A transanal hemorrhoid
treatment system comprising: (a) a sacrorectopexy unit comprising a proctoscope having a tubular body, a side access window, and a
light source port, the proctoscope being configured for
insertion into the
rectum and allowing the targeted application of presacral fixation sutures by a curved
suturing needle, the sutures being anchored to the sacral
fascia to fix the inner rectal wall and reduce
rectal prolapse; (b) a suture rectopexy unit operable by the same or an interchangeable proctoscope, the unit comprising a suture guide adapted to place a series of overlapping sutures in a circular pattern through the
rectal mucosa,
submucosa, and a partial layer of rectal
muscle, approximately 4 cm proximal to the dentate line, so as to fix the mucosa to the underlying
muscle to occlude
afferent branches of the superior rectal
artery; and (c) a mucopexy unit comprising a butterfly-shaped proctoscope for radial expansion and a suture applicator configured to apply single U-shaped sutures to anatomically prominent hemorrhoidal locations above the dentate line, including but not limited to the 3, 7, and 11 o'
clock positions, thereby reducing prolapsed hemorrhoidal tissue without excision.