MEET THE SPECIALISTS TO THE SPECIALISTS

Michael Cumming, MD
Dr. Cumming is a nationally recognized expert in varicocele and prostate artery embolization. His embolization techniques have been presented at the Global Embolization (GEST) meeting.

PETER BRETZMAN, MD
Dr. Bretzman has over 25 years of experience solving complex medical problems using minimally invasive imaging guided techniques. His focus is finding the most efficient solution for patients.
UNDERSTANDING HEMORRHOIDAL ARTERY EMBOLIZATION
WHAT ARE THE BENEFITS OF HEMORRHOID EMBOLIZATION?
Fortunately, there are other treatment options for those suffering from internal hemorrhoids. Embolization has shown great success at treating the affected area which stops blood flow at its source without surgery or any invasive procedure like banding.
Dr. Cumming and Dr. Bretzman will partner with you and/or your existing care team (ex: primary care) to determine if you’re a candidate for hemorrhoid embolization.
Hemorrhoidal artery embolization patients report having very little to no pain. This minimally invasive, extremely safe, outpatient procedure requires no trip to the hospital. There is no anal trauma as there are no instruments placed in the anus with most patients returning to activity the next day.


HOW IS HEMORRHOID EMBOLIZATION PERFORMED AND AM I A CANDIDATE?
A CT Angiography is performed before treatment begins to ensure the procedure is suitable. A small incision in the leg allows a tiny catheter to be guided to the artery for embolization.
If dietary changes, medication, non-surgical or surgical methods haven't worked, or if you have grade 1, 2 or 3 internal hemorrhoids, you may be a candidate for embolization.
You should not undergo hemorrhoid embolization if you have a grade 4 hemorrhoid, a history of colorectal surgery, or chronic anal fissures.
HERE'S WHAT YOU CAN EXPECT FROM YOUR VISIT:
- CONSULTATION: Symptom review and health history discussion.
- IMAGING: Prior to your procedure we often image using ultrasound, CT, or MRI.
- TREATMENT PLAN: Dr. Cumming and Dr. Bretzman provide a definitive diagnosis that is tailored to each patient's needs with an option for treatment recommendations based on symptoms, exams & imaging findings.