“Small laser sclerotherapy” is particularly suitable for hemorrhoids grade 1-2. Similar to HAL, vascular ultrasound is used to detect the artery entering the hemorrhoidal nodules from above and close it by photocoagulation with the laser. The resulting heat simultaneously dries out the haemorrhoidal node, so that there is an additional shrinking effect. Small wounds develop at the treatment sites, which heal within 2-3 weeks with a slight inflammation. Healing takes place without scars. This method is performed as a one-off session under general anaesthesia, during which all enlarged haemorrhoidal cushions are treated simultaneously. 7-10 shots are performed per session.

Work is possible again the next day. You may feel a slight feeling of pressure for 1-2 weeks. Slight blood accumulation is also possible for 2 weeks. In order to avoid constipation caused by the treatment, it is recommended to take psyllium husks (Mucofalk) daily after breakfast for 3 weeks. Apart from weight training for 2 weeks, all physical activities are permitted after the operation.

Preparation is only done by enemas before the operation.

The HELP method is not suitable for all externally visible or noticeable haemorrhoids.

The HELP is a very good alternative for rubber band ligation:

– if healing is to take place quickly and not only after several sessions (patients who travel a lot).
– under a therapy with blood thinners (Marcumar, Falithrom) only a one-time conversion to heparin is necessary.

This method has only been available since 2009, so there are no long-term results. My previous results show equally good long-term results as the rubber band ligation.
Clear disadvantage of this method are the costs. While private insurance companies cover the costs, patients with statutory health insurance can only use this method as self-payers.