The THD Procedure

Developed as a gentler method for removing hemorrhoids, THD (Transanal hemorrhoidal dearterialization) is minimally invasive, with no incision made to the affected tissue, and focuses on returning patients back to normal lifestyles sooner.

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Most likely performed under general anesthesia, the THD procedure involves pinpointing the arteries supplying blood to the hemorrhoids using an adapted anoscope, which combines a Doppler ultrasound probe.

Once located, the surgeon uses an absorbable suture to curtail the flow of blood, resulting in the ‘deflation’ of the blood vessels. As a surgical method to get rid of hemorrhoids, it doesn’t come any gentler, or safer, than the THD procedure.



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Offering the next level in hemorrhoid surgery and treatment, the THD procedure differs from other hemorrhoid removal techniques in the following ways:

  • There is no cutting or excision of the hemorrhoids, reducing postoperative complications and improving long-term results.
  • The THD procedure is most often performed in an outpatient facility and usually takes 45 minutes or less in duration.
  • Regular day-to-day activities can be resumed 24-48 hours after surgery.
  • Because of its low recurrence rate, THD is now offered by qualified Physicians in most states throughout the US.

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