Cochin Hospital · AP-HP · Université Paris Cité
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Cochin AP-HP

Haemorrhoid Artery Embolization (HAE)

Interventional Radiology · Cochin Hospital AP-HP · Paris

🩺 Proctology · Non-surgical

Haemorrhoid Artery Embolization — No Surgery, Paris Cochin AP-HP

Internal haemorrhoids · No general anaesthesia · Outpatient · 80–85% efficacy · No surgical incision

📖 What is haemorrhoid embolization?

Haemorrhoid artery embolization (HAE) treats internal haemorrhoids by selectively blocking the superior haemorrhoidal arteries via a catheter inserted through the femoral artery. Reducing arterial inflow causes regression of the haemorrhoidal plexus — controlling bleeding and reducing prolapse — without surgery, without incision, and without general anaesthesia.

HAE is indicated for grades II–III internal haemorrhoids with recurrent bleeding, refractory to conservative treatment (topical, dietary) and as an alternative to rubber band ligation or haemorrhoidectomy.

🎯 Who is suitable?

  • Grades II–III internal haemorrhoids with recurrent bleeding
  • Failed conservative treatment (high-fibre diet, topical agents)
  • Failure or recurrence after rubber band ligation
  • Contraindication to general anaesthesia or haemorrhoidectomy
  • Elderly or frail patients seeking a minimally invasive option

FAQs

Yes. At Cochin AP-HP (French public hospital), haemorrhoid embolization is covered by national health insurance. No patient fees.
Most patients notice reduction in bleeding within 2–4 weeks. Improvement continues up to 3 months as the haemorrhoidal tissue regresses.

🔗 Related pages

→ IR overview→ 🇫🇷 Version française

🇫🇷 French version: embolisation-hemorroides.html