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TX Hemorrhoid Institute

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Hemorrhoids · HAE

Hemorrhoid artery embolization (HAE)in Houston & Dallas

Hemorrhoids rarely pose a serious health threat, but the discomfort they cause can significantly impact daily life. HAE is a non-surgical procedure that uses endovascular techniques to dramatically reduce hemorrhoid symptoms, performed by our board-certified interventional radiologists through a single pinhole at the wrist or groin.
  • No surgery, no incisions
  • Same-day, outpatient
  • Covered by most insurance

Over 75k+

Embolization procedures
performed

Board-certified /
Fellowship-trained

Interventional radiologists

Same-day
Outpatient

Typical in-office procedure

2+ years

Long-lasting relief
shown in clinical studies

about the procedure

What is hemorrhoid artery embolization?

Superior rectal artery embolization — commonly referred to as hemorrhoid artery embolization (HAE) — has emerged as one of the most successful approaches for addressing internal hemorrhoid symptoms.

During HAE, a narrow catheter is passed through an artery in the wrist or groin and directed to the superior rectal artery, which supplies blood to the hemorrhoidal veins. Once the catheter is in position, tiny particles and coils are injected to obstruct blood flow — the swollen hemorrhoids shrink, and symptoms are relieved.
Who is a candidate

Are you a candidate for HAE?

While HAE has shown promising results in treating chronic internal hemorrhoids, not all patients are eligible candidates for this procedure
Candidates for HAE include the following:
Signs to seek care
These symptoms can persist or worsen without treatment, affecting comfort, confidence, and daily routine.

Rectal bleeding

Itching or irritation

Feeling of fullness or pressure

Mucus discharge or leakage

Pain or discomfort when sitting

Swelling or a lump near the anus

Burning around the anus

Prolapse (bulging from the anus)

Prompt care relieves symptoms sooner — and ensures bleeding isn't caused by something more serious.

Candidate Checklist

Grade 1–3 internal hemorrhoids

Chronic, symptomatic grade 1–3 internal hemorrhoids.

Prefer to avoid traditional surgery

Cannot or do not wish to undergo traditional surgery.

No prior colorectal surgery

Have not undergone colorectal surgery.

No embolic or contrast allergies

No allergies to embolic agents or contrast dye.

A thorough medical assessment by our team confirms whether HAE is right for you — treatment follows diagnosis and referral.

Am I a Candidate? Take the quiz!
treatment

Hemorrhoid artery embolization: 
relief without surgery

Compared to conventional surgical options like hemorrhoidectomy, HAE delivers a safer, less invasive pathway to symptom resolution — faster recovery, significantly reduced post-procedure discomfort, and lower complication rates. The procedure is performed in our outpatient center without general anesthesia; nothing is inserted into the rectum, no tissue is cut or removed, and same-day discharge eliminates the need for overnight hospitalization.
How hemorrhoid artery embolization works
  1. Through a tiny pinhole at the wrist or groin, a thin microcatheter is guided to the superior rectal artery using live X-ray imaging — you stay comfortable under light sedation.

  2. Tiny particles and coils are injected to obstruct the blood flow feeding the hemorrhoids, reducing the excess supply that keeps them swollen.

  3. Over the following weeks the hemorrhoids shrink from the inside out — bleeding, swelling, and discomfort steadily resolve.

The procedure is typically completed in about an hour, and most patients go home the same day with only a small bandage. Because HAE addresses the underlying blood flow rather than the tissue itself, relief is designed to last.

Outpatient, same-day

No hospital stay. You go home within a few hours of the procedure.

No cutting, no tissue removed

A single pinhole instead of an incision and nothing is placed in the rectum.

Minimal pain, fast recovery

No surgical wound means none of the painful recovery of hemorrhoidectomy.

Covered by most insurance

Medically necessary HAE is covered by most major plans.

