For people in San Antonio with internal hemorrhoids — grade 1 to 3 — that bleed or come down

Bleeding, prolapsing hemorrhoids — treated without surgery.
Through your thigh, not your rectum.

Hemorrhoid artery embolization — HAE for short — shrinks internal hemorrhoids by turning down the extra blood flow that keeps them swollen. HAE is non-surgical: an in-office, outpatient treatment. Most patients return to work the very next day, and there is little to no pain during the procedure or the recovery. Nothing is done through the anus or the rectum — no instrument enters the anal canal at all. The whole procedure is done through a pinhole at the top of the thigh. The consultation to find out whether it fits you is free, a $245 value.

What’s been going on?

Tap the one that sounds most like you.

Bleeding when I go They come down, and I push them back Mucus, discharge, trouble staying clean Pain, itching, or swelling

I want an alternative to surgery →

Call (726) 216-2246

Free consultation — a $245 value A covered benefit under most insurance plans No referral needed Nothing enters the anal canal

Two minutes before you decide anything: what this treatment is, and why the people who’d been putting surgery off for years are the ones it was designed for.

Compared with hemorrhoid surgery

Everything a hemorrhoidectomy puts you through. None of it here.

Most people who find this page have already read the recovery stories. This is what is different about the procedure we do.

No general anesthesia.Numbing at the thigh and light sedation. You are comfortable, and you are not put under.
No incision, no stitches.One pinhole at the top of the thigh, closed with a bandage.
Nothing goes through the anal opening.The whole procedure is done from the thigh. No instrument enters the anal canal, and nothing touches the muscle that controls your bowels.
Nearly painless.Done through a pinhole, under numbing. Afterward, some cramping and pressure for two to three days that most patients call mild.
A quick in-office procedure, not major surgery.About an hour in our office, then home. No hospital, no surgery center.
No long, painful recovery.There is no wound in the anal canal for every bowel movement to pass over.
Back to work the next day, usually.Normal activity within a day or two, as you tolerate it.
Minimal risks and side effects compared to surgery.Nothing is cut in one of the most nerve-dense areas of the body, and the procedure never touches the muscle that controls your bowels.

Explore the non-surgical option →

Free consultation · $245 value · no referral needed

The consultation is free

One private conversation. A straight answer.

Book through this page and the consultation — normally $245 — costs you nothing. It includes:

A private conversation with our interventional radiology team about your symptoms and history — in a consult room, not a hallway
A brief, professional exam to confirm which hemorrhoids are causing the trouble. It takes minutes, and to our team it’s as routine as listening to your heart.
A complimentary check of your insurance benefits, done for you when you come in, before any procedure is scheduled
A straight answer about whether HAE fits you. If it doesn’t, we say so and point you to the right surgeon.

Book my free consultation

It commits you to nothing.

The ARV Centers clinical and front-desk team — eight staff in navy scrubs and white coats — standing together beneath the ARVC sign at the front desk — **This is routine for them** Our team treats hemorrhoids every week. There’s nothing here they haven’t seen.

Who this is for

Internal hemorrhoids, grade 1 to 3, that bleed or come down.

That is most people who have been dealing with this for years. Grade 4 — the kind that stay outside and cannot be pushed back — usually needs surgery, and if that is what you have we will tell you at the visit and point you to the right person. You do not need to know your grade to book. That is what the consultation is for.

Book my free consultation

Straight answers

The four questions everyone asks first.

“Does anything go into my rectum during the procedure?”

No. That is the single biggest difference between HAE and every other hemorrhoid procedure. Nothing enters the anal canal at all — no scope, no band, no instrument. The entire treatment happens inside the arteries, reached through a pinhole in your upper thigh. The only time anyone examines you is at the consultation, briefly and privately, to confirm which hemorrhoids are causing the trouble.

“Will I be awake? Does it hurt?”

You’re under IV sedation — an anti-anxiety medicine plus pain medicine — relaxed and drowsy, breathing on your own. Not general anesthesia. The access point in your thigh is numbed first. Afterward, many patients feel a pressure sensation — doctors call it tenesmus — that feels like needing to use the restroom even when you don’t. In the published series it showed up in roughly a third to most patients, eased over a few days, and needed nothing more than ibuprofen and Tylenol.¹ We’ll tell you to expect it so it doesn’t worry you.

“Is it covered by insurance?”

Yes — hemorrhoid artery embolization is a covered benefit under most insurance plans, and we’re in-network with most plans. We still do a complimentary benefits check before any procedure, so there are no surprises: you’ll know exactly where you stand before you decide anything.

“When can I go back to work? When does the bleeding stop?”

Light activity for the first 48 hours — then your normal routine. Published reviews describe patients returning to daily life the day after the procedure.¹ Bleeding typically settles within one to two weeks, and the full improvement builds over four to six weeks as the hemorrhoids shrink. Driving waits until the next day: the sedation means you’ll need a driver to take you home, no exceptions.

You’ve managed this privately for a long time. One short, ordinary appointment is how it starts getting fixed.

Pick a time — it takes about a minute. You’ll sit with a provider in a private room, talk through your options, and get a straight answer about whether HAE fits your situation. The consultation is free.