It Doesn’t Have to Be this Way any Longer.

Now you can stop putting off your hemorrhoid surgery by getting a less-invasive procedure.

Hemorrhoid surgery that is a safe, gentle, and effective treatment for all grades of internal hemorrhoids in one procedure.

Studies indicate that most people will suffer from hemorrhoids at some point in their life. Many of them have put off conventional hemorrhoid surgery because of the embarrassment and pain associated with the various treatment methods. Today, innovative alternatives are available that are removing the fear and hesitancy of visiting a surgeon.

HAL-RAR (Hemorrhoidal Artery Ligation and Recto Anal Repair) is a well-studied and proven form of treatment for all grades of internal hemorrhoids and the first procedure to treat them using minimally invasive techniques without surgical excision, stapling or banding. It effectively treats symptoms and prolapse with no open wounds, virtually no pain, and a quick recovery.

Many of Dr. Lal’s patients recover fully a few days after treatment. There’s usually little to no change in lifestyle and they can move on with their everyday activities free and clear of internal hemorrhoid discomfort.

Dr. Tanmay Lal

“I help countless others who suffer in silence with this dreadful affliction and enable them feel normal again. I can do the same for you.”

TANMAY LAL, MD

Advantages of HAL-RAR

This innovative procedure uses doppler-guided hemorrhoid artery ligation, reducing the need for conventional hemorrhoid surgery or rubber band ligation. Since the introduction of these minimally invasive methods, more than 100,000 patients have been treated with them with excellent results in terms of effectiveness, patient-friendliness, and safety.

Proven Effectiveness

The HAL-RAR procedure successfully treats internal hemorrhoid symptoms and prolapse. According to a multi-centric study comprising patients with high-grade hemorrhoidal disease in seven countries, 89% of all patients were completely free of symptoms after 12 months.

More Patient-friendly than Conventional Hemorrhoid Surgery

The HAL-RAR procedure leaves no open wounds, resulting in minimal pain and a quick recovery. Using the miniature doppler sensor, the arteries supplying the hemorrhoids can be pinpointed and tied off to cut the blood supply. The hemorrhoids are reduced almost immediately and, within weeks, are no longer noticeable.

Safe and Convenient

Intra-operative and post-operative complications from the HAL-RAR procedure are generally uncommon. Since there is no surgical excision, the procedure is virtually painless and a hospital stay is rarely required.

“I brought a journal article to my surgeon and he said that he had heard good things about this procedure but he did not have the training. I found Dr. Lal, who not only has performed the procedure but teaches the HAL-RAR technique. Dr. Lal was concerned for my comfort. The out-patient procedure had far less pain … By two weeks out I was feeling normal – no, actually better. Life is so much easier without the bleeding and pain of hemorrhoids. My husband says I should have had this done sooner.”

− C.D., age 66, Lewistown, PA

“I recently underwent a colonoscopy and HAL-RAR procedure. Dr. Lal did both at the same time; first the colonoscopy and then the HAL-RAR. Everything went well. I had no complications; everything went smoothly … Dr. Lal and his staff, as well as EORH, were very informative and gave me excellent care!”

− B.L., age 57, Wheeling, WV

Fiber-Rich Foods

Fiber Essentials and Hemorrhoids

A lot of patients who have hemorrhoids suffer from constipation. In fact, constipation and straining while having a bowel movement is what often causes the hemorrhoids (also known as piles) to form or get worse with time. Thankfully, most patients who have constipation can get hemorrhoid relief with a relatively simple fix – increasing their daily intake of dietary fiber.

Frequently Asked Questions

While nothing replaces a one-on-one consultation with a qualified medical professional, here are answers to some common questions that may help you as you explore your treatment options.

How effective is this treatment? Is it permanent? Will my hemorrhoids return?

Studies have shown that nearly 90% of patients will need this procedure only once. There are very few recurrences.

How soon can I go back to my regular daily activities after treatment?

Many of Dr. Lal’s patients recover fully the following day after treatment. There’s usually little to no change in lifestyle and they can move on with their everyday activities free and clear of internal hemorrhoid discomfort.

Will I be hospitalized and, if so, for how long?

Barring unique health conditions or circumstances, a hospital stay will not be required after this procedure. Most patients leave the hospital two hours after treatment.

What stage hemorrhoids to you treat with this procedure?

The HAL-RAR procedure is available for all stages of internal hemorrhoids. Certain higher-grade internal hemorrhoids may require more invasive treatment. HAL-RAR is not used to treat external hemorrhoids. Please contact Dr. Lal to discuss your options.

Why is this less painful than conventional hemorrhoid surgery or banding?

This innovative procedure uses doppler-guided hemorrhoid artery ligation, reducing the need for conventional hemorrhoid surgery or rubber band ligation. Since it involves suturing in less-sensitive areas and there are no surgical incisions, patients usually experience little to no pain.

How new is this procedure?

Since the introduction of the HAL-RAR method more than 20 years ago, patients have experienced excellent results in terms of effectiveness, patient-friendliness, and safety.

What can I do to prevent future occurrences of hemorrhoids?

The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:

  • Eat high-fiber foods
  • Drink plenty of fluids
  • Consider fiber supplements
  • Don’t strain
  • Go as soon as you feel the urge
  • Exercise
  • Avoid long periods of sitting

For more information, visit the Mayo Clinic website.

Do I need a referral from my doctor to get this treatment?

No, a referral is not required to receive this treatment.

Is this procedure covered by insurance?

Yes, this procedure is covered by most insurances.

Dr. Lal is available to answer other hemorrhoid surgery questions and encourages you to contact him with yours using the form below.

Your Story Does Not Need to Be Like the Others.

You are not alone. Most adults will experience hemorrhoids at some point. Contact Dr. Lal today for a consultation.

DO NOT SHARE YOUR PERSONAL MEDICAL INFORMATION HERE.

This contact form is for general information and consultation requests only. It is not intended for sharing Protected Health Information (PHI) or discussing medical issues. If you have a medical question, please contact Dr. Lal at (484) 750-6965, leave a message and he will contact you.

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