Piles (hemorrhoids) constitute the most common
proctologic disease. In fact, it's estimated that, in the
industrialized countries, around 50% of the population aged over 50
suffer, or have suffered from recurrent hemorrhoid problems.
high incidence of piles and the non-specificity of the clinical
symptoms need a precise differential diagnosis, in order to exclude
other disease of the lower GI tract, in particular the
The treatment of the hemorrhoid disease should be guided
by an accurate clinical evaluation: nowadays it is possible to
choose among a wide range of different treatments according to the
severity of the disease and symptoms: from the conservative
treatment (diet, lifestyle, topic oral treatment), to the outpatient
procedure, to the different surgical options
The Anathomy of Hemorrhoids
The Hemorrhoid plexus is a physiological fibro-vascular
structure, located in the lower part of the rectum and in the anal
These specialized vascular formations allow for the
enlargement of the hemorrhoidal cushions that help maintain fine
These specialized vascular structures allow for the enlargement
of the hemorrhoid cushions that help maintain fine continence, in
fact, it is now suggested that the vascular filling contributes from
15 to 20% of resting anal pressure.
The anal cushions appear in
right anterior, right posterior and left lateral position.