Introduction: Turell (1960) stated that 70% population suffers from haemorrhoids and 40% needs surgical treatment. The treatment of haemorrhoids is as old as the age of man and many different treatments have been described, none of which is entirely satisfactory. Material and Methods: A total of 50 patients of Haemorrhoids were studied who were admitted to department of surgery, RNT Medical College and attached MB Government Hospital, Udaipur, Rajasthan, India. All patients were managed by one of the treatment modalities. Result: Mean age was 40 years with male preponderance. Common presenting symptoms were bleeding per Rectum, constipation and prolapse of pile mass. Most of the patients presented late to hospital (1–6 months). Most of the cases belonged to II and III degree haemorrhoids. At presentation 62% patients were anaemic (Haemoglobin <12 Gram %). A Total of 16 patients were managed by nonoperative modalities while 32 were managed by various surgical operations. Most of the Grade I or II patients were managed by non-operative measures while all the Grade III and IV patients were operated for their disease. Post-procedural complications were a few and mostly limited to pain or urinary retention. Conclusion: Non-operative techniques like Sclerotherapy and conservative for first and second degree haemorrhoids gives excellent results. Surgical treatment like open and closed haemorrhoidectomy remains the ideal treatment option for third and fourth degree haemorrhoids and recurrent cases.

Keywords: Piles; Haemorrhoids; Sclerotherapy; Plication; MIPH; haemorrhoidectomy