A haemorrhoidectomy is an operation to remove haemorrhoids (piles). It may be recommended if other non-surgical treatments have not been effective, or if you have large haemorrhoids causing severe pain and discomfort.
Haemorrhoidectomies are usually carried out under a general anaesthetic. Your surgeon will remove your haemorrhoids by either cutting them away or using a staple gun to attach them to the last section of your large intestine. Stapling means the blood supply to the haemorrhoids is reduced and as a result they will shrink.
Depending on what procedure your surgeon uses you may be able to go home after one to three days. The length of stay after haemorrhoid stapling can be shorter. Be sure and discuss your discharge plan with your surgeon
After having a haemorrhoidectomy, there is less chance of the haemorrhoids returning compared with injections or banding. However, a high-fibre diet is always recommended as a preventative measure.
What are the risks?
Most people make a good recovery and return to normal activities following a haemorrhoidectomy. As with any surgery there can be complications:
• Infection of the surgical site
• Blood clots
Complications of haemorrhoidectomy are uncommon but can include:
• Incomplete haemorrhoidectomy
• Difficulty passing urine
• Anal stenosis
• Developing skin tags
• Developing an anal fissure
• Faecal incontinence
Ask your consultant to explain how any risks might apply to you.