Table 3.
HD treatment options according to BPRST Classification.
| Hemorrhoidal Disease Staging and Therapeutic Options | ||||||
|---|---|---|---|---|---|---|
| Stage I |
Stage II |
Stage III |
||||
| B1P0RXS0T0 | B1P1R0S0T0 | B1P1/2R1S0T0 | Any R2 | Any S1 | Any T1 | |
| Lifestyle Changes | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Sclerotherapy | ✓ | ✓ | ||||
| Rubber Band Ligation | ✓ | ✓ | ✓ | |||
| Infrared Photocoagulation | ✓ | ✓ | ✓ | |||
| Dearterialization with Mucopexy | a | ✓ | ✓ | |||
| Stapled Anopexy | a | ✓ | ✓ | |||
| Radiofrequency Ablation | a | ✓ | ✓ | |||
| Hemorrhoidectomy | ✓ | ✓ | ✓ | |||
| Excision of Skin Tag | ✓ | |||||
| Thrombectomy | ✓ | |||||
a
If failure of non-operative treatment.