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Medically by Mr Piero Nastro, MD, MRCS, FRCS(Eng). GMC Number: , Laparoscopic, General & Surgeon for The Private Clinic of Harley Street, London.
Last December 13th 2023

THD and HALO Treatment for Haemorrhoids

Transanal dearterialization (THD) or haemorrhoidal artery ligation operation (HALO) are surgical procedures for treating haemorrhoids/piles.

are lumps caused by veins that are located inside and around your anus. Many get better on their own, but if you have that are not improving after lifestyle changes and homecare then you should seek guidance to help relieve you of troubling symptoms.

Minimally Invasive Haemorrhoid Treatment

When searching for haemorrhoid treatment, there is a wide variety of techniques available and many are keen to choose one that promotes a quick time like THD or HALO.

Also known as doppler guided ligation, haemorrhoid ligation or haemorrhoidal artery ligation, THD is an innovative surgical that is designed to cure haemorrhoids in a invasive way. The procedure has been by the for Clinical Excellence (NICE) in 2010 as an effective to haemorrhoidectomy or haemorrhoidopexy.

The procedure uses a micro- doppler device to guide the surgeon to place a suture across the haemorrhoidal arteries. arteries blood supply to the so by removing these, the should shrink.

What is a HALO treatment for piles and how does it differ from a THD procedure?

Artery Operation more commonly known as HALO is an almost identical procedure to THD. The main difference the two is that the name is based on the that supplied the disposable with an Doppler ultrasound that the will use to the procedure.

At The Private Clinic, we use a THD doppler and will predominately refer to the procedure as THD for Haemorrhoids.

Benefits of THD treatment for Haemorrhoids

Self Pay Haemorrhoid Treatment

are to book at our discreet in , and .

Our haemorrhoid treatment are available as a self-pay treatment. We do not require GP or hospital . can be at a time and date convenient for you with waiting lists.

THD and HALO Treatment for Haemorrhoids at a glance

Time

30-40 mins

Anaesthetic Type

General anaesthetic

Stay

None, daycase

Support Garment

None

Washing

24 Hours

Sleeping

n/a

Driving

1 Day

Up & Mobile

Immediately

Sexual Activity

1 – 2 weeks

Back to Work

1 week

Exercise

1 – 2 weeks

Travel

1 – 2 weeks

Recovery Time

1 – 2 weeks

Final Results

1 – 2 weeks

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What to Expect

A consultation will take place with one of our surgeons who are in haemorrhoids. Your will:

You will then meet with your dedicated coordinator who will you with a detailed treatment plan with full cost and pricing so you can leave feeling well-informed and able to decide if to go ahead with or not.

In the interests of safety, all our patients are assessed against our . Following your treatment and review of your past medical history, the physician or pre-operative nurse will decide if any tests are ahead of your . If considered to be appropriate, these may include routine blood tests.

You will be provided with a instruction sheet ahead of your procedure which will help you to for your treatment.

dearterialization is under general anaesthetic and takes around minutes to complete.

The treatment is known as being minimally invasive as it does not require any tissue which means there will be no raw or open wounds to heal post-procedure. The is performed in an area of the rectum that sits above the anal canal. This area has very few nerve endings and little sensation meaning there is very little risk of pain in the area being felt after the .

Following your THD procedure, you will be in hospital for a short time before being discharged the same day by your once they are happy with your . The rest of your recovery period will be carried out at home.

THD / Halo procedure for haemorrhoids recovery time

Overall, THD does have a recovery period in comparison to a . Most patients can return to their usual daily activities after 1 week.

Medication

A course of including painkillers will be provided to patients following the procedure to help them feel comfortable.

Bathing

and can be resumed 24 hours post procedure. Sitz baths may be for the first two weeks to help keep the area clean, especially after bowel movements.  

What is a sitz bath?

