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. The 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 tumors. 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 Hemorrhoid plexus is a physiological fibro-vascular structure, located in the lower part of the rectum and in the anal canal. These specialized vascular formations allow for the enlargement of the hemorrhoidal cushions that help maintain fine continence.
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.