Understanding Piles Surgery: A Patient’s Guide

If you’ve been suffering from the pain and discomfort of piles (also referred to as hemorrhoids), you’re not alone. This condition is prevalent among millions of people globally, and although many cases can be treated with medication and lifestyle modifications, there are times when piles surgery is required for permanent relief.

What Are Piles?

Haemorrhoids or piles are distended blood vessels that occur and grow around the anus and rectum. Internal piles occur inside the rectum, while external piles occur under the skin below the anus. When these veins strain and extend, they tend to cause itchiness, discomfort, pain, and bleeding, which can very much affect the quality of life.

When Is Piles Surgery Recommended?

Your doctor might suggest piles surgery if:

• Your symptoms don’t improve with non-surgical treatments
• You have large external piles that cause significant discomfort
• You have internal piles that prolapse (push through the anal opening)
• You experience persistent bleeding
• Your piles keep returning despite other treatments

Types of Piles Surgery

Modern medicine offers several approaches to piles surgery, each suited to different situations:

Traditional Hemorrhoidectomy: This is the most complete method of removing severe or large piles. While it has a longer recovery time, it’s highly effective for preventing recurrence.

Stapled Hemorrhoidopexy: This newer technique uses a special stapling device to reposition the piles and cut off their blood supply. It typically involves less pain and a quicker recovery.

Hemorrhoidal Artery Ligation: This procedure uses ultrasound to locate the arteries supplying blood to the piles, which are then tied off, causing the piles to shrink.

Rubber Band Ligation: Although technically a non-surgical procedure, this common treatment involves placing small rubber bands around the base of internal piles to cut off circulation.

What to Expect During Piles Surgery

Most piles surgery procedures are performed under general anesthesia or spinal anesthesia, meaning you’ll be comfortable and pain-free during the operation. Many are done as outpatient procedures, allowing you to return home the same day.

The surgery typically takes between 30 minutes and an hour, depending on the technique used and the number of piles being treated.

Recovery After Piles Surgery

Recovery varies depending on the type of piles surgery you undergo. Generally, you can expect:

• Some discomfort for 1-2 weeks (manageable with pain medication)
• Possible light bleeding during bowel movements
• A need to take stool softeners to make bowel movements easier
• A gradual return to normal activities over 2-3 weeks

Most people find the relief from piles symptoms far outweighs the temporary discomfort of recovery.

Living Well After Piles Surgery

After recovery from piles surgery, making some lifestyle changes can help prevent piles from returning:

• Eating a high-fiber diet
• Drinking plenty of water
• Avoiding straining during bowel movements
• Regular exercise
• Not sitting for prolonged periods

Taking the Next Step

If you’re having difficulty with painful or chronic piles, talking to your doctor about piles surgery may be the first step toward long-lasting relief. Advanced surgical methods of today provide effective solutions with recoveries that are easy to handle.

Remember, you don’t need to live with the discomfort and shame of piles. With effective treatment, including piles surgery when required, you can be back to a comfortable, active life without the weight of this common but inconvenient condition.