A sitz bath is a warm bath of usually around 2-3 inches of water. It can take place in a or designated kits can be purchased that sit over a toilet. The bath should be sat in for minutes. Add any bath salts, OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling oil or other to the bath should be unless to by your . Once out of the bath, the bathed area should be patted dry with a warm towel and the water in the bath of. You may be to have multiple sitz baths a day to keep the area clean whilst also providing relief from any pain or discomfort following bowel movements.

Return to work

We recommend that patients allow 1 week off work, however this will depend on the requirements of your job role. Your surgeon will be able to advise further on this, but overall you should be comfortable and feel that you are able to fulfil your duties.  

Exercise

physical or should be avoided for 1-2 weeks following THD treatment for haemorrhoids. Light exercise such as walking can be resumed a few days following your procedure.

Driving

should be avoided for at least 24 hours but overall, it is best advised not to drive whilst on medication. We would recommend letting your know of your as you may not be covered for a certain period of time following . When you return to driving you should have full of the car and be able to an stop .

Lifestyle

We recommend that patients maintain a high-fibre diet and stay at all times to avoid bowel movements caused by constipation during recovery.

The Clinic have with Chrysalis to offer 0% for our .*

*Acceptance is subject to status. Terms and conditions apply.

Frequently Asked Questions

Whilst both and THD/HALO procedures are still out under general . THD/HALO has a much time as no cuts are made to the sensitive skin around the anus.

THD uses a probe that not only the but also sutures and them. The probe remains in the same position making it very gentle and safe.

artery recovery

THD treatment is not a pain free treatment, and some pain should be . Our medical team will provide you with painkillers to help manage any pain and discomfort.  A small amount of is expected for the first couple of days.  

Most patients are able to return to the majority of their usual daily within 1 week, but some patients may take a little longer.

Like all procedures, does have associated risks and which your will make you aware of before you decide to go ahead with treatment.

Risks include bleeding, infection, thrombosis, retention, and recurrence.

Yes, Transanal DHT and Haemorrhoidal Artery Ligation are both available on the NHS.

However, there is very strict criteria that you would need to meet before you are for .

Very few haemorrhoid procedures are carried out on the NHS now following an NHS Clinical group that led to a in funding.

As a result, many people seeking treatment are now self pay .

There are alternative to THD .

HALO treatment is the same type of haemorrhoidal artery operation but just performed using a different device. THD and HALO are essentially brand names. Surgeons are likely to perform one or the other on what device they own.

At The Private Clinic, we also offer which is a treatment that uses to reduce blood supply to the haemorrhoid causing it to shrink.

This is an ideal treatment for with internal grade 1-3 and can often be under local anaesthetic with minimal post-operative pain and . Find out more here.

We also offer for who are not suitable for the minimally options. This is a procedure where the haemorrhoids are cut away. The recovery time is a little more extensive but great results can be even on those with larger and more severe . Find out more here.

Other that could be used for haemorrhoid removal include banding (rubber band ligation) and injections. We do not offer these treatments at our as our only pick the treatments, they feel are going to be most effective for our patients with the least risk of .

If you are unsure of which haemorrhoid removal is going to be most for you. We recommend booking a with one of our top . They will go through all your in detail. They will also an which will enable them to give their professional advice on which procedure is going to be most for you.

Meet our Medical Experts

We have some of the most experienced working with us who offer the most treatments for and piles.

You can trust our experts to deliver a fast, and discreet service.

Consultant Laparoscopic, General & Colorectal Consultant Surgeon

Consultant Laparoscopic General & Surgeon

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About The Private Clinic

The Private Clinic is a multi award winning group with clinics across the UK. We have over 40 years’ experience in offering the best in advanced minimally non and expert led procedures in our clinics and . Our surgeons are all registered with and we are regulated by the . The CQC is an independent regulator for health and social care in . Last review March 10th 2023.

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Company reg: The Clinic is a trading name of TPC Group Limited ( registration number ) © 2026 The Clinic.

TPC Group Limited trading as The Clinic Harley Street London, which is an Appointed Representative of Finance Limited. TPC Group is a credit broker, not a lender. Chrysalis Limited is and regulated by the Financial Conduct Authority for credit broking and lending.