Hemorrhoidal Artery Embolization

Hemorrhoidal artery embolization (HAE) is an advanced, minimally invasive procedure that relieves the symptoms of internal hemorrhoids by reducing their blood supply. The interventional radiology specialists at Cooper University Health Care perform HAE using image-guided techniques that allow precise treatment without the need for surgery.

For many patients, HAE can reduce bleeding, discomfort, and swelling while helping them return quickly to their normal activities. Cooper is among the only centers in the region offering this leading-edge therapy.

Who May Benefit From HAE

HAE may be a treatment option for those who:

• Have symptomatic grade 1 to 3 internal hemorrhoids, especially those that bleed 
• Continue to have symptoms despite changes in diet or the use of topical or oral treatments
• Want to avoid traditional surgery or trans-anal procedures
• Are not candidates for surgery due to other health concerns

Advantages of HAE

Compared with the surgical removal of hemorrhoids (hemorrhoidectomy) or other procedures, HAE offers several advantages:

• Minimally invasive, same-day procedure, with no hospital stay required
• Little to no pain during or after the procedure
• No general anesthesia, as the procedure is performed under mild, or “twilight,” sedation
• Faster recovery and a quicker return to daily activities
• Low risk of complications and minimal discomfort after the procedure

What to Expect During the Procedure

During the procedure, an interventional radiologist makes a small pinhole in the skin at the wrist or upper thigh. Using X-ray imaging, a thin, flexible tube called a catheter is guided through an artery to the blood vessels that supply the hemorrhoids. Tiny particles and coils are then released to block these arteries, reducing blood flow to the hemorrhoidal tissue.

This targeted approach causes the hemorrhoids to shrink over time and helps relieve symptoms such as bleeding or swelling.

An HAE typically takes about two hours and is performed under “twilight” sedation, allowing patients to remain relaxed and comfortable throughout the procedure.

Recovery and Results

Because HAE is an outpatient procedure, most patients go home the same day. Afterward, you make experience:

• Mild soreness or pressure at the catheter site
• Gradual improvement in your symptoms over several weeks as the hemorrhoids shrink
•  Long-lasting relief and improved comfort without the recovery time of traditional surgery

Why Choose Cooper for HAE?

Cooper is leading the region in offering today’s most advanced interventional radiology treatments. Our board-certified interventional radiologists specialize in image-guided, minimally invasive techniques that provide safe and effective alternatives to traditional surgery.