Haemorrhoid Surgery at West Midlands Hospital

At West Midlands Hospital we provide surgery to remove haemorrhoids. Haemorrhoids are a common  problem and if non surgical treatments fail, surgery is usually recommended so you should no longer experience any of the symptoms that haemorrhoids can cause.

At West Midlands Hospital we have a team of specialists who are experts in haemorrhoid procedures.

What are haemorrhoids?

Haemorrhoids (piles) are soft fleshy lumps inside(internal) or just outside (external) the back passage (anus). They may bleed when you have a bowel movement. They do not usually cause pain but can cause itching. When large, they can pass through the anus (prolapsed pile), feeling like a lump when you clean yourself .This stage is often painful.

Haemorrhoids develop gradually, often over a long period of time. They are associated with constipation, often run in families and can be made worse by pregnancy.

Are there any alternatives to surgery?

Haemorrhoids can often be successfully treated by simple measures such as eating more fibre and drinking more fluid. There are also some local applications and suppositories which may help the symptoms.

If these simple measures are unsuccessful, the haemorrhoids can usually be treated successfully in a clinic. Local treatments include ‘banding’( rubber band ligation)  or ‘injecting’ (Sclerotherapy) the haemorrhoids.

What does the operation involve?

A haemorrhoidectomy is usually performed under a general anaesthetic and takes about twenty minutes. Your surgeon will remove your haemorrhoids by either cutting them away or using a staple gun. Newer treatments called THD and Haemorrhoidal plication are also available.

 Your surgeon will help you decide the best treatment option for you depending on the stage of the disease.

What complications can happen?

General complications of haemorrhoidectomy are as follows.

  •          Pain
  •          Bleeding
  •          Infection in the surgical site (wound)
  •          Blood clots

Specific complications

  •          Incomplete haemorrhoidectomy
  •          Difficulty passing urine
  •          Anal stenosis
  •          Developing skin tags
  •          Developing an anal fissure
  •          Incontinence

How soon will I recover following haemorrhoidectomy?

You should be able to go home the same day, following most types of haemorrhoid treatments. You should drink plenty of fluid and increase the amount of fibre in your diet particularly in the post operative period. You will also be given painkillers and laxatives to help you avoid constipation. Sitting in a sitz bath may relieve the pain and help healing.

The wounds often take several weeks to heal completely. There are no open wounds with the stapled technique.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of 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 and a healthy diet containing adequate fibre content and drinking plenty of fluids may prevent a recurrence. 

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