OA Dr. Alexis Freitas, F.E.B.S.
Surgeon
European surgeon for coloproctology Attending Physician in the Wiener Privatklinik
Senior Physician at Göttlicher Heiland Hospital
Profilfoto Dr. Alexis Freitas

Haemorrhoidal Disease

What are the symptoms of enlarged haemorrhoids? Haemorrhoids often cause itching, burning sensation, foreign body sensation, oozing and possibly even anal pain.

How are enlarged haemorrhoids detected? Enlarged haemorrhoids are diagnosed by proctological examination.

Do enlarged haemorrhoids require surgery? No. In many cases, enlarged haemorrhoids can be cured by simple, non-surgical, measures. If the conservative therapy does not achieve the desired success, the enlarged haemorrhoids are operated on, as far as the patient’s level of suffering makes operating worthwhile.

How are haemorrhoids operated on? In the majority of cases, I am able to repair the haemorrhoids with the minimally invasive ultrasound proctoscope (HAL/RAR) method. In addition to the advantage of the haemorrhoids being preserved as part of the continence organ, there is significantly less pain after the procedure.

Of course, I also perform surgical procedures with laser (LHP laser procedure).

Only in exceptional cases it is necessary to cut away the haemorrhoids.  I place utmost importance on the preservation of continence and the preservation of the sphincter function.