Hemorrhoids are swollen veins located in or around the anus and/or rectum. Hemorrhoids can cause discomfort, pain, or bleeding.
Hemorrhoidectomy is a surgery that is done to remove hemorrhoids.
Parts of the Body Involved
Reasons for Procedure
If your hemorrhoid symptoms do not get better with other therapies, it may be necessary to have a hemorrhoidectomy to remove them.
Risk Factors for Complications During the Procedure
What to Expect
Prior to Procedure–
- Bleeding disorder
- Advanced age
- Do not eat or drink anything after midnight.
- Your doctor will order a laxative for you to take which will cleanse your colon and rectum.
- Do not use aspirin or other NSAIDs (non-steroidal anti-inflammatory medications) for one week before your surgery.
- Arrange for someone to take you home after the surgery.
- If you have diabetes, discuss your medications with your doctor.
- If you are on blood thinning medications, discuss them with your doctor.
Your surgery will be done using either spinal anesthesia or general anesthesia. Both types of anesthesia will make your surgery painless. Spinal anesthesia will make you numb from the chest down. General anesthesia will keep you unconscious throughout the surgery. Discuss these options with your doctor before the day of your surgery.
Description of the Procedure–
First, your doctor will insert an anoscope into your anus. Through the anoscope, he or she will be able to see the hemorrhoids. Next, your doctor will make an incision around each hemorrhoid. He or she will then tie off the swollen vein inside the hemorrhoid so that it does not bleed and remove the hemorrhoid. After the hemorrhoids are removed, the wounds will either be stitched closed or left open to heal.
Hospital staff will monitor you in a recovery area for a few hours. Then, you will go home.
How Long Will It Take–
The procedure will take 1-2 hours.
Will It Hurt–
You should feel no pain during the procedure. After the procedure, you might have pain in the surgical area. Your doctor will give you pain medications if you need them.
Average Hospital Stay–
- Loss of bowel or bladder control
- Severe constipation
- Anal impaction (stool that is trapped within the anus)
- Narrowing of the anal canal
- Recurrence of hemorrhoids
- Fistula formation (formation of an abnormal passage between the rectum or anus and another area)
Your doctor will ask you to:
- Take sitz baths (sit in a tub of shallow warm water) several times a day.
- Use stool softeners.
- Apply ointments to the area.
- Avoid all heavy lifting for a period of time.
- Take pain medication as needed.
Complete recovery will take 2-3 weeks. If your surgery is successful, you should have relief from your symptoms. If your hemorrhoids come back, let your doctor know.
Call Your Doctor If Any of the Following Occurs
- You develop bleeding.
- You cannot urinate.
- You develop a fever.
- You cannot pass bowel movements.