2024-01-01 · colorectal, anus, digestive
Hemorrhoidectomy Surgery FAQ
What Is a Hemorrhoidectomy?
A hemorrhoidectomy is a surgical procedure to remove internal or external hemorrhoids that cause significant pain, bleeding, or prolapse. It is typically recommended when less invasive treatments have not provided relief.
Why Might a Hemorrhoidectomy Be Needed?
Common reasons for surgery include:
- Large external hemorrhoids causing pain or irritation
- Internal hemorrhoids that prolapse and do not reduce
- Recurrent bleeding or anemia from hemorrhoids
- Failure of office-based treatments such as banding or sclerotherapy
What Are Symptoms of Severe Hemorrhoids?
Symptoms that may indicate the need for surgical treatment include:
- Persistent rectal bleeding
- Pain or discomfort during bowel movements
- A bulging lump near the anus
- Itching, irritation, or mucus discharge
- Difficulty with hygiene due to prolapse
About the Hemorrhoidectomy Procedure
Hemorrhoidectomy is usually performed under general or regional anesthesia and takes about 30 to 60 minutes. The surgeon removes the hemorrhoidal tissue and closes or leaves the wounds open depending on the technique used. Your surgeon will choose the approach based on hemorrhoid size and location.
What Happens After Surgery?
Patients typically go home the same day. Pain and swelling are common for the first week, and bowel movements may be uncomfortable. Stool softeners, pain control, and warm sitz baths are often recommended to support healing.
How Long Does Recovery Take?
Recovery varies by individual, but typical expectations include:
- Significant improvement in pain within one to two weeks
- Return to normal activities in two to four weeks
- Full healing over four to six weeks
Following dietary guidance and maintaining soft stools helps prevent complications.
What Are the Potential Complications?
Possible risks include:
- Bleeding or infection
- Difficulty urinating
- Narrowing of the anal canal (stricture)
- Recurrence of hemorrhoids
- Temporary constipation or stool leakage
Your care team will provide strategies to minimize these risks.
Can I Return to Normal Activities?
Most patients resume light activities within a few days and return to work within one to two weeks. Strenuous lifting should be avoided until cleared by your surgeon.
When Should I Seek Medical Attention?
Seek medical care if you have heavy bleeding, fever, severe pain not controlled by medication, or difficulty urinating.