Hemorrhoidectomy: Hemorrhoid Surgery

Hemorrhoidectomy: Surgical Hemorrhoid Removal

Hemorrhoids is a prevalent condition that affects about 1 in 20 people in America. Also known as piles, hemorrhoids are inflamed veins inside or around the anus that can make everyday activities uncomfortable. Because hemorrhoids are so common and unpleasant, there are many treatment options for addressing them.

A hemorrhoidectomy is a surgical procedure that your doctor may recommend to get rid of hemorrhoids. If your doctor has suggested a hemorrhoidectomy, it is a good idea to learn all that you can about it ahead of time so you can be comfortable and clear on what to expect from both the procedure and the recovery.

To help you understand what a hemorrhoidectomy involves more clearly, this article covers what the procedure is, who may need the treatment and what to expect after hemorrhoidectomy surgery. Keep reading to become better educated about your hemorrhoid treatment choices.

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What Is a Hemorrhoidectomy?

A hemorrhoidectomy is a medical procedure that treats severe cases of hemorrhoids by surgical removal. Hemorrhoid surgery is one of the most effective forms of treatment for hemorrhoids that are particularly painful and unresponsive to less invasive methods of therapy. 

The purpose of a hemorrhoidectomy is to make a hemorrhoid shrink or disappear, which can be accomplished through a variety of techniques.

The following are the main types of surgical procedures used to remove hemorrhoids:

Conventional Surgical Hemorrhoidectomy

Although a conventional hemorrhoidectomy surgery is one of the most involved and invasive ways to address hemorrhoids, it is an extremely effective way to remove large hemorrhoids. During the procedure, the hemorrhoidal tissue is clamped, tied off and cut away while the patient is under anesthesia. After the hemorrhoids have been successfully removed, the wound is sutured and an antibiotic ointment and gauze are applied.

This procedure can result in more pain and recovery time than other hemorrhoidectomy methods and may result in a short hospital stay in some cases.

Stapled Hemorrhoidectomy (PPH)

A stapled hemorrhoidectomy or procedure for prolapse and hemorrhoids (PPH) is typically used to treat internal hemorrhoids and involves a special stapling device that cuts through the affected vessels and staples the damaged tissue back together. By cutting off the blood flow to the hemorrhoids, the surgeon essentially staples the veins shut.

Because this technique usually comes with less pain than conventional hemorrhoidectomy surgery, it is growing in popularity among surgeons. However, this approach requires a significant recovery time and may come with more complications such as enlarged hemorrhoids.

Harmonic Scalpel Removal

This hemorrhoid removal procedure relies on ultrasound waves and a special scalpel to cut away hemorrhoids and seal off some of the associated blood vessels. This method is less invasive than others and may reduce the amount of bleeding that occurs during hemorrhoid removal. For this reason, harmonic scalpel removal is typically used to remove large hemorrhoids or in situations when the removal needs to be as bloodless as possible.

The pain and recovery time for this technique tend to be slightly less than other hemorrhoid surgical options, with a somewhat lower risk of complications.

Laser Removal

For patients looking for a less invasive treatment option, laser removal is an effective hemorrhoidectomy procedure that uses a laser beam to remove the affected hemorrhoidal tissue. By generating an intense amount of heat, the laser beam cauterizes the blood vessels and seals off the vein so the hemorrhoid simply falls off.

A laser hemorrhoidectomy is nearly bloodless and most often performed in an outpatient procedure. Additionally, laser removal typically comes with a bit less pain than a conventional hemorrhoidectomy.


This relatively new surgical procedure for hemorrhoids involves blasting the hemorrhoid into very small pieces. After the atomization tool has broken the hemorrhoid into tiny pieces, a small vacuum sucks up the tissue and removes the pieces from the body.In general, surgery cures hemorrhoids, with only an average of five out of 100 people who have undergone hemorrhoid surgery needing further treatment. Along with this low recurrence rate, hemorrhoid surgery has a fairly low complication rate. Bleeding, pain and temporary inability to urinate due to swelling are the most common side effects.

While hemorrhoidectomy is a valid treatment in many circumstances, confirm with your doctor that you do indeed require surgery as 99% of patients can avoid surgery. For details on alternate treatments like the CRH System, as well as to find out if you need hemorrhoidectomy, find a physician now.

Who May Need a Hemorrhoidectomy?

Typically, a hemorrhoidectomy is reserved for only the most severe cases of hemorrhoids. Because hemorrhoidectomy surgery is quite invasive, the procedure tends to be viewed as a last resort for hemorrhoid treatment. A hemorrhoidectomy might be recommended for those who continue experiencing hemorrhoid symptoms despite trying other methods of therapy, such as dietary changes.

How to Know if You Need Hemorrhoid Surgery

While most people with hemorrhoids do not require a hemorrhoidectomy, the surgical procedure might be right for you if less invasive measures have not worked. 

