The present invention relatets to a device (10) for use in the treatment of hemorrhoids. The device comprises: an elongated tube-shaped element (12) comprising a forward end (13) and an aft end (14), said aft end (14) is open such that the interior of the tube-shaped element is accessible via the aft end, said tube-shaped element is extending along a longitudinal axis L and comprises at least one opening (15) formed between the forward and aft end； and an anal mucosa support device (20) removably arranged within the tube shape element, said support device is, when arranged in the tube-shaped element, exposed in the opening and comprises a least two cavities (23, 24) for the anal mucosa arranged along the longitudinal axis L, wherein a needle guide structure is formed in the elongated tube-shaped element and the anal mucosa support device such that a needle (100) is guided during movement within the tube shaped element from an extracted position in which the needle is arranged outside the opening in the elongated tube-shaped element through the at least two cavities in the anal mocusa support device to a position where the needle extend across the opening in the tube-shaped element.
