Relief from hemorrhoids

The pain and discomfort from hemorrhoids can be debilitating. The swollen and inflamed veins impact more than 15 million people in the United States.

While there are many treatments available, most are either ineffective or have serious side effects.

But a new non-invasive treatment is making these bleeding blood vessels disappear almost effortlessly.

Thomasine Brown is finally able to relax after enduring this painful problem for years.

"Excruciating pain, I couldn't even sit straight up because the hemorrhoids were just that bad," said Brown.

It even began to affect her job as a bus driver.

"I had to keep bouncing from cheek to cheek because of the one that was on the outside," Brown said.

She was finally driven to seek help. It’s a problem that Dr. Sergey Katsevoy sees every day.

"In the past the only option was to go for surgery,” said Katsevoy.

But now a new FDA cleared device offers an easy, less painful alternative.

"One therapeutic session, we never have to repeat it and the patient never complain of any pain or discomfort,” he said.

Known as the HET Bipolar System, the device is made up of a small plastic tube and built-in treatment window that is placed in the rectum.

"And you capture with that device the hemorrhoid,” said Katsevoy.

Once captured, radiofrequency energy is used to cut off the blood supply to the vessel.

"The hemorrhoids shrink and disappear,” said Katsevoy.

The outpatient procedure takes under a minute.

"I felt immediate relief right after. Life is 100 percent better,” Brown said.

The HET Bipolar System is currently used in the treatment of folks with grade one, two or three hemorrhoids.

Grade four, the most serious cases, must be sent to surgery.


REPORT: MB# 3651

BACKGROUND: Hemorrhoids, also called piles, are swollen and inflamed veins in your anus and lower rectum. Hemorrhoids may result from straining during bowel movements or from the increased pressure on these veins during pregnancy, among other causes. Hemorrhoids may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids). By age 50, about half of adults have had to deal with the itching, discomfort and bleeding that can signal the presence of hemorrhoids. (SOURCE:

SYMPTOMS: Signs and symptoms of hemorrhoids may include:

* Painless bleeding during bowel movements
* Itching or irritation in your anal region
* Pain or discomfort
* Swelling around your anus
* A lump near your anus, which may be sensitive or painful
* Leakage of feces

LATEST TECHNOLOGY: Several minimally invasive technologies are available to treat hemorrhoids. The use of energy to deliver heat and coagulate target lesions is commonly practiced. Now, there is a new bipolar tissue ligator that combines constant tissue compression and temperature guidance. The HET Bipolar Forceps and Monitor have been granted a CE mark and FDA clearance. The treatment occurs in a pain free zone and uses low radiofrequency, bipolar energy to occlude the superior hemorrhoidal blood supply resulting in the reduction of the blood flow to the corresponding hemorrhoid. Because of HET's unique and proprietary design, the tissue is compressed and treated in a transverse direction above the "Dentate Line", where there is an absence of or much fewer pain receptors. This results in a near pain-free procedure with proven long-term clinical outcomes. (SOURCE:;

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Sara Steffen
Mercy Medical Center

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