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Haemorrhoidectomy

Expires end of January 2021

This document will give you information about a haemorrhoidectomy. If you have any questions, you should ask your GP or other relevant health professional.

What are haemorrhoids?

Haemorrhoids, also known as piles, are soft fleshy lumps just inside your back passage (anus). They have a rich blood supply and bleed easily, usually causing fresh bright-red bleeding when you have had a bowel movement. They do not usually cause pain but can cause itching around your anus. When large, they can pass through your anus (prolapsed pile), feeling like a lump when you clean yourself.

They are associated with constipation, particularly if you need to strain to open your bowels, and can be made worse by pregnancy.

What are the benefits of surgery?

Surgery will remove the haemorrhoids. You should no longer have any of the symptoms that haemorrhoids can cause.

Are there any alternatives to surgery?

Drinking plenty of fluid and increasing the amount of fibre in your diet usually improves the way your bowels work.

If these simple measures are unsuccessful, the haemorrhoids can usually be treated in a clinic. Local treatments aimed at shrinking the haemorrhoids include ‘banding’ or ‘injecting’ the haemorrhoids.

What does the operation involve?

The operation is usually performed under a general anaesthetic but various anaesthetic techniques are possible.

The operation usually takes about 20 minutes. Your surgeon will examine your back passage and lower bowel before removing the haemorrhoids.

What complications can happen?

Some complications can be serious and can even cause death.

General complications of any operation

  • Pain
  • Bleeding
  • Infection of the surgical site (wound)
  • Allergic reaction to the equipment, materials or medication
  • Blood clot in your leg
  • Blood clot in your lung

Specific complications of this operation

  • Incomplete haemorrhoidectomy
  • Difficulty passing urine
  • Making a hole through the wall of your bowel
  • Anal stenosis
  • Developing skin tags
  • Developing an anal fissure
  • Incontinence can happen to a minor degree

How soon will I recover?

You should be able to go home the same day, especially if your haemorrhoids were treated using a staple gun.

Drink plenty of fluid and increase the amount of fibre in your diet to avoid constipation.

The wounds often take several weeks to heal completely and you may need to wear pads until then. There are no open wounds with the stapled technique.

You should be able to return to work within 3 to 4 weeks, depending on your type of work.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

You should make a full recovery and the symptoms should clear completely. However, haemorrhoids can come back.

Summary

Haemorrhoids are a common problem. If non-surgical treatments fail, surgery is usually recommended.

Acknowledgements

Author: Mr Jonathan Lund DM FRCS (Gen. Surg.)

Illustrations: Medical Illustration Copyright © Medical-Artist.com

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

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