Surgical removal of the hemorrhoid itself. For large external disease and prolapse that no longer reduces, this is the correct first answer rather than what happens after something else has failed.
Hemorrhoidectomy is excision. The hemorrhoid is cut away, rather than having its blood supply interrupted and being left to wither over the following days, which is what every one of the office procedures does instead. That single difference in mechanism is what makes this an operation rather than an appointment.
Practically it means an anaesthetic and a theatre, where the alternatives mean a clinic room and a few minutes. It is arranged rather than carried out during an ordinary visit here, and that is the dividing line patients actually notice when they compare the two.
Whether you need one is a separate question from what it is, and the comparison page is where that gets settled. For internal disease there are two alternatives, stapling and dearterialisation, and both of them should be named to you.
Hamilton surgery
The route
How Hamilton hemorrhoid surgery is arranged
Graded first
An anoscope examination establishes the grade and whether a prolapse still reduces, which is what points here.
The reason, stated
You should hear why an operation rather than a band, in terms of what was actually found rather than in general.
Alternatives named
Stapling and dearterialisation are the alternatives for internal disease, and both get mentioned rather than skipped.
Arranged, not performed here
Surgery is arranged rather than done in a clinic room, which is the practical difference from an office procedure.
Why it holds
Why removal does not undo itself
Taking the hemorrhoid away is a different proposition from cutting off its supply and waiting for it to wither. Afterwards there is no tissue left in that position to come down again, which is precisely why this is the route for disease that has already moved past what smaller procedures can reach.
That does not make it recurrence-proof, and anyone implying otherwise is overselling it. What produces hemorrhoid trouble in the first place is pressure, straining and stool consistency, and an operation does nothing whatsoever about any of those three. They are all still there the week after.
So the conversation afterwards looks very much like the conversation before any procedure at all. Conservative care is what keeps it away, why they come back explains the mechanism properly, and aftercare covers the weeks immediately following.
The hemorrhoidWhat is removed
NoRecurrence-proof
Habits, not surgeryWhat prevents recurrence
The alternatives
What Hamilton patients weigh surgery against
The other routes for internal disease, the office procedure it replaces, and the comparison in full.
What people ask when an operation has been raised and they expected to be offered a band.
Because of what the examination found. Large external disease sits under skin a band should not be placed on, and a prolapse that no longer reduces has nothing left for a band to pull back.
No, and treating it as one gets the order wrong. For those two presentations it is the correct first choice, and a course of banding instead would simply not hold.
Longer than after an office procedure, which is the genuine trade-off. We will not put a number on it here, because the research behind this site did not source one and a guess would be worse.
An operation involves an anaesthetic, unlike the office procedures, which need none. The specifics are part of the surgical discussion rather than something settled on a web page.
Yes. Stapled hemorrhoidopexy and transanal hemorrhoidal dearterialisation are both named alternatives for internal hemorrhoids, and each has its own page on this site rather than being quietly skipped over.
Surgery is arranged rather than performed in a clinic room here. That is the practical dividing line between this and the procedures that happen during an ordinary appointment.
Grade four, and the doctor was honest that surgery was the right option. The recovery was described truthfully: two hard weeks, then steady improvement.
Leah K.
Brampton
★★★★★
They explained the surgical option alongside the alternatives and why banding would not work for mine. The reasoning was clear.
Ravi J.
Hamilton
★★★★
Surgery was arranged with a surgeon they work with and the follow-up was back at the clinic. Coordinated throughout.
Hugo E.
Burlington
★★★★★
The recovery was as described, no better and no worse. Knowing what to expect made it bearable.
