Over 40 years of expert care

Best UK Group & 5 star reviews

Over 40 years of expert care

Best UK Group & 5 star reviews

Medically reviewed by Mr Piero Nastro, MD, MRCS, FRCS(Eng). GMC Number: , Laparoscopic, General & Colorectal Consultant Surgeon for The Private Clinic.
Last Reviewed December 13th 2023

Haemorrhoidectomy

A haemorrhoidectomy procedure is a surgical procedure to remove haemorrhoids. It may also be referred to as a hemorrhoidectomy or piles surgery.

Haemorrhoids are actually vascular structures in the anus. When they become swollen, they can cause a degree of discomfort and a range of unwanted symptoms such as itchiness, soreness, and bleeding. Up to 50% of the population have potentially suffered from symptomatic haemorrhoids at some point in their lives (source: Haemorrhoids: diagnosis and management. Am Surg 75 (8): 635–42).

Haemorrhoids, hemorrhoids or piles as they are also known as, are often caused by increased pressure in the . This can occur with pregnancy, obesity, low fibre diets, constipation, diarrhoea and even .

In the majority of cases, haemorrhoids often get better on their own after a few days, and there are many over the counter products that can help relieve any discomfort during this time. For patients that have persistent or recurrent haemorrhoids then a surgical treatment may be required to help.

A haemorrhoidectomy is a surgical procedure performed under general anaesthetic. There are three types of haemorrhoidectomy procedures:

Closed Haemorrhoidectomy – A closed haemorrhoidectomy is the most commonly performed procedure. The surgeon will remove the haemorrhoid/s using a scalpel, scissors, electrocautery, or laser before then closing the wound with a suture.

Open Haemorrhoidectomy – An open haemorrhoidectomy is performed in the same way initially as an open haemorrhoidectomy, so the haemorrhoids are surgically removed but the wound is then left open.

Stapled haemorrhoidectomy – A stapled haemorrhoidectomy, is also known as the circular stapler haemorrhoidopexy or Longo’s procedure. It is most commonly performed on third-degree haemorrhoids and involves using surgical tool to remove a ring of haemorrhoid tissue and pin back loosened tissue with the aim of stopping the prolapse effect.

We also offer the Rafealo® procedure for treatment of piles, this 15-minute can be performed in-clinic under local anaesthetic and has a minimal post-operative pain and aftercare.

Haemorrhoidectomy at a glance

Procedure Time

45 mins

Anaesthetic Type

General anaesthetic

Hospital Stay

Daycase

Support Garment

None

Washing

Shower only for 1-2 weeks

Sleeping

n/a

Driving

2 – 6 Weeks

Up & Mobile

Rest Advised for 1-2 weeks

Sexual Activity

2 weeks – 1 month

Back to Work

3 weeks

Exercise

No heavy lifting for 6 weeks

Travel

6 weeks

Time

6 weeks

Final Results

8 weeks

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What to Expect

A consultation will take place with one of our colorectal surgeons who are experts in treating haemorrhoids. Your surgeon will:

You will then meet with your dedicated patient coordinator who will provide you with a detailed plan with full cost and pricing details so you can leave feeling well informed and able to decide if to go ahead with treatment or not.

In the interests of patient safety all our patients are assessed against our patient selection criteria. Following your haemorrhoid treatment consultation and review of your past medical history, the physician or pre-operative nurse will choose the pre-operative tests considered to be appropriate, most of which are routine blood tests.

You will be provided with a pre-operative instruction sheet ahead of your procedure which will help you to prepare for your treatment.

At The Private Clinic we offer 5 types of haemorrhoid removal procedures.

A closed haemorrhoidectomy is the most commonly performed procedure. The surgeon will remove the haemorrhoid/s using a scalpel, scissors, electrocautery, or laser before then closing the wound with a suture.

An open haemorrhoidectomy is performed in the same way initially as an open haemorrhoidectomy, so the are surgically removed but the wound is then left open.

A stapled haemorrhoidectomy, is also known as the circular stapler haemorrhoidopexy or Longo’s procedure. It is most commonly on third-degree haemorrhoids and involves using surgical tool to remove a ring of haemorrhoid tissue and pin back loosened expanded tissue with the aim of stopping the prolapse effect.

Rafaelo® haemorrhoid removal treatment uses well established radio frequency technology that is used in the treatment of varicose veins. It is a safe and effective treatment for internal haemorrhoids removal. Rafaelo treatments are carried out in-clinic.

Your colorectal consultant will use an anoscope to inject the base of the haemorrhoid/s with local . After 5-10 minutes the procedure will start, and a metal probe is inserted into your back passage. The probe produces a radio frequency injury to the haemorrhoids which cuts off the blood supply to the haemorrhoid. The haemorrhoids will then begin to shrink and disappear over time. The procedure takes around 15 minutes to perform, once complete you are free to leave.

Transanal haemorrhoid dearterialization (THD) is a minimally surgical procedure used to help treat haemorrhoids. THD is very similar to the HALO procedure, the difference typically being the brand name of the device performing the procedure.

The THD procedure uses a micro- doppler ultrasound device which helps to guide the surgeon to place a suture across the haemorrhoidal arteries without affecting the surrounding area. The aim of the procedure is to reduce the blood supply to the which assists with healing. The procedure does not cut or remove any haemorrhoidal tissue so there will be no raw or open wounds to heal post-procedure. The procedure is performed under general anaesthetic and takes around minutes. Patients will be able to return home after the procedure has been to recover at home.

All haemorrhoidectomy patients will receive a comprehensive post-operative care service provided as part of your aftercare package.

from a haemorrhoid surgery will vary depending on the patient and the type of surgery that they had. We advise patients that post-operative pain can last anywhere between 2-4 weeks, but painkillers can be taken during this time. During the recovery time bruising, irritation, minor bleeding, discharge, and soreness may also be experienced.

The majority of patients are able to return to their usual activities and routines within 2 weeks .

Your colorectal surgeon will advise in detail what to expect following haemorrhoid surgery.

The Private Clinic have with Chrysalis Finance to offer 0% finance for our patients.*

*Acceptance is subject to status. Terms and conditions apply.

Frequently Asked Questions

By definition, a haemorrhoidectomy is not considered to be major surgery.

A haemorrhoidectomy is invasive surgery that aims to remove internal and external haemorrhoids that are severe. All surgical procedures come with risks which are all discussed during consultation. A haemorrhoidectomy is considered to be a safe and effective treatment for haemorrhoids.

A haemorrhoidectomy procedure is for when other alternative treatment options have not been successful or if your haemorrhoids are too severe for them.

Most patients with haemorrhoids usually don’t require haemorrhoidectomy. We offer to the majority of our patients as it is a less invasive option under local anaesthetic and has significantly less downtime.

If a haemorrhoidectomy procedure is offered, this is most likely because your haemorrhoids are too severe to treat with Rafaelo® treatment and a haemorrhoidectomy procedure is more likely to be successful.

To find out which haemorrhoid removal procedure is best for you, with our top colorectal surgeons today.

A haemorrhoidectomy procedure should not be painful as patients are under general anaesthetic. Pain and discomfort may be felt following surgery, but this can be managed with painkillers.

Recovery from a haemorrhoid surgery will vary depending on the patient and the type of surgery that they had. We advise patients that post-operative pain can last anywhere between 2-4 weeks, but painkillers can be taken during this time. During the recovery time bruising, irritation, minor bleeding, discharge, and soreness may also be experienced.

The majority of patients are able to return to their usual activities and routines within 2 weeks post-surgery.

Your colorectal will advise in detail what to expect following haemorrhoid surgery.

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About The Private Clinic

The