Specialist Surgeon
MS, DNB, FNB(Minimal Access Surgery)
Member of Royal College of Surgeon (MRCS), UK
2nd of December Street 1st floor, Flat No 8, Al Satwa Bldg, Beside Civil, Defence, PO Box No 126590 - Dubai
Ground Floor - Villa No. 4 Al Wasl Rd - opposite Pizzahut - Jumeirah - Jumeirah 2 - Dubai
Transanal Hemorrhoidal Dearterialization (THD) or Hemorrhoidal Artery Ligation (HAL) is a minimally invasive, stitch-based treatment for hemorrhoids that offers excellent long-term relief without cutting or removing tissue. At Cosmocare Piles & Hernia Center in Dubai, patients experience a smooth and comfortable surgical journey, performed by an experienced colorectal and laser surgeon with advanced expertise in hemorrhoid care.
Patients undergo a simple evaluation, including anorectal examination and routine blood tests. A light diet and cleansing enema are advised before surgery. Fasting for 6 hours prior to the procedure is usually required.
The procedure is performed under short general or spinal anesthesia. Using a Doppler-guided proctoscope, the surgeon identifies and ligates the arteries supplying the hemorrhoids. In some cases, a mucopexy (lifting of the prolapsed tissue) is performed. The entire surgery takes 30-45 minutes, and since there is no tissue cutting or open wound, pain and bleeding are minimal.
Post-operative Recovery:
Patients can usually go home the same day. Mild discomfort or a sensation of fullness may occur for a few days. Most return to normal work in 5-7 days. A high-fiber diet, plenty of fluids, and stool softeners are recommended to prevent straining. Heavy lifting or prolonged sitting should be avoided for a week.
For consultation and assessment, contact Dr. Murtaza Pithawala, leading general and laparoscopic surgeon in Dubai specializing in advanced laser and Doppler-guided hemorrhoid treatments.
No, it is a minimally invasive with minimal pain hemorrhoid surgery since no external cuts are made.
Most patients resume normal activity within 3-5 days after surgery.
Recurrence is minimal (<15%) when combined with lifestyle and dietary modifications.
Usually not. THD / HAL is a day-care or short-stay procedure.
It is most effective for Grade II and III hemorrhoids and selected Grade IV cases without thrombosis.
