Hemorrhoid surgery is performed for hemorrhoidal conditions that are classified as either third grade or fourth grade. The third stage or grade is where the hemorrhoids protrude (prolapsed hemorrhoids) through the anus and must be manually reinserted back into the rectum. In the fourth stage, the hemorrhoids cannot even be pushed back inside, and they contain rectal tissue which is strangulated or thrombosed (containing blood clots).
Having hemorrhoids is an embarrassing problem that most people keep to themselves for fear of ridicule. Often that leads the hemorrhoid sufferer to ignore their affliction and wait way too long before seeking medical intervention. If caught early enough, hemorrhoids can usually be cleared up in a few weeks with simple home remedies and lifestyle changes. But at some point, hemorrhoid sufferers need to consider hemorrhoid surgery if other methods have failed. Try to get your hemorrhoids diagnosed by a doctor as soon as possible.
Invasive Hemorrhoid Surgery
The Hemorrhoidectomy removes the hemorrhoid completely under anesthesia, and the recuperation period can be several weeks and quite painful. This type of hemorrhoid surgery is only recommended in the severest of cases. Inability to void urine and a high infection rate can be complications from this surgery. Some studies have shown a link between this hemorrhoid surgery and a lack of bladder control later in life.
Stapled Hemorrhoidectomy or PPH surgery was developed in 1990’s as a less drastic procedure with a quicker recovery period. During the procedure, the anal canal tissue is repositioned with a circular stapler device, so that blood flow is reduced to the area, causing the hemorrhoids to shrink in four to six weeks. Usually the surgery lasts from 15-30 minutes and the patient can be back to work in a few days. Complications can be rare, but they include damage to the sphincter muscle, pelvic infection, or persistent pain. Another rare complication is rectal prolapse, where the rectum protrudes from the anus. Also, there is a chance that the hemorrhoids may return, and the procedure will need to be repeated.
Many medical techniques have been developed in recent years to alleviate the pain and suffering of patients with hemorrhoids. These methods are a vast improvement over the traditional hemorrhoidectomy surgery which required hospitalization and a lengthy recuperation period. Although the success rate is not as high with these treatments, they have many advantages over invasive surgeries. They are less expensive and have a quick recovery period for the patient. They can be done in the doctor’s office or on an outpatient basis; often patients can return to work the next day. Results of the minimally invasive procedures have been excellent for some patients to unsuccessful in others. Usually, only patients with severe hemorrhoids which have not responded to any other treatments submit to these procedures.
Minimally Invasive Hemorrhoid Surgery
Infrared Coagulation is a technique where lasers or infrared lights are used on the hemorrhoid. The method causes the internal hemorrhoid to harden and dry-up. It has few side effects, but the hemorrhoids often return.
Rubber band ligation has a better success rate than coagulation. In this method, the doctor ties off the hemorrhoid at the base with one or two rubber bands. Without a blood supply, the hemorrhoid falls off in a few days. The patient may experience discomfort and bleeding after the procedure, but complications are rare.
Sclerotherapy is a hemorrhoid treatment where a chemical solution is injected into the hemorrhoid causing it to shrink. It is a painless technique, although it seems to be less successful than rubber band ligation and is usually only used on smaller hemorrhoids.
If your hemorrhoids have progressed to the point where they have curtailed your lifestyle, these are good options to consider. Consult your doctor is see if you are a candidate for these procedures. You may want to research doctors who specialize in these treatments since they would have the experience and expertise to give you the best care.
Hemorrhoid Surgery is usually a last resort for people because of the expense and recuperation period involved. Your doctor is the best judge of what stage your hemorrhoids are in, and what hemorrhoid surgery options are available for you. You may want to investigate the less invasive hemorrhoid procedures that can be done in your doctor’s office too. But you are the one who will need to make the final decision for yourself, so try to be as knowledgeable as you can be about the differences in available hemorrhoid surgery options. You also can find many more articles on hemorrhoid surgery by using the H.I.C. search engine.
Written by Joy Seeman