Diagnosis and current treatment of hemorrhoidal disease.

Many new surgical and nonsurgical approaches to the treatment of hemorrhoids have been described: sclerotherapy, rubber band ligation, cryosurgery, anal dilatation, infrared photocoagulation, bipolar diathermy, and electrocoagulation. Which one is most effective depends on the size and degree of hemorrhoids, but surely depends as well on the experience of each proctologist. In the modern treatment, fast and painless procedures that can be carried out in the office practice under local anesthesia will be more and more indicated.