Which Type of Surgery is Best for Piles?

Piles, also known as hemorrhoids, are swollen veins in the lower rectum and anus that can cause discomfort, itching, pain, and sometimes bleeding. When conservative treatments like diet changes, topical treatments, and lifestyle modifications don’t bring relief, surgery might be necessary. There are several surgical options for treating piles, each with its own advantages and considerations. This article explores the various types of surgeries available for piles and helps you understand which might be the best for you.

Understanding Hemorrhoids
Hemorrhoids can develop internally or externally:

Internal Hemorrhoids: Develop within the rectum and usually don’t cause pain unless they prolapse or protrude outside the anus.

External Hemorrhoids: Develop under the skin around the anus and can be painful if a blood clot forms (thrombosed hemorrhoid).

When Is Surgery Needed?

Surgery for hemorrhoids is typically considered when:

Conservative treatments have failed to provide relief.
Hemorrhoids are large or severe.
There is persistent bleeding.
Internal hemorrhoids are causing symptoms like prolapse (protrusion through the anus).
External hemorrhoids are thrombosed and cause severe pain.

Types of Hemorrhoid Surgeries
1. Hemorrhoidectomy
What is it?
A hemorrhoidectomy is the surgical removal of hemorrhoids. It is considered the most effective treatment for severe or recurring hemorrhoids.

Procedure

The surgeon makes incisions around the hemorrhoidal tissue and removes the swollen veins. The area is then stitched closed.

Pros

Highly effective: Provides the most definitive relief from hemorrhoids.
Permanent solution: The removed hemorrhoids don’t recur.
Cons

Pain: It can be quite painful post-surgery.

Recovery Time: Longer recovery period compared to other procedures, often requiring several weeks.

Complications: Potential for complications such as infections or issues with urination.

2. Stapled Hemorrhoidopexy (Pph)

What Is It?

Also known as Procedure for Prolapse and Hemorrhoids (PPH), this surgery involves repositioning the hemorrhoids and cutting off their blood supply using a special stapling device.

Procedure

The surgeon uses a circular stapling device to remove a ring of tissue from the rectal canal, which pulls the hemorrhoids back into place and reduces blood flow to them.

Pros

Less Pain: Typically causes less postoperative pain compared to hemorrhoidectomy.

Faster Recovery: Shorter recovery time, allowing patients to return to normal activities sooner.

Cons

Recurrence: Higher chance of hemorrhoids returning compared to hemorrhoidectomy.

Complications: Potential for complications like anal stenosis (narrowing of the anal canal) or persistent pain.

3. Rubber Band Ligation

What Is It?

Rubber band ligation is a minimally invasive procedure often used for treating internal hemorrhoids.

Procedure

A small band is placed around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoid shrinks and falls off within a week.

Pros

Minimally Invasive: Less pain and discomfort compared to more invasive surgeries.

Quick Procedure: Can often be done in an outpatient setting with minimal downtime.

Cons

Effectiveness: May not be as effective for large hemorrhoids.

Multiple treatments: Sometimes requires more than one session to achieve complete relief.

4. Sclerotherapy

What Is It?

Sclerotherapy involves injecting a chemical solution into the hemorrhoid to shrink it.

Procedure

The injection causes the hemorrhoid to shrink and eventually disappear.

Pros

Less Invasive: Minimal pain and discomfort.

Quick Recovery: Allows for a quick return to daily activities.

Cons

Effectiveness: May not be as effective for larger hemorrhoids.

Multiple Treatments: Often Requires Several Treatments For Complete Resolution.

5. Laser Surgery

What Is It?

Laser surgery uses laser energy to vaporize or shrink hemorrhoids.

Procedure

A laser beam is directed at the hemorrhoidal tissue to remove or shrink it.

Pros

Precision: Highly precise, causing minimal damage to surrounding tissues.

Less Pain: Generally results in less post-operative pain and bleeding.

Cons

Cost: Can be more expensive than other treatment options.

Availability: May not be available in all medical facilities.

Choosing The Right Surgery

The best type of surgery for hemorrhoids depends on several factors, including the severity of the hemorrhoids, the patient’s overall health, and their preferences. Here are some guidelines:

For Severe Or Recurring Hemorrhoids: Hemorrhoidectomy is often considered the best option due to its effectiveness.

For Less Severe Hemorrhoids With Less Downtime: Stapled hemorrhoidopexy or laser surgery might be preferred.

For Less Invasive Options: Rubber band ligation and sclerotherapy are good choices for those seeking minimally invasive treatments.

Know Your Doctor For Piles Surgery At Srs Hospital

At SRS Hospital, we have a team of experienced surgeons who specialize in hemorrhoid surgeries. Our doctors are skilled in various techniques and will help you choose the best treatment option based on your specific condition.

Also Read: Get Best Gynaecologist & Gynae Hospital in Delhi NCR

Conclusion

Hemorrhoids are a common problem that can cause significant discomfort and pain. While many cases can be managed with conservative treatments, some require surgical intervention for relief. The choice of surgery depends on the severity of the hemorrhoids, patient preference, and the surgeon’s recommendation. From traditional hemorrhoidectomy to minimally invasive procedures like rubber band ligation and coagulation techniques, there are several options available to treat hemorrhoids effectively.

If you’re suffering from hemorrhoids that haven’t responded to other treatments, consult with a qualified healthcare provider to discuss your options. They can help determine the best treatment plan for your specific condition and ensure you receive the care you need to improve your quality of life.

For more information and personalized advice, schedule a consultation with a healthcare provider who specializes in hemorrhoid treatment at SRS Hospital.