Introduction
Hemorrhoids, commonly known as piles, are swollen veins in the lower part of the rectum or anus that can cause discomfort, itching, bleeding, and pain. For many people, hemorrhoids can be managed effectively with lifestyle changes and non-invasive treatments. However, in some cases, surgical intervention is necessary to provide long-term relief, especially when other treatments don’t work.
In this blog, we will address common questions about hemorrhoid surgery, when it’s necessary, and the different surgical methods used to treat piles. If you are struggling with severe hemorrhoids, Zymus Hospital offers specialized care to treat this condition effectively and guide you through the treatment process.
What Are Hemorrhoids?
Hemorrhoids are swollen veins that can develop inside the rectum (internal hemorrhoids) or around the anus (external hemorrhoids). They can cause symptoms such as:
- Pain or discomfort during bowel movements
- Itching or irritation in the anal region
- Bleeding during or after bowel movements
- Swelling or a lump around the anus
While many cases of hemorrhoids can be treated with over-the-counter medications, topical creams, or dietary changes, severe or chronic hemorrhoids may require surgical intervention.
When Is Surgery Needed for Hemorrhoids?
In most cases, hemorrhoids can be managed without surgery. However, surgery may be considered in the following situations:
- Chronic or Severe Symptoms
If hemorrhoids cause chronic bleeding, severe pain, or discomfort that affects your daily activities, and conservative treatments like creams, ointments, or lifestyle changes fail to provide relief, surgery may be necessary.
- Prolapsed Hemorrhoids
A prolapsed hemorrhoid occurs when an internal hemorrhoid protrudes outside the anus. This condition can be painful and may require surgical treatment if it becomes persistent or causes significant discomfort.
- Large Hemorrhoids
In some cases, hemorrhoids become too large to shrink with non-invasive treatments. Surgical intervention may be the best option to remove them and prevent recurring symptoms.
- Recurrent Hemorrhoids
If hemorrhoids recur despite treatment, surgery may be recommended to remove or treat the hemorrhoids more effectively and prevent future flare-ups.
Surgical Treatment Options for Hemorrhoids
Several surgical options are available for treating hemorrhoids, depending on the severity and type of hemorrhoids you have. Below are the most common methods used to treat piles surgically:
- Hemorrhoidectomy (Traditional Surgical Removal)
Hemorrhoidectomy is the most common and effective surgical procedure for treating severe or large hemorrhoids. During the procedure, the surgeon removes the hemorrhoid tissue, which may involve cutting it out or using a laser to remove the swollen veins.
When is it recommended?
- For large, prolapsed, or thrombosed hemorrhoids
- When other treatment options have failed
- If hemorrhoids are causing significant pain or bleeding
What to Expect?
Hemorrhoidectomy is typically performed under general anesthesia, and you may need to stay in the hospital for a short period post-surgery. After the procedure, you will experience some pain and discomfort, which can be managed with pain medications. Recovery can take a few weeks, during which you may need to follow specific care instructions to ensure proper healing.
- Stapled Hemorrhoidopexy
Stapled hemorrhoidopexy is a less invasive surgical procedure compared to traditional hemorrhoidectomy. In this procedure, the surgeon uses a special stapling device to remove a portion of the hemorrhoidal tissue and reposition the remaining tissue back inside the rectum.
When is it recommended?
- For prolapsed internal hemorrhoids
- When you want a quicker recovery time with less pain
What to Expect?
Stapled hemorrhoidopexy is typically performed under general anesthesia, and it is known for a quicker recovery time compared to hemorrhoidectomy. Patients often experience less post-operative pain, but some may experience temporary discomfort, such as a feeling of fullness or bloating. Most individuals can resume normal activities within a week or two.
- Rubber Band Ligation
Rubber band ligation is a minimally invasive procedure that involves placing a small rubber band around the base of an internal hemorrhoid. This cuts off the blood supply, causing the hemorrhoid to shrink and eventually fall off within a few days.
When is it recommended?
- For internal hemorrhoids that are small to medium in size
- When there is no significant prolapse or external hemorrhoids
What to Expect?
Rubber band ligation is typically performed in an outpatient setting with no need for general anesthesia. The procedure is quick, and patients may experience mild discomfort, bloating, or bleeding after the banding. Recovery time is generally quick, and patients can return to normal activities within a day or two.
- Infrared Coagulation (IRC)
Infrared coagulation (IRC) is another minimally invasive treatment option for internal hemorrhoids. The procedure uses infrared light to coagulate (or clot) the blood vessels in the hemorrhoid, causing it to shrink.
When is it recommended?
- For small to medium internal hemorrhoids
- When other minimally invasive treatments like rubber band ligation are ineffective
What to Expect?
IRC is performed in a doctor’s office and does not require anesthesia. The procedure is relatively quick, and patients typically experience only mild discomfort. Recovery is usually rapid, and patients can return to normal activities shortly afterward.
Recovery After Hemorrhoid Surgery
The recovery process after hemorrhoid surgery depends on the type of surgery performed. In general, here are some common aspects of post-surgery recovery:
- Pain Management
Some level of pain or discomfort is normal after surgery, especially with procedures like hemorrhoidectomy. Pain management strategies include prescription painkillers, over-the-counter medications, and sitz baths.
- Dietary Changes
After surgery, you may be advised to follow a high-fiber diet and drink plenty of water to avoid constipation and promote easy bowel movements. Stool softeners may also be prescribed to make bowel movements more comfortable during the healing process.
- Avoiding Strain
During recovery, it’s important to avoid straining during bowel movements, as this can cause additional pain or slow down the healing process. You may be asked to use a stool softener or laxative to prevent this.
- Follow-Up Care
It is essential to attend follow-up appointments with your surgeon to ensure proper healing. These appointments allow your doctor to monitor any complications or signs of recurrence and offer advice on managing symptoms.
Why Choose Zymus Hospital for Hemorrhoid Surgery?
At Zymus Hospital, we specialize in treating hemorrhoids and other colorectal conditions with the latest minimally invasive techniques and surgical options. Our experienced team of surgeons will work with you to develop a personalized treatment plan that best suits your needs and helps you achieve long-term relief.
If you are experiencing hemorrhoid symptoms and are considering surgery, Zymus Hospital is here to provide expert care and a smooth recovery process. Contact us today to schedule a consultation and take the first step toward finding relief from hemorrhoids.
Conclusion
Hemorrhoids can be a painful and disruptive condition, but surgical treatments offer a permanent solution for many patients. Whether you require a traditional hemorrhoidectomy, stapled hemorrhoidopexy, or a minimally invasive procedure, surgery can provide relief from chronic symptoms and improve your quality of life. At Zymus Hospital, we provide comprehensive care to help you through every step of your hemorrhoid treatment and recovery process.
Book an appointment today at Zymus Hospital to discuss your options for hemorrhoid treatment and surgery.
