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The National Institute for Health and Clinical Excellence (NICE) is an authoritative institute for public health recognized by the international scientific community.

NICE produces guidance (advice) on public health, health technologies and clinical practice and sets quality standards about preventing, diagnosing and treating different medical conditions. Each guidance is written by independent experts including healthcare professionals and people representing patients and carers.

In May 2010 NICE released guidelines about haemorrhoid treatment through haemorrhoidal artery ligation (THD Procedure):

"TREATING HAEMORRHOIDS (PILES) BY TYING OFF THEIR BLOOD SUPPLY" (Information about NICE interventional procedure guidance 342. May 2010). As indicated in the NICE guidance, there is evidence that this procedure is an efficacious alternative to conventional haemorrhoidectomy or stapled haemorrhoidopexy in the short and medium term and raises no major safety concerns. So this procedure can be offered routinely as an alternative to surgical removal or stapling of haemorrhoids. The advisers said that success factors are:

• less pain after the procedure than other treatments
• the haemorrhoids going away
• relief of symptoms such as bleeding, protruding haemorrhoids, swelling, pain, soreness and itching

http://guidance.nice.org.uk/IPG342

Where can I get more information on treatment for piles / haemorrhoids?

We have a dedicated web page on haemorrhoids/piles which can be accessed here. We also have a separate web page on this website that gives more detailed information on the THD procedure for haemorrhoids.

NICE issues full guidance on THD - HALO  procedure for haemorrhoids (Nov 2010)