Hemorrhoids Surgery Causes, Symptoms, Diagnosis & Treatment

Jun 24, 2025
Author: Suraj Bobale

Hemorrhoids, often referred to as piles, are swelling blood vessels that are located in the rectal area or anal. Although many cases can be treated through home remedies and non-surgical treatments However, some patients require hemorrhoids surgery for long-lasting relief. Surgery is necessary in cases of chronic hemorrhoids or prolapsed. They can also cause extreme pain and bleeding.

Hemorrhoids procedure, which is also referred to as hemorrhoidectomy is a medical procedure that is performed to reduce or eliminate enlarged hemorrhoidal tissue. Modern techniques, such as laser treatments and minimally-invasive methods, surgeries today are more efficient as well as less painful before.

Why Hemorrhoids Surgery is Needed

Surgery is generally looked at to be performed when:

  • Conservative treatments fail
  • Hemorrhoids can prolapse or become thrombosed
  • Rectal bleeding is frequent or severe. bleeding.
  • Severe pain disrupts daily life
  • There’s a chance of complications such as anemia or infection

The surgical treatment can provide longer-term relief as well as a greater likelihood of success for patients suffering from hemorrhoids that are in advanced stages.

Symptoms That Indicate Need for Hemorrhoids Surgery

Being aware of the symptoms of hemorrhoids that might need surgical intervention can aid in the early stages of decision-making. Signs and symptoms include:

  • Persistent bleeding from the rectal (bright red blood)
  • The pain can be felt during or following bowel movements
  • A lump or swelling near the anus
  • The area of irritation or itching in the area of the genital region

Mucus or stool leakage

  • Prolapsed hemorrhoids that don’t retract
  • Blood clots that hurt in hemorrhoids that are external (thrombosed)
  • When is the best time to visit an ophthalmologist for piles

Common Causes for Hemorrhoids Surgery

There are many causes that can lead to the development of hemorrhoids. Knowing the causes of hemorrhoids is crucial to preventing and treating:

  1. Chronic Constipation: The strain caused by the bowel movements can increase the pressure on the anal veins.
  2. Pregnancy: The increased pressure on pelvic veins may result in hemorrhoids.
  3. Asedentary Lifestyle: Insufficient exercise and sitting for prolonged periods of time can cause vein inflammation.
  4. Low-Fiber Diet: Insufficient intake of fiber causes constipation and hard stools.
  5. Heavy Lifting: Constant strain due to lifting heavy objects.The process of aging: Hemorrhoids occur more frequently in older people because of the weakening of tissues.

Diagnosis Before Hemorrhoids Surgery

An accurate diagnosis is vital prior to taking any hemorrhoid surgery. The doctor can perform these procedures:

1. Physical Examination
A visual examination of the anus aids in identifying internal hemorrhoids prolapsed or externally.

2. Digital Rectal Exam
The gloved and lubricated and gloved finger is used to sense anomalies.

3. Anoscopy
A small, bright tube, known as an anoscope, helps look at the rectal liner.

4. Sigmoidoscopy or Colonoscopy
They are indicated when there is a lot of bleeding to rule out any other serious issues such as polyps or colorectal cancer.

There are many types of hemorrhoid surgery depending on the severity and nature of hemorrhoid

1. Hemorrhoidectomy

  • It is the removal surgically of hemorrhoidal tissue. It is ideal for large external or internal hemorrhoids.
  • Open Hemorrhoidectomy: This procedure is where the wound is left open for healing naturally.
  • A Closed Hemorrhoidectomy is when the cut is closed with a stitch.

Pros: Very efficient
Cons: Longer recovery, some post-op pain

2. Stapled Hemorrhoidopexy (PPH)
The circular device is used to remove excess tissue and then repositions the hemorrhoid in the rectum.

Pros: Less pain, faster recovery
Cons: More chance of recurrence in certain instances

3. Laser Hemorrhoid Surgery
A minimally invasive procedure that uses laser energy to reduce the size of hemorrhoids.

Pros: No pain or bleeding, speedy recovery
Cons: Costlier, may not be suitable for all situations.

4. Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL)
This procedure connects this blood source to the hemorrhoid by ultrasound guidance.

Pros: Maintains anatomy Less painful
Cons: Might not be suitable for patients with hemorrhoids that have prolapse

Recovery After Hemorrhoids Surgery

What to Expect During Recovery:

The Treatment of Pain medication and sitz baths relieve discomfort.

  • Diet: High-fiber diet and adequate fluids prevent constipation.
  • Physical Activity: Walking lightly is suggested; stay clear of the weight of lifting.
  • Bowel movements: Soft stools are essential to healing. Softeners for stool can be recommended.
  • Visits to follow-up: scheduled visits to check healing and avoid complications.

Most patients heal in one to two weeks, but full recovery could take between 4 to 6 weeks based on the kind of operation.

Potential Risks and Complications

Although rare, certain risks comprise:

  • Bleeding
  • Infection
  • Anal slurrure (narrowing in the anal canal)
  • Urinary retention
  • Hemorrhoid recurrence

Selecting a qualified surgeon and following post-operative procedures significantly lowers the risks.

Conclusion

Hemorrhoids surgical treatment can be a safe and reliable alternative for those suffering from severe or chronic hemorrhoids. When non-surgical remedies such as creams, diet changes or rubber band-ligation fails surgery is the greatest chance of long-term relief.

Contact a colorectal surgeon to assess your situation and establish the most appropriate treatment. Modern advancements in surgery the recovery process is faster and results are more favorable than ever before.

If you’re continually experiencing itching, pain or bleeding from piles of skin, it could be an appropriate time to consider surgery to enjoy a more comfortable life.

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