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J R Soc Med. 1988 March; 81(3): 146–148.
PMCID: PMC1291507

The immediate response to injection therapy for first-degree haemorrhoids.


Over an 8-month period, 100 consecutive patients undergoing sclerotherapy for first-degree haemorrhoids were issued with a questionnaire to assess responses to this treatment. Success was defined as complete cessation of bleeding at defaecation. The effect on bleeding was assessed at the end of 24 hours (99 responders) and 4 weeks later (98 responders): of 61 patients (62%) with no bleeding at 24 hours, only 40 (41%) remained symptom-free at 28 days post-injection. Twelve patients were treatment failures (either unchanged or increased bleeding post-injection). More than half the patients (n = 59) experienced pain related to the injection, which was severe in 9 cases. Although only 3 patients expressed complete dissatisfaction with the treatment they received, and overall 88% were either cured of bleeding or improved, the results suggest that critical judgment should be exercised before recommending the treatment to patients with minimal occasional bleeding due to first-degree haemorrhoids.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Greca F, Hares MM, Nevah E, Alexander-Williams J, Keighley MR. A randomized trial to compare rubber band ligation with phenol injection for treatment of haemorrhoids. Br J Surg. 1981 Apr;68(4):250–252. [PubMed]
  • Cheng FC, Shum DW, Ong GB. The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal anal dilatation, and haemorrhoidectomy: a prospective clinical trial. Aust N Z J Surg. 1981 Oct;51(5):458–462. [PubMed]
  • Leicester RJ, Nicholls RJ, Mann CV. Infrared coagulation: a new treatment for hemorrhoids. Dis Colon Rectum. 1981 Nov-Dec;24(8):602–605. [PubMed]
  • WRIGHT AD. Complications of rectal injections. Proc R Soc Med. 1950 Apr;43(4):263–266. [PMC free article] [PubMed]
  • BARRON J. Office ligation of internal hemorrhoids. Am J Surg. 1963 Apr;105:563–570. [PubMed]
  • Lord PH. A new regime for the treatment of haemorrhoids. Proc R Soc Med. 1968 Sep;61(9):935–936. [PMC free article] [PubMed]
  • Williams KL, Haq IU, Elem B. Cryodestruction of haemorrhoids. Br Med J. 1973 Mar 17;1(5854):666–668. [PMC free article] [PubMed]
  • Kilbourne NJ. Internal Haemorrhoids: Comparative Value of Treatment by Operative and by Injection Methods: A Survey of 62,910 Cases. Ann Surg. 1934 Apr;99(4):600–608. [PubMed]

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