Other reasons to get a hemorrhoidectomy include:

  • Extremely severe cases of hemorrhoids that cause a lot of intense discomfort
  • Internal hemorrhoids that are strangulated — trapped inside the anal muscles
  • External hemorrhoids that are swollen because of a blood clot
  • The presence of both external and internal hemorrhoids
  • Surgery is already needed for a different anorectal condition

Additional factors such as overall health, age and how well you will most likely respond to surgery should also be taken into account when considering a hemorrhoidectomy. Be sure to try the many nonsurgical hemorrhoid remedies available to you before resorting to a hemorrhoidectomy.

What to Expect from Hemorrhoidectomy Surgery

Knowing what to expect from a hemorrhoidectomy can help patients feel better prepared and more at ease about the procedure. Below is what you can anticipate during hemorrhoidectomy surgery as well as what the recovery period typically looks like.

During Treatment

A hemorrhoidectomy occurs at a hospital and is usually an outpatient procedure, although some cases may involve an overnight stay. Depending on what your doctor recommends, you will receive either general anesthesia or local anesthesia before the surgery. You will also have an IV put in to deliver medications that prevent infection, bleeding and swelling.

After you’ve gone under anesthesia, the surgeon will examine the internal hemorrhoids more closely by inserting a scope into the anal canal. Once they’ve gotten a better look at the affected tissues, they will use a scalpel or laser to cut the hemorrhoidal tissue off. Finally, the wound will be closed with dissolvable sutures.

Because you receive anesthesia for the procedure, a hemorrhoidectomy usually is not significantly painful. However, the affected area may hurt for a few weeks post-surgery, and your doctor may prescribe pain medication.


Completely recovering from hemorrhoidectomy surgery typically takes two to three weeks. During this time, you should try to eat a bland diet, such as plain rice, crackers, toast and applesauce, and drink plenty of liquids. Sticking to these guidelines and limiting your fiber intake will make bowel movements less painful.

Despite sticking to a bland diet, you might still experience some side effects post-surgery. These are the five most common complications after a hemorrhoidectomy:

  1. Bleeding: Bleeding or a build-up of blood in the surgical area
  2. Pain: Discomfort or soreness around the surgical area
  3. Urinary retention: Inability to urinate
  4. Incontinence: Inability to control the bladder or bowel, which may include discharge
  5. Fecal impaction: Stool getting trapped within the anal canal and constipation

Although major concerns after a hemorrhoidectomy are rare, there is a chance of more serious symptoms, such as narrowing of the anal canal, an abnormal passage forming between the anal canal and a different area or a rectal prolapse, which occurs when the rectal lining slips outside of the anal opening. Contact your physician if you experience any of these issues.

Hemorrhoidectomy vs. CRH O’Regan Treatment

Hemorrhoid Surgery vs. CRH O'Regan System

Due to the risks and complications involved with surgery, most patients want to avoid a hemorrhoidectomy if they can. Fortunately, there are many other effective hemorrhoid treatment methods. One of the best non-surgical approaches to hemorrhoids is the CRH O’Regan system.

The CRH O’Regan system is a form of hemorrhoid banding, also known as rubber band ligation, that gets rid of hemorrhoids by wrapping a rubber band around the affected tissue to create pressure, which cuts off the blood flow to the hemorrhoid. After a few days with no blood flow, the hemorrhoid shrinks and eventually falls off completely. The scar tissue that forms in place of the hemorrhoid redirects blood flow and decreases the risk of prolapse.

Specifically, the CRH O’Regan hemorrhoid banding system surpasses other banding methods by using a disposable ligator, as opposed to the traditional metal forceps, to create a gentler and less painful suction. This suction holds the affected vein steady while the band is placed around it. This technique requires no preparation before treatment and many patients describe it as painless.

While a hemorrhoidectomy can take over an hour and recovery lasts for weeks, the CRH O’Regan treatment takes up to one minute to complete and only one day to recover from. Additionally, the bands used during the CRH O’Regan treatment are positioned so as not to make contact with nerve endings, which reduces discomfort both during and after the procedure. Results from the CRH O’Regan system are long-lasting and on par with hemorrhoid surgery.

Although hemorrhoidectomy is a valid treatment in many circumstances, check with your doctor that your hemorrhoids do in fact require surgery as 99% of hemorrhoids patients can avoid surgery. For details on alternative treatments like the CRH O’Regan system, as well as to find out if you need hemorrhoidectomy, find a physician now.

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Heal Your Hemorrhoids

Remove hemorrhoids gently and quickly. Learn about CRH O'Regan, or take action now:

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Quick Facts

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Heal Your Hemorrhoids

Remove hemorrhoids gently and quickly. Learn about CRH O'Regan, or take action now:

Find a physician near you.

Quick Facts

3000 + Physicians Nationwide 1,000,000 Patients Trained 99% Effective Non-Surgical Solution One Minute Procedure No Prep, No Sedation, No Downtime Return to Work the Same Day

Compare CRH O'Regan System

Versus Other Hemorrhoid Treatment Options