Injection Sclerotherapy
Painless injection of sclerosant into haemorrhoidal tissue — effective outpatient treatment for Grade I and II haemorrhoids.
What is Injection Sclerotherapy?
Injection sclerotherapy is a minimally invasive outpatient procedure for Grade I and II internal haemorrhoids in which a sclerosant solution — typically 5% phenol in almond oil — is injected into the submucosa at the base of each haemorrhoidal column. The sclerosant causes an inflammatory reaction leading to fibrosis, shrinkage, and fixation of the mucosa.
Dr. Tagore Mohan Grandhi performs injection sclerotherapy as a rapid, painless outpatient procedure requiring no anaesthesia. It is an effective first-line treatment for bleeding Grade I and II haemorrhoids, often resolving symptoms completely within 2–3 weeks.
Suitable for patients with Grade I haemorrhoids causing persistent bleeding, Grade II haemorrhoids that reduce spontaneously, and patients on anticoagulants for whom more invasive procedures carry higher risk.
How the Procedure Works
Pre-procedure Assessment
Proctoscopy confirms Grade I or II internal haemorrhoids and excludes other causes of rectal bleeding.
Patient Positioning
Left lateral or lithotomy position. Proctoscope inserted and haemorrhoidal columns visualised at the 3, 7, and 11 o'clock positions. No anaesthesia required.
Sclerosant Injection
Fine needle inserted through the proctoscope into the submucosa at the apex of each haemorrhoidal column above the dentate line. 2–3 mL of 5% phenol in almond oil injected at each site.
Post-injection Assessment
Mucosal bleb checked to confirm correct submucosal placement. Injection into the muscle layer avoided.
Recovery and Follow-up
Patient observed for 15 minutes and discharged the same day. Mild rectal discomfort for 24–48 hours is common. Response assessed at 4–6 weeks.
Outcomes
Who Needs This Treatment?
- →Completely painless — performed above the dentate line where the mucosa has no pain sensation
- →Rapid outpatient procedure — completed in under 15 minutes with immediate discharge
- →Multiple haemorrhoidal columns treated at a single sitting
- →Safe for patients on anticoagulants who cannot safely undergo rubber band ligation
Injection sclerotherapy is one of the oldest and most reliable treatments for Grade I and II haemorrhoids — a painless 10-minute procedure that resolves bleeding in the great majority of patients without any anaesthetic.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Injection Sclerotherapy Cost for Piles in Hyderabad
The cost of Injection Sclerotherapy for Piles in Hyderabad depends on factors such as the grade of piles, severity of symptoms, number of piles treated, investigations required, and follow-up care.
For patients with Grade I piles, the approximate cost of Injection Sclerotherapy ranges between ₹8,000 and ₹20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Injection Sclerotherapy | ₹8,000 – ₹20,000 |
The final cost may vary depending on your individual condition, treatment requirements, number of sessions needed, and post-procedure care.
Factors That Influence Injection Sclerotherapy Cost
The overall cost may depend on:
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Grade of piles: The severity and grade of haemorrhoids can influence whether sclerotherapy is suitable and the treatment approach recommended.
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Pre-treatment evaluation: Clinical examination, proctoscopy, and other required assessments may contribute to the overall cost.
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Number of treatment sessions: Some patients may require additional sittings depending on symptoms and response to treatment.
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Follow-up care: Post-procedure monitoring, medications, and follow-up consultations may influence the overall treatment cost.
Is Injection Sclerotherapy Covered by Insurance?
Injection Sclerotherapy coverage depends on your health insurance policy, medical indication, and insurer approval criteria.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will evaluate your symptoms, examination findings, and grade of piles to determine whether Injection Sclerotherapy is suitable for you. She will explain the procedure, expected outcomes, and provide an estimated cost based on your individual condition and treatment requirements.
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Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.