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New Hemorrhoid Treatment Offers Relief for a Sensitive Topic


05.15.2014

Assar A. Rather, MDHalf of the U.S. population has suffered or will suffer from hemorrhoids. It’s a sensitive topic, but relief from this condition is available thanks to a new minimally invasive procedure called THD offered by Assar A. Rather, MD, at Bayhealth General Surgery, Dover.

THD (Transanal Hemorrhoidal Dearterialization) is an outpatient procedure that takes about 20 to 30 minutes. With no cutting or removal of tissue, there is less pain and a quicker recovery time (often 24 to 48 hours) than other procedures to treat hemorrhoids. A traditional surgery requires up to two weeks of recovery.

Dr. Rather is one of just four surgeons in all of Delaware trained to perform THD.

Dr. Rather helps explain some common questions about hemorrhoids and treatment options:

What are hemorrhoids?
They occur naturally in our body and are swollen or dilated blood vessels located inside the anus or around the outside of the anus.

What causes hemorrhoids?
There are a number of things that cause hemorrhoids including pregnancy, straining during a bowel movement, sitting for too long during bowel movements, frequent constipation, and obesity.

What are the symptoms of hemorrhoids?
You might experience pain or pressure, swelling, itching, soreness, and sometimes bright red bleeding in the stool, on toilet paper or in the toilet bowel.

How do I know when to seek treatment for hemorrhoids?
For a lot of people, hemorrhoids are an irritant that come and go on with conservative treatment like over-the-counter creams and ointments. But for others, they become chronic and cause persistent problems like pain, prolapse, and bleeding which affect quality of life.

What is the THD procedure?
During the THD procedure, I use a small probe with Doppler ultrasound to identify terminal branches of a hemorrhoid artery and tie off the arterial blood flow with absorbable sutures resulting in reduction of swelling and bleeding.   

How quickly can I return to normal activities?
Because there is no tissue removal or cutting during the procedure, normal activities may be resumed within days depending on the severity of your condition.

How can I prevent hemorrhoids?
Even though they occur naturally, you can take several steps to manage the disease process and prevent the need for surgery. These include dietary modifications which includes using fiber therapy and eating a high fiber diet. Other lifestyle modifications include not straining during bowel movements and weight reduction.

To make an appointment with Dr. Rather, call 302-674-4070. His office is located at 724 S. New St., Dover, DE.



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Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss, women’s services and walk-in medical care. Search for nursing jobs, and health classes and events. Find doctors affiliated with Bayhealth Medical Center or a Delaware hospital near you.