Advanced Hemorrhoid Center

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What are hemorrhoids?

Hemorrhoids, or piles, are caused when veins around the anus or rectum become swollen and inflamed, causing pain, itching and sometimes bleeding. They are extremely common—experienced by about one in three Americans. However, they can cause lingering, and painful, issues.

Illustration Of A Patient Suffering From Hemorrhoids

Types of Hemorrhoids

Booklet: Types Of Hemorrhoids

Booklet: Hemmoroids, Get The Facts

Treatment Options

If you are experiencing any of these symptoms, IBI Healthcare Institute has several solutions to treat the problem at the source.

Booklet: Hemmoroid Treatment Options


HAL-RAR – Hemorrhoidal Artery Ligation and Recto Anal Repair – is a new form of treatment for all grades of hemorrhoids.

Morbid changes in the anal region are becoming an increasingly widespread problem for the world’s population. Some 50% of people will suffer from hemorrhoidal disease at some stage in their life, however up until now, many of them have put off consulting their doctor because of the pain associated with the various treatment methods. Only now, after many years of stagnation in the development of surgical treatment for symptomatic hemorrhoids, are new alternatives being developed that are changing the status quo. Innovative new procedures, such as HAL-RAR, take away patients’ fear and ensure they visit a doctor in the early stages – in particular those doctors offering such effective and vitually pain-free treatment. So make the most of this new option!

HAL (Hemorrhoidal Artery Ligation)

The HAL method is suitable for treating low to medium grade haemorrhoids, and is extremely effective in addressing the symptoms of haemorrhoidal disease. The ligations serve to reduce the arterial blood supply, causing the haemorrhoidal cushions to shrink back to normal size. This method can be carried out with ease using the RAR Flexi Probe.

Image Of HAL (Hemorrhoidal Artery Ligation)

HAL Doppler

  • The handle with the RAR Flexi Probe is introduced into the rectum, then rotated slowly to search for arteries. The loudest Doppler signal indicates the center of the artery.
  • Once the first artery has been found, it is ligated using an A.M.I. Suture.
  • The handle is then turned again to locate further arteries.  Once found, each artery is ligated as described in step 2.

As a rule, between five and eight arteries will be found during the procedure. However, this number can vary from patient to patient, and will also depend on the severity of the hemorrhoids in each case.

The RAR method is used to treat the prolpasing hemorrhoids that occur during more advanced stages of the disease. RAR involves one or more mucopexies of prolapsing mucosa, carried out after the hemorrhoidal arteries have been ligated.


Sometimes following a hemorrhoidectomy—or the surgical removal of a hemorrhoid—it is necessary to remove additional tissue in the anal canal in order to make sure it remains unblocked by any excess lining. This procedure would mostly likely happen in tandem with the hemorrhoidectomy, in-office and under sedation.

Since the introduction of these minimally-invasive methods, more than a hundred thousand patients have been treated with them and excellent results achieved in terms of effectiveness, patient-friendliness and safety. Furthermore, the operation can be tailored to suit each individual patient.


  • Successful treatment of symptoms and prolapse. In a multicentric study comprising a total of 184 patients with high-grade hemorrhoidal disease in seven countries, 89% of all patients were completely free of symptoms after 12 months. *


  • No open wounds – minimal pain and a quick recovery. According to published data, these factors result in a high rate of patient satisfaction.**


  • Very few intra- or post-operative complications. Up until now, not one major complication has been reported in the literature.


Each of these procedures helps patients resume pain-free and comfortable lives relatively quickly. If you are experiencing any hemorrhoid discomfort, don’t wait to get help. IBI Healthcare Institute is here to make sure you return to life before hemorrhoids as quickly and effortlessly as possible.

How much does the procedure cost?

Visit Our Pricing Page.

This is a self pay, all inclusive price. Price will vary based on insurance and health status, use of additional resources and so on. We offer financing options for qualified customers.

The cost not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional that is doing the procedure. Look for someone who is licensed and trained and has experience treating patients using this procedure. Enroll in the IBI Healthcare Institute Rewards Program to save money on treatments.

Hemorrhoid Banding or Ligation (CPT 46250)

Illustration Of Hemorrhoid Banding Or Ligation (CPT 46250)

Ligation is one of the most common, and simplest, outpatient treatments for hemorrhoids. During the procedure, a rubber band is placed around the base of the hemorrhoid, stopping the supply of blood to the mass and causing it to shrink, and eventually, fall off. Because of the non-invasive and prolonged approach, this procedure is overall less painful and has a shorter recover time than more surgical approaches.

Rubber band Hemorrhoidectomy ranges from $2,873 to $4,850. Compare local prices, save money, and book your procedure — all in one place with MDsave. Read more about how it works. This includes an external and/or internal hemorrhoid removal surgery for single or more columns/groups.

IRC: Infrared Coagulation Therapy

Infrared photocoagulation (also called coagulation therapy) is a medical procedure used to treat small- and medium-sized hemorrhoids. … Heat created by the infrared light causes scar tissue, which cuts off the blood supply to the hemorrhoid.

Infrared coagulation (IRC) is the most widely used office treatment for internal hemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and virtually problem-free. A small probe contacts the area above the hemorrhoid, exposing the tissue to a burst of infrared light for about one second.

For infrared coagulation, the cost per treatment usually ranges from $400 to $500, with an average of four treatments required, for a total of about $2000 to $3,000. Hemorrhoid treatment may be covered by your health insurance.

Stapled hemorrhoidectomy

Stapled hemorrhoidectomy, also known as stapled hemorrhoidopexy, is a surgical procedure that involves the removal of abnormally enlarged hemorrhoidal tissue, followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position.

Price ranges from about $6,000 to $7,000.

Hemorrhoidectomy or Hemorrhoid Removal

Severe internal, or external, hemorrhoids that do not respond to other treatments or have grown too large may require surgical removal. A hemorrhoidectomy is done under anesthesia and completely removes the swollen tissue from the body.

The cost of a surgical hemorrhoidectomy ranges from $6,000 to $7500

This includes an external and/or internal hemorrhoid removal surgery for single or more columns/groups.

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