemorrhoids the Transanal Haemorrhoidal De-arterialisation (THD) - a procedure that is scientifically designed to deal with the principle cause of the piles - their main blood supply. THD has been widely used in Europe for over a decade and has gained recognition and popularity in England over the last couple of years. It has been approved by the National Institute of Clinical Excellence (NICE).

How does it work?

The operation is performed under general anaesthesia using an endoanal device with an ultrasound incorporated in it. The surgeon will precisely locate all of the haemorrhoidal arteries and ligate (tie) them, which leads to the shrinkage of the piles. If they are protruding or prolapsing, the same device will pull the haemorrhoids into their normal position.

It involves no cutting of tissue and you can leave a couple of hours after the operation without any dressings or requirements for post-operative care. The success rate is over 90% and it can be performed again if required, with no detrimental effect to normal tissue anatomy and function.

After the procedure

Since THD does not cut or remove any haemorrhoidal tissue, post-operative complications and pain are significantly reduced giving a long term positive outcome.  Patients can be discharged a few hours after the operation, with pain killer tablets to be taken for any mild discomfort.

In most cases, patients are able to resume their normal activities within 24 to 48 hours.

After the intervention, some patients might feel a slight discomfort in the rectal area which usually disappears within a few days. If any prolapse has been sutured, some patients might feel a slight urge to defecate, related to the repaired prolapse, which will gradually disappear.

How much does the THD procedure cost?

An initial consultation with a consultant surgeon Mr Jeremy Cundall is £145. The THD procedure costs £2,700. Some patients may require a colonoscopy before having the THD procedure which costs £1,570.

How can I find out more?

If you would like further information about the THD procedure please contact us on 0191 418 8687, alternatively you can email us at

More information from Spire Washington Hospital

We're here to help, so if you require any further information, have a question or would like to make an appointment to see one of our consultants, please contact us on 0191 418 8687 or email at

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