Are you a candidate for hemorrhoid artery embolization?
HAE is designed for chronic, symptomatic grade 1–3 internal hemorrhoids — especially for patients who want to avoid surgery. Find out in a 60-second quiz.
MEET YOUR DOCTORS

Board-certified hemorrhoid specialists in Houston & Dallas

Together, our physicians have performed more than 40,000 minimally invasive, image-guided procedures across both metros.
Portrait of Eric Hardee

Dr. Eric Hardee

Co-Founder · Interventional Radiologist
Co-founder of Texas Endovascular and a U.S. Navy veteran who treats fibroids, PAD, and vein disease at the Houston and Katy clinics.
Portrait of Dr Fox

Dr. William Fox

Co-Founder · Interventional Radiologist
Co-founder of Texas Endovascular and native Houstonian, recognized as a leader in minimally invasive vein care, UFE, and PAD.
Dr. Jay Patel, M.D.

Dr. Jay Patel

Dallas-Fort Worth Interventional Radiologist
A Dallas native with more than two decades of experience and former Chief of Interventional Radiology at Baylor, now leading care at the Dallas and Plano clinics.
Ryan Armstrong

Dr. Ryan Armstrong

Interventional Radiologist
Board-certified interventional radiologist providing minimally invasive care for fibroids, vein disease, PAD, and joint conditions across greater Houston.

Dr. AJ Valenson

Interventional Radiologist · Bilingual (EN/ES)
Board-certified interventional radiologist and lead provider at the Clear Lake clinic, fluent in English and Spanish, serving patients across the greater Houston area.
Benefits of HAE

Benefits of hemorrhoid artery embolization

Clinical studies consistently show high success rates for HAE in treating internal grade 2–3 hemorrhoids — with key advantages over surgery and repeated banding procedures.

No incisions, no tissue removed

HAE treats hemorrhoids through a single pinhole at the wrist or groin. No tissue is cut or removed and nothing is placed in the rectum.

Minimal pain

Because there is no surgical wound in a sensitive area, HAE avoids the painful recovery that hemorrhoid removal surgery is known for.

Fast recovery

HAE is an outpatient procedure. Most patients go home the same day and return to normal activities within a few days — not weeks.

Treats the underlying cause

HAE reduces the excess blood flow that keeps hemorrhoids swollen — addressing the root of the problem.

Lower risk of complications

Compared to a hemorrhoidectomy, HAE carries a lower risk of complications and preserves normal tissue & continence function.

See if HAE is right for you! 

Request an appointment today!

Compare your options

Hemorrhoid artery embolization
vs. other hemorrhoid treatments

How minimally invasive, image-guided embolization compares with banding, surgery, and home care, at a glance.
TreatmentInvasivenessRecovery TimeAnesthesiaPain after treatment
Hemorrhoid artery embolization (HAE) WHAT WE DOMinimally invasive (pinhole)A few daysLight sedationMinimal - no rectal wound
Rubber band ligationMinimally invasive (rectal)A few days per sessionUsually noneMild–moderate; often repeat sessions
Hemorrhoidectomy (surgical removal)Surgical2-4 weeksGeneral/spinalSignificant during recovery
Stapled hemorrhoidopexySurgical1-2 weeksGeneralModerate
Creams & home careNon-invasiveOngoing useNonePersists (soothes only)
WHY TEXAS ENDOVASCULAR

Why choose Texas Endovascular
for hemorrhoid care

Fellowship-trained interventional radiologists, advanced image guidance, and compassionate, discreet care — focused on lasting relief and a quick return to the life you enjoy.

Fellowship-trained specialists

Board-certified interventional radiologists specializing in hemorrhoid artery embolization deliver expert, discreet care.

Image-guided precision

Advanced imaging maps the arteries feeding the hemorrhoids and guides every step for safer, more effective results.

Convenient locations across Texas

Clinics throughout Houston and Dallas–Fort Worth make advanced hemorrhoid care easy to access close to home.

Real patient stories

What patients say about hemorrhoid 
care at Texas Endovascular

Rated 5 stars by hundreds of Houston and Dallas patients
"I put this off for years because I dreaded surgery. The procedure was done through my wrist — I was home that afternoon and the bleeding stopped within weeks."
Michael R.
"After two rounds of banding, my symptoms kept coming back. HAE finally fixed the problem — no pain afterward, and I was back at work in two days."
Sandra K.
"The whole team was discreet and kind. They explained everything, verified my insurance ahead of time, and there were no surprises."
David H.
"I can sit, exercise, and travel comfortably again. I wish I'd known years ago that hemorrhoids could be treated without surgery."
Linda P.
Convenient to you

Hemorrhoid treatment centers
across Houston & Dallas

Every location offers the same specialized hemorrhoid care from board-certified interventional radiologists, at convenient clinics across Texas.

Houston

4747 Bellaire Blvd,
Suite 550
Bellaire, TX 77401
Schedule here

Katy

1331 West Grand Parkway
N, Suite 210
Katy, TX 77493

Schedule here

Sugar Land

7619 Branford Place
Suite 230
Sugar Land, TX 77479
Schedule here

The Woodlands

8850 Six Pines Drive,
Suite 280
The Woodlands, TX 77380
Schedule here

Clear Lake

390 East Medical Center Blvd
Webster, TX 77598
Schedule here

Dallas

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237

Schedule here

Plano

5425 W. Spring Creek Parkway
Suite 100
Plano, TX 75024

Schedule here

Fort Worth

6620 Bryant Irvin Road
Suite 100
Fort Worth, TX 76132

Schedule here
Questions

Hemorrhoid artery embolization FAQs

Still unsure? Our Houston and Dallas teams are happy to answer your questions over the phone — discreetly and without judgment.
Am I a Candidate? Take the quiz281.690.5082469.343.0265

What is hemorrhoid artery embolization (HAE)?

HAE is a minimally invasive, non-surgical procedure that treats internal hemorrhoids by blocking the arteries that supply them with blood. A tiny catheter is guided through a pinhole at the wrist or groin to the superior rectal artery, and tiny particles and coils obstruct blood flow — so the hemorrhoids shrink and symptoms resolve over time, without cutting, tissue removal, or a hospital stay.

Does hemorrhoid artery embolization hurt?

HAE is performed under light (twilight) sedation and involves no incision in or around the anus, so most patients report little to no pain — a key advantage over hemorrhoidectomy, which is known for a painful recovery. You may feel mild pelvic discomfort for a day or two afterward.

Am I a candidate for HAE?

Candidates for HAE include:

  • Patients with chronic, symptomatic grade 1–3 internal hemorrhoids
  • Patients who cannot or do not wish to undergo traditional surgery
  • Patients who have not undergone colorectal surgery
  • Patients without allergies to embolic agents or contrast dye

A thorough medical assessment by our team confirms whether HAE is right for you.

How is HAE different from rubber band ligation or hemorrhoidectomy?

Banding and surgery treat hemorrhoids from the outside — banding or removing the tissue itself, which can be painful and may require repeat sessions or weeks of recovery. HAE works from the inside out: it reduces the blood supply feeding the hemorrhoids so they shrink naturally, with no rectal instruments, no cutting, and a recovery measured in days.

What is the recovery time after HAE?

Most patients go home the same day and return to normal activities within a few days. Because there is no surgical wound, there is none of the prolonged, painful recovery associated with hemorrhoid removal surgery.

When will my symptoms improve?

Bleeding often improves within the first days to weeks. As blood flow to the hemorrhoids decreases, swelling, pressure, and discomfort continue to ease over the following weeks while the hemorrhoids shrink.

Is HAE covered by insurance?

HAE is covered by most major insurance plans when medically necessary. Our team verifies your benefits in advance so you know what to expect before treatment.

FROM OUR DOCTORS

Learn about hemorrhoid health from the specialists who treat it

Our physicians break down the questions patients ask most, in plain language, without the medical jargon.