Free hemorrhoid consultation · ARV Centers, San Antonio

One short, ordinary appointment. That’s how this starts getting fixed.

Pick a day and time below that suits you. The consultation is free and private, and it commits you to nothing — if HAE isn’t right for you, we’ll say so and point you to what is.

While you’re choosing a time

A short video on what your visit will actually look like — so nothing on the day is a surprise.

Step 1 of 2

Select your day and time.

Hemorrhoid consultations are on Mondays, Tuesdays, and Thursdays. After you book, a confirmation text goes to your phone — that’s step 2, and it takes one tap. Booking outside office hours? It’ll reach you when we open.

Rather book by phone — or not seeing a time that works? Call (726) 216-2246.

What happens next

After you pick a time.

A confirmation text arrives. Tap it to confirm and your appointment is locked in — if you booked outside office hours, it comes through when we open. That’s all the booking asks of you.
We verify your insurance benefits before you come in — complimentary, done for you. Hemorrhoid artery embolization is a covered benefit under most insurance plans, and you’ll know exactly where you stand before you decide anything.
Your visit: about thirty minutes. A conversation with a provider in a private room, a review of your history, and a brief, professional exam — it takes minutes, and our team does it every day. Then a straight answer: whether HAE fits your situation, and what to do if it doesn’t.

Your care team

The doctors who perform HAE here.

Hemorrhoid artery embolization at ARVC is performed by our Board Certified Vascular and Interventional Radiologists, in our own angiography suite — quietly, by a team that does embolization every day. Ask any of them anything. There is nothing you could say that they haven’t heard.

Samy A. Al-Bayati, M.D.

Board Certified ·
Vascular & Interventional Radiology

English/Arabic

Arthur S. Joseph, D.O., M.P.H.

Board Certified ·
Vascular & Interventional Radiology

Andrew V. Chesley, M.D.

Board Certified ·
Vascular & Interventional Radiology

English/Español

Before your visit

Common questions.

“Is the consultation really free?”

Yes — booked through this page, the consultation (normally $245) costs you nothing, and it comes with a complimentary check of your insurance benefits. It’s how we’d want to be treated: find out whether the procedure fits you before any money enters the conversation.

“Do I need a referral?”

Not for your consultation — book directly. If your insurance plan requires a referral for treatment itself, we’ll identify that during the benefits check and help you get it.

“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. We’ll tell you to expect it so it doesn’t worry you.

“How long does the whole thing take?”

The procedure itself takes about an hour. Afterward you rest with us — most of the time about an hour under observation while we watch you and give you fluids, occasionally a bit longer — then you go home. Plan on three to four hours at our office all told, then home the same day. An afternoon, not a hospital stay.

“What if I’m not a candidate?”

Then we’ll tell you, and we’ll point you to the treatment that actually fits — including a surgical referral when that’s genuinely the right answer. We turn away patients who aren’t candidates for what we do. Routinely.

Back to the calendar ↑