Hemorrhoids are obviously quite a painful condition. Many of those who suffer from hemorrhoids wish for them to clear up as soon as possible so that they can escape the extreme amounts of pain that they are going through. As a result they start looking into as many different methods as possible. One method which crops up a lot when it comes to dealing with this condition is the idea of Hemorrhoids Surgery.
Now, this is a method which can eradicate hemorrhoid pain once and for all. However, it is worth bearing in mind that the majority of cases of hemorrhoids can actually be cleared up by natural treatment and pharmaceutical products. Most people will not need to go under the knife unless the hemorrhoids are reoccurring or if they are not clearing up using other methods.
On this page I do want to take a little look at the various options for Hemorrhoids surgery that you have at your disposal if you believe that this is the only route left to you. Your doctor will most likely be able to recommend the best treatment path based on your own personal circumstances.
The Most Common Hemorrhoids Surgery Methods
Perhaps one of the most common forms of hemorrhoids surgery is that of a ‘Hemorrhoidectomy’. This a treatment option which is normally reserved for those that have tried various other treatments but no matter what they do the hemorrhoids return time and time again. This surgical method involves the complete removal of the hemorrhoids which means that they will no longer pose an issue. It is often used after sclerotherapy and banding have failed. I will discuss those in greater depth later on.
A Hemorrhoidectomy will take place under general anaesthetic (this means that you will be put to sleep). During your surgery the anus will be opened and the hemorrhoids will be cut out.
It is worth noting that this is perhaps one of the most major of surgeries mentioned on this page. You will unfortunately suffer from pain for a short while after the operation. In fact, many people are still suffering with minor pain for a few weeks after. This is nothing that painkillers will not be able to deal with though. It is advised that you book a couple of weeks off work if you are going to be going through this type of surgery due to this pain. It really is advised that you try to relax as much as possible.
Stapling is often used as an alternative to the previous mention method of hemorrhoids surgery. Whilst the previous method is normally used for ‘internal’ hemorrhoids, stapling is often used for those that are hanging outside of the anus. Again, this treatment will be carried out under general anaesthetic by a qualified surgeon.
Your hemorrhoids will not be removed using this technique. They will instead be stapled inside of the anus. The stapling is done with the intention of reducing the amount of blood which flows into the hemorrhoids. Over time this will result in them getting significantly smaller and thus the pain will diminish.
The pain is not as intense with this type of hemorrhoids surgery and thus that undergo it should be ready to return to work within about a week. There is very little pain associated with it.
It is worth noting that a small proportion of people who undergo stapling will report that their hemorrhoids have returned at a later date. It is therefore important that you do take the time to implement as many preventative measures as you possibly can to reduce the likelihood of this happening. Read more about hemorrhoid prevention methods.
Hemorrhoidal Artery Ligation
This form of hemorrhoids surgery is often referred to as HALO. The intention of this type of surgery is pretty much the same as stapling. This means attempting to reduce the amount of blood that flows into the hemorrhoids which will reduce them over time. It is performed in a slightly different way though and this is a far newer treatment. Again, this will be performed in a hospital environment under the effects of general anaesthetic.
This treatment involves the insertion of something known as a Doppler probe into the anus. The idea of this Doppler probe is to determine which arteries are supplying blood to a hemorrhoid. Once these arteries have been identified a small stitch is placed into them. This will severely limit the amount of blood which ends up flowing into that hemorrhoid. They will not shrink straight away after surgery. The hemorrhoids will most likely take a few days for you to see a noticeable difference. They will not shrink completely until a couple of weeks later.
As I mentioned previously, this method of hemorrhoid surgery is still fairly new and very few people have undergone the procedure. However, early signs are that this is a very effective treatment with very few complaints and very little pain afterwards. About 9 out of 10 people are currently reporting that their symptoms have cleared up on a long-term basis.
As with stapling it is worth noting that those who undergo HALO have reported that the hemorrhoids return in the future. However, these people are certainly in the minority.
The fourth and final hemorrhoids surgery which I wish to discuss is that of Hemorrhoids Banding. This treatment option is not performed as often as the first three. However, there are a number of doctors who do recommend this as a treatment option and many patients have actually noted great success with it.
Hemorrhoid Banding works in much the same way as stapling…although no staples are involved! This procedure is normally carried out under sedation as opposed to putting you to sleep fully. This is because the way in which the procedure is performed means that there is little to no pain throughout the procedure. At the start of the procedure a doctor will insert a camera into your anus in order to map where the inflamed hemorrhoids are. Once these have been identified they will be able to continue with the rest of the procedure.
Throughout the rest of the procedure the doctor will tie a small rubber band around each of the hemorrhoids. To access the hemorrhoid tissue they will insert a small tube which will ‘suck’ up the hemorrhoid tissue. This will allow the doctor to place the band onto them. The intention is to limit the amount of blood flowing into them. Again, this is going to shrink them after a short while and once they do it is unlikely they will ever pose a problem again (although there is still a small risk of that happening)
The final procedure I wish to mention is that of sclerotherapy. This is not hemorrhoids surgery in the truest sense of the word. However, this is a procedure that doctors will perform on a regular basis. The doctor will likely perform this before any of the other treatments because it has been known to clear up issues with hemorrhoids in the majority of cases.
With this treatment a special chemical is injected directly into the hemorrhoids. This will numb the endings of the nerves instantly eliminating that pain. The main job of the chemical however is to harden the hemorrhoids by causing scarring. This will eventually lead to the blood supply to the hemorrhoids being severely reduced and thus they should not pose a problem in the future. Most people find that their hemorrhoids issues do not return after they have undergone these injections.
This is a relatively painless procedure and will normally be performed on an ‘out patients’ basis. It is unlikely you will need to go into hospital for this treatment to be administered. Most doctors are than capable of administering sclerotherapy from their own practice or they may be able to provide you with advice on who will be able to help you. This is one of the cheapest types of hemorrhoids surgery and thus it is really suggested that you try it out first before looking into any of the others because it does have a great success rate.
This produce is on which takes just a few hours and you will normally be seen as an outpatient. Very few people will need to spend the night in the hospital if they have been treated with hemorrhoid banding. Whilst there is little pain, it is still a surgical procedure and thus it is recommended that you take at least a couple of days off work for you to rest and recuperate.
It is worth noting that no matter what hemorrhoids surgery you undergo there is still a chance (albeit quite a minimal chance) that the condition could end up returning at some point in the future. It is therefore recommended by medical experts that you ensure that you take measures which will help to prevent hemorrhoids in the future. Your doctor will be able to provide you with advice on the various techniques you can utilize here.
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