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Nonsurgical Hemorrhoid Treatment: HET Therapy in NYC


What is HET therapy for hemorrhoids?

The HET System is a non-invasive, non-surgical hemorrhoid treatment.  The system uses a small, disposable clap that applies a combination of constant tissue compression and mild bipolar energy to internal hemorrhoids.  The treatment is applied to a pain-free area inside the rectum to reduce blood flow hemorrhoids.  As a result, discomfort and bleeding are diminished.


What are the benefits of HET Therapy?

In clinical studies, HET therapy has demonstrated a high rate of efficacy and safety in the treatment of internal hemorrhoids. Patients appreciate the convenience and comfort this modality provides, and enjoy the ability to immediately resume normal activities. In addition to working quickly and comfortably, HET therapy can treat multiple internal hemorrhoids in a single procedure.

Who is a candidate for HET Therapy?

Hemorrhoids can often improve with lifestyle remedies such as eating a high-fiber diet, taking sitz baths, and using over-the-counter ointments to soothe symptoms. If hemorrhoids persist or worsen regardless of these strategies, a simple office procedure like HET therapy may be appropriate.

What can I expect during hemorrhoid treatment? Is the procedure painful?

HET is associated with less discomfort than other non-surgical hemorrhoid treatments as therapy is applied to an area above the “Dentate Line”, where there are much fewer or absent pain receptors.  An anesthesiologist is available to provide sedation if desired.

Is HET the best treatment for hemorrhoids?

All nonsurgical hemorrhoid treatments work by interrupting the blood supply to hemorrhoids. Each technique may have certain limitations, according to studies. For example, rubber band ligation may incur a sensation of needing to have a bowel movement. Coagulation may cause discomfort and may require multiple treatments to fully shrink hemorrhoid. In contrast to these methods, the developer of the HET system claims that this technique provides more controlled tissue ligation without affecting adjacent tissue. This makes HET more comfortable and seemingly less risky.

It is important to keep in mind that nonsurgical hemorrhoid treatments may all have limitations to the severity of symptoms they can correct. Severe hemorrhoids may only be treatable with surgery. Furthermore, studies also indicate that the risks associated with rubber band ligation and coagulation are minimal.

The best treatment for hemorrhoids is one that works safely and efficiently based on the patient’s unique situation. We perform a thorough medical history, consultation, and examination to help our patients determine which procedure may be best for them.

Why is HET the preferred method to treat hemorrhoids?

HET is fast, painless and does not require an overnight hospital stay. It is performed in our surgery center, quickly and safely.  The therapy only takes minutes to perform.  Patients may return to regular activities shortly after treatment.

What are all the Nonsurgical Hemorrhoid Treatment Options?

Rubber Band Ligation

Rubber band ligation has been widely used for more than 50 years. Studies suggest that the success rate of this technique is over 99%. The procedure involves gentle suction on the tissue to access the base of hemorrhoids. A band is then placed over this area, where there are no nerve-endings. Without a blood supply, hemorrhoid begins to shrink right away. Within a few days, symptoms should be noticeably improved. Rubber band ligation takes less than 5 minutes and can be tolerated without any anesthesia. Patients can resume normal activities the same day or following day. Minor bleeding may occur, lasting up to 10 days.


Coagulation therapy for hemorrhoids has also been common for many years. This technique inhibits blood supply to symptomatic tissue using infrared light at the base of individual hemorrhoids. Light causes clotting beneath hemorrhoids, resulting in the growth shrinking. The office treatment is well-tolerated without any anesthesia. Like rubber band ligation, coagulation may result in minor bleeding that lasts up to 10 days.

Is the preparation required for the procedure?

There is no preparation is required. However, if you wish to be sedated for the procedure, you will need to fast for 8 hours and arrange for an escort to take you home from our office.

Approximately How long is HET Therapy for hemorrhoids?

HET therapy is conducted in the office in just a few minutes. Patients do not require anesthesia and can immediately resume normal activities.

What are the risks involved with this procedure?

The risks of HET therapy are very low. Similar to other nonsurgical hemorrhoid treatments, HET therapy may cause minor bleeding and discomfort. Most patients do not experience pain during or after their procedure. If bleeding does occur, it usually resolves within several days of treatment.

Why should hemorrhoids be treated?

Typically, hemorrhoids are seen as a nuisance rather than a medical problem.  When there is significant bleeding, patients can become anemic.  Most importantly, all bleeding should be evaluated by your physician to exclude other causes.

Why not treat hemorrhoids with ointments or suppositories alone?

This is considered a treatment for symptoms.  In some cases, this is adequate.  When hemorrhoids become enlarged they can prolapse out of the rectum and bleed. It is at this stage when HET should be considered.

Schedule a Consultation

For more information on HET Therapy or to book an appointment with Gotham Gastroenterology, contact our office at 212-794-0240. Our team of experts strives to provide excellence in gastroenterology for patients in NYC. You can also make an appointment by filling out a form.