Virtually Painless Treatments for Hemorrhois

Meet Doctor H. Kaufman

Doctor Howard Kaufman

Howard H. Kaufman, MD

Doctor Howard Kaufman earned his M.D at John Hopkins School of Medicine and completed his surgical training, research fellowship, and fellowship in Gastrointestinal Surgery at John Hopkins Hospital.


  • MD from John Hopkins School of Medicine
  • Fellowship and surgical training at John Hopkins Hospital
  • Associate Professor of Surgery at John Hopkins School of Medicine
  • MBA from John Hopkins Carey Business School
  • Chief of the Division of Colorectal and Pelvic Floor Surgery at USC

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Beating HemorrhoidsHemorrhoids are not a frequently discussed topic. Most people simply tolerate the problem and are often frightened by the thought of traditional surgery. It is estimated that 50% of Americans will, at some point in their lives, suffer from hemorrhoids.
Hemorrhoids are part of the normal, healthy anatomy and are actually cushions of vascular tissue. Sometimes the tissues swell and bleed, causing pain or discomfort. Small hemorrhoids can be treated with diet and medication, but for more complex conditions, surgery may be required.
Several different procedures are available to eliminate or shrink hemorrhoids!


Hemorrhoids can often be treated at home. However it is important to understand that hemorroids can become a serious health issue. If any symptoms continue for more than a week, make an appointment with your doctor.

  1. Blot rectal area clean after bowel movements. Moistened wipes such as baby wipes work well for this. Use soap that is free of scents or dyes
  2. Pat area dry with a clean, absorbant towel or toilet paper
  3. Take pain relievers such as ibuprofen, acetaminophen, or aspirin.
  4. Hot-and-Cold Therapy. Apply ice for ten minutes and then apply a warm compress for another 10 minutes.
  5. Enjoy a sitz bath. Fill the tub with only enough warm water to immerse anus in water.
  6. Wear cotton underwear to avoid excessive moisture

First Degree Hemorrhoid
If you have a 1st Degree Hemorrhoid, it will bleed but not prolapse outside of the anal canal.

Second Degree Hemorrhoid
This type of hemorrhoid prolapses outside of the anal canal (mostly when the patient is defecating), but they retract spontaneously.

Third Degree Hemorrhoid
3rd Degree Hemorrhoids prolapse a little more severely than 2nd Degree, and must be manually replaced inside the anal canal.

Fourth Degree Hemorrhoid
4th Degree Hemorrhoids are made of prolapsed tissue and are usually strangulated or thrombosed. They cannot be manually replaced.
Hemorrhoid removal, or hemorrhoid surgery, is often the solution for higher grades of hemorrhoids.



The following are possible non-surgical treatments for hermorrhoids:
Rubber Band Ligation
This simple office based procedure is done without need for anesthesia and uses tiny rubber bands to shrink hemorrhoidal veins and tack up droopy hemorrhoidal tissue.
Hemorrhoid Ligation

Rubber Band Litigation for Hemorrhoids
Procedure for Prolapse and Hemorrhoids (PPH)- Otherwise known as The PPH Procedure, stapled hemorrhoudectomy, stapled hemorrhoidopexy, and circumferential mucosectomy. This procedure is implemented when the muscular tissue that supports the pelvis weakens and breaks. Because of this, the hemorrhoudal tissue may begin to protrude. The PPH procedure uses a internal tucking and stapling device to restore hemorrhoidal tissue back into a normal position.
Procedure for Prolapse and Hemorrhoids
Sclerotherapy- Dr. Howard Kaufman will inject the hemorrhoid with sclerosing, which will cause the vein walls to collapse, essentially destroying the hemorrhoid pile. Cautery- Using cryosurgery or a laser, your surgeon will be able to remove the affected veins.


Less than 5% of patients require surgery. The following are possible surgeries for hermorrhoids:


Using inscisions to remove hemorroidal tissue.


Transanal Hemorrhoidal Dearterialization

Using an ultrasound to pinpoint affected areas, Dr. Howard Kaufman can sometimes tie off veins to areas that are a recurring problem. However, this procedure is rarely done.


thdProcedureNow you can find relief and get back to enjoying life. The THD procedure offers a minimally invasive surgical approach to treating the source of the hemorrhoids. And, because there is no surgical removal of tissue, there is minimal post-operative pain. THD (Transanal Hemorrhoidal Dearterialization) is offered as an out patient procedure which gets you back to normal activities quickly.

Clinical results have shown that patients who have THD may encounter less pain, less risk of complications, and faster return to activities inside of 4 days.
THD is indicated for symptomatic internal hemorrhoids that fail conservative management.

A Minimally Invasive Procedure
THD uses a doppler to locate the terminating branches of the hemorrhoidal arteries. Once the artery is located the surgeon uses an absorbable suture to ligate or “tie-off” the arterial blood flow. The venous “out flow” remains to “shrink” the cushion. This is done without excision of tissue. If necessary the surgeon will perform a hemorrhoidopexy to repair the prolapse. Again, this is done with suture and no excision of tissue. This repair restores and “lifts” the tissue back to its anatomical position.
The entire procedure is performed above the dentate line so that there is minimal discomfort. The procedure takes about 20 minutes and is offered as an out-patient surgery.


Let Doctor Kaufman assist you!CLICK HERE to schedule an appointment or call us at your earliest convenience at (818) 821-0523 or click the following buttonto make an appointment through our quick online process.


Doctor Howard KaufmanDr. Medical Director, Huntington Hospital Cancer Center
Director, Colorectal Research Program, Huntington Medical Research Institutes

A native of Philadelphia, Dr. Kaufman graduated Phi Beta Kappa from Haverford College, where he received his BS with honors in Biology and Physics. He attended the Johns Hopkins School of Medicine and completed his surgical training, research fellowship, and fellowship in gastrointestinal surgery at the Johns Hopkins Hospital. Dr. Kaufman joined the faculty of The Johns Hopkins School of Medicine and held triple appointments as Associate Professor in the Departments of Surgery, Gynecology and Obstetrics, and Oncology through 2002. He received his MBA from the Johns Hopkins Carey Business School. Dr. Kaufman was recruited to the Department of Surgery at USC as Chief of the Division of Colorectal and Pelvic Floor Surgery and was Chief of the General Surgery Service at USC University Hospital from 2004-2008. He joined the medical staff of the Huntington Hospital in 2004 and became Medical Director of the Cancer Center in 2007. Dr. Kaufman left the USC faculty in 2009 to focus his attention exclusively on private practice, Cancer Center activities, the Colorectal Research Program at Huntington Medical Research Institutes, and the training of Huntington surgical residents.

Throughout his career, Dr. Kaufman has passionately pursued efforts to reduce the effects of surgical trauma on his patients through early adoption of new technologies, advancements in multidisciplinary care, and leadership positions in patient safety and quality initiatives. He was one of the early pioneers of minimally invasive surgery for Crohn’s disease and was the first surgeon on the west coast to perform colon resections laparoscopically through a tiny single incision in the umbilicus (single port or single incision surgery). He has developed multidisciplinary pelvic floor programs on both coasts and has demonstrated how advanced pelvic imaging influences surgical treatment decisions. Dr. Kaufman served as the USC University Hospital Surgeon Champion for the American College of Surgeons National Surgical Quality Improvement Program and was Vice Chairman for Patient Safety and Quality in Surgery at the Keck School of Medicine. He was the first surgeon at Huntington and USC to implement the World Health Organization Surgical Safety Checklist, a tool proven to reduce complications and improve outcomes in surgery.

Dr. Kaufman’s research efforts have paralleled his clinical interests and expertise. He has published over 63 peer-reviewed manuscripts and 16 book chapters and has presented his work at major national and international meetings. He is a scientific advisor to many surgical device corporations. Dr. Kaufman is a member of several national surgical societies and the Alpha Omega Alpha Honor Medical Society. He leads the Colorectal Research Program at the Huntington Medical Research Institutes, where he directs numerous clinical and translational studies in both benign and malignant diseases.

LET DOCTOR KAUFMAN ASSIST YOU!Call us at your earliest convenience at (818) 821-0523 or fill out the form below to make an appointment through our quick and easy online process.
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Hemorrhoids Infographic

Treated Conditions

Hemorrhoid Removal
Pelvic Floor Disorders
Pelvic Floor
Fecal Incontinence
Anorectal Manometry
Anal Ultrasound
Obstructed Defecation
Rectal Prolapse

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Howard Kaufman, MD

5 stars - based on 9 reviews: Yelp + Healthgrades
Address: 10 Congress Street, Suite 300 Pasadena, CA 91105

Phone: (626) 397-5896
Fax: (626) 397-5899

* New Patients Welcome!