Hemorrhoids (Piles) (cont.)

Medical Author:
Medical Editor:

Hemorrhoid surgery

Patients who have failed conservative therapy or who have grade 4 hemorrhoids are candidates for surgery to remove the swollen hemorrhoids and the larger external hemorrhoid skin tags. Options include hemorrhoid removal with laser surgery or hemorrhoidectomy (ectomy=removal) using a scalpel. Another alternative is stapled hemorrhoidectomy, where a special staple gun is positioned to remove the hemorrhoid and surround the tissue with a ring of staples to close the area as well as controlling the bleeding.

A thrombosed external hemorrhoid indicates that a clot has formed in the hemorrhoid causing significant pain. Treatment involves cutting into the hemorrhoid to remove the clot and reduce the swelling.

What is the prognosis for hemorrhoids?

Hemorrhoids are normal tissue and only raise concern when they swell, become inflamed or bleed. Hemorrhoids will recur after non-surgical treatment about 50% of the time, while the recurrence rate after surgery is only 5%.

The goal is to control hemorrhoid inflammation by diet and hydration so that surgery is not required. In this respect, hemorrhoids are a life-long condition, to be controlled and not cured.

REFERENCE: Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th edition McGraw hill Professional. 2010


Medically Reviewed by a Doctor on 10/1/2013

Patient Comments

Viewers share their comments

Hemorrhoids - Causes Question: What caused your hemorrhoids?
Hemorrhoids - Symptoms Question: What were the symptoms of your hemorrhoids?
Hemorrhoids - Treatment Question: What was the treatment for your hemorrhoids?
Hemorrhoids - Home Remedies Question: What home remedies have been effective for your hemorrhoids?