The last decade has seen the development of a number of minimally invasive technologies offering the operator a wide variety of choices for the treatment of haemorrhoidal disease. The use of endo-rectal echo-doppler [1] and the subsequent introduction of the doppler-guided haemorrhoidal dearterialisation, by Morinaga in 1995 [2] has opened a new way for the treatment of symptomatic haemorrhoids. The rationale of this technique is based on the principle that a reduction of blood flow to the haemorrhoidal plexus corresponds to a reduction of the anal cushions volume and consequently to improvement of symptoms.
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