Emborrhoid® Procedure

The Emborrhoid® procedure is a minimally invasive treatment for internal hemorrhoids that reduces bleeding without surgical removal. At The Medical Group of New Jersey, this option offers symptom relief with minimal downtime.

Symptom Onset & Initial Evaluation

Internal hemorrhoids often develop gradually and may not cause discomfort initially. Many patients are referred for evaluation after symptoms begin to interfere with daily activities or cause concern. Common reasons for referral include:

• Recurrent or persistent rectal bleeding, especially during bowel movements
• A sensation of pressure or fullness in the rectum
• Prolapse symptoms, such as tissue protruding during bowel movements that may retract afterward
• Irritation or discomfort that does not improve with conservative measures

During the initial evaluation, your provider will carefully review symptom patterns, bowel habits, dietary factors, prior treatments, and any history of anemia or colorectal disease. This comprehensive assessment helps determine whether symptoms are consistent with internal hemorrhoids and whether embolization is an appropriate treatment option.

Diagnosis

Accurate diagnosis is essential to confirm that hemorrhoids are the source of symptoms and to rule out other causes of rectal bleeding. Evaluation typically includes:

• A focused clinical examination to assess anorectal anatomy and symptom severity
• Colonoscopy or other endoscopic evaluation when indicated, particularly in patients with risk factors, unexplained bleeding, or age-appropriate colorectal cancer screening needs

These steps ensure that embolization is offered only when symptoms are clearly attributable to hemorrhoidal disease.

Treatment Guidance & Management

The Emborrhoid® procedure is performed by interventional radiologists using image guidance to precisely target the arteries that supply blood to hemorrhoids. During the procedure:

• A catheter is navigated through the blood vessels to the hemorrhoidal arteries
• These arteries are selectively embolized, reducing blood flow to the hemorrhoids
• The hemorrhoidal tissue gradually shrinks as the blood supply decreases, without the need for cutting or removing tissue

Because the procedure avoids surgical excision, patients typically experience less post-procedure pain and faster recovery compared with traditional hemorrhoid surgery.¹

1. Al Jnainati, Mustafa, et al. “Outcomes of Embolization Therapy of Superior Rectal Arteries for the Management of Grade 1 to 3 Internal Hemorrhoids: A Systematic Review of Clinical Studies.” International Journal of Colorectal Disease, vol. 40, no. 1, 29 Aug. 2025.

Ongoing Management & Monitoring

After treatment at The Medical Group of New Jersey, follow-up care focuses on symptom resolution and long-term prevention. This includes:

• Monitoring improvement in bleeding and rectal discomfort
• Counseling on dietary fiber intake, hydration, and bowel habits to reduce strain
• Follow-up visits if symptoms persist or recur, allowing for timely reassessment and additional treatment if needed

This comprehensive, patient-centered approach helps ensure durable symptom relief while addressing the underlying contributors to hemorrhoidal disease.