| Recovery Time |
Resume normal activity same day; pressure/urgency for 24–48 hrs; full settle by 7–10 days |
Usually minimal; mild irritation for <24 hrs; recovery tends to be faster |
| Anesthesia Needed |
None (placed above dentate line) |
None (injected above dentate line) |
| Durability / Relapse Rate |
Lower relapse (≈10–20% over 1–2 yrs) |
Higher relapse (≈30–50% over 1–2 yrs) |
| Typical Use |
Best for Grade II–III internal hemorrhoids |
Best for early Grade I–II, or patients intolerant of banding |
| Common Complications |
Pain if low placement; bleeding at slough (day 7–10); urinary retention; very rare pelvic sepsis |
Mild burning/pressure; small bleeding; rare ulceration; allergic reaction possible but uncommon; severe infection extremely rare |
| Number of Sessions |
Often 1–3 sessions for multi-column disease |
Often requires repeat treatments due to higher recurrence |
| Effect on Daily Life |
Mild disruption for 1–2 days |
Minimal disruption |
