THD  (Transanal Haemorrhoidal Dearterialisation) is a new surgical treatment of piles. It uses an ultrasound guide to direct precise suturing of the haemorrhoidal vessels. This result in reduced blood flow and relieved the congestion of the piles leading to their regression. There is minimal pain with this technique of surgery because there is no cutting involved. This technique is most suitable for bleeding 2nd and 3rd degree piles or 4th degree piles that are still reducible under anaesthesia.

THD (Transanal Haemorrhoidal Dearterialisation) technique also repairs the prolapse, if any by performing haemorrhoidopexy, thus repositioning haemorrhoidal cushions. THD  (Transanal Haemorrhoidal Dearterialisation), however, does not address the fibrotic external skin tags. These loose skin tags may need to be removed separately, if necessary.

THD Animation

Piles Surgery Treatment in Singapore