Hemorrhoidectomy
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Overview
A hemorrhoidectomy is a surgical procedure to remove internal or external hemorrhoids that cause pain, bleeding, or discomfort. It is typically considered when other treatments have not been effective.
Symptoms/Indications
- Persistent pain or itching around the anus
- Bleeding during bowel movements
- Swelling or a lump near the anus
- Prolapsed hemorrhoids that do not retract
- Discomfort while sitting or during bowel movements
Preparation
Fasting is required prior to surgery. A review of medications and allergies will be conducted. Patients may be asked to perform bowel cleansing depending on the case.


The Procedure
Under general or spinal anesthesia, the surgeon removes the swollen or prolapsed hemorrhoidal tissue. The procedure may be done using traditional excision, stapling, or laser techniques.
Recovery Time
Most patients return home the same day. Discomfort is common for a few days and managed with medication. Full recovery may take 1–2 weeks, with activity limitations during healing.
Risks and Benefits
Benefits: Relief from pain and bleeding, improved bowel comfort, long-term resolution
Risks: Pain, bleeding, infection, difficulty passing stool temporarily