The THD Procedure is an innovative surgical treatment for Haemorrhoids, approved by the National Institute for Clinical Excellence (NICE).

THD is designed to cure haemorrhoids in a gentle way while focusing on excellent long term results. The procedure is a minimally invasive type of surgery (i.e. no cuts are made into the tissue), and it is carried out under general anaesthetic.

During the THD procedure, the blood-supplying arteries of the haemorrhoid are precisely located with a fine, specially designed proctoscope allowing maximum precision via a Doppler ultrasound probe.

Each of these arteries is then gently sutured through a small operating window of the same proctoscope, making this technique extremely gentle and safe.

As the procedure is carried out in the area above the dentate line (an area without sensory nerves), the patient doesn’t feel any stitches during or after the intervention.

The THD procedure differs from other surgical techniques in the following ways:

  • It does not cut or remove any haemorrhoidal tissue, hence post-operative complications are significantly reduced compared to a haemorrhoidectomy.
  • Since the blood-supplying arteries are but sutured, the THD procedure has been associated with far less post-operative complications and better long-term results.
  • In most cases, patients resume their normal activities within 24 – 48 hours.
  • Due to its low recurrence rates compared to traditional types of surgery, the THD procedure has been adopted in numerous hospitals throughout Europe.


Questions about piles and the THD haemorrhoid procedure? Read our Frequently Asked Questions (FAQ) section to see if your question has been answered.

  • If I have already undergone another type of surgery, can I still undergo the THD procedure?

Since the THD procedure is minimally invasive, it does not interfere with other types of surgery. However you should always consult a Consultant who can advise you on the most appropriate treatment.

  • Can haemorrhoids reoccur afterwards?

Despite the THD procedure being a very recent technique, the relapse rates observed during the first 5 years after the procedure are very low.

  • Does the THD haemorrhoid procedure have any contraindications?

Currently there are no known contraindications. Furthermore the procedure is a preferred method for elderly people and for patients with poorer health conditions, due to its minimal invasiveness.

  • How do I know whether the THD procedure is relevant to my condition?

If you feel any symptoms that are commonly associated with haemorrhoids, such as rectal bleeding or itching, please consult your GP who can assess your medical condition and refer you to a consultant if required. The Consultant will be able to determine whether you should undergo the THD procedure.

  • Does the procedure change the anatomical structure of the affected areas?

The THD procedure does not imply any incisions so the areas where the procedure is performed will remain intact during and after the procedure without changing their anatomical structure. In case of any haemorrhoidal prolapse, the prolapsed tissue is lifted back to its natural position, leaving the anatomical structure in its original state.

  • How long does the THD haemorrhoid procedure take?

The procedure normally takes half an hour.

  • What kind of anaesthetic is used for the procedure?

The THD procedure is normally carried out under a general anaesthetic.

  • What follow-up treatments need to be done after the procedure?

Unless otherwise recommended by your consultant, there are no specific treatments to adhere to. Treatments that have commenced prior to the intervention can be resumed afterwards.

  • Should I stick to a specific diet afterwards?

We strongly recommend a high-fibre diet with plenty of fruit, vegetables and wholegrain foods. You should also drink plenty of water (at least two litres per day) to prevent constipation and to avoid straining.

  • How long does it take to resume normal activities after the THD procedure?

You should only feel a slight discomfort within the first 24 – 48 hours after the procedure. After this period of time, most patients are able to resume their normal activities, since there are no open wounds which need to be taken care of.


The Rubber Band Ligation Haemorrhoid treatment is the second line treatment for mild and moderate internal haemorrhoids (piles).

Rubber Band Ligation involves the application of tight rubber bands around the piles which are positioned using a specially designed instrument, inserted through the anal canal.

The success rate is about 70%

This procedure doesn’t require sedation or anaesthesia.

Mansfield Piles Clinic Specialists at Nottingham Road

What happens next?

In order to be able to see you at Nottingham Road Clinic you will need a letter from your GP. Once you have the letter or the GP has agreed to write to us please contact us to make an appointment. Unfortunately we are unable to see any patients under the age of 18.

Make a Booking Enquiry

Please contact our Clinic Manager, Maria Flint, on 01623 624137 or fill in the contact form below. All enquiries and bookings are handled in complete confidence by our Clinic Manager.

When (ideally) would you like an appointment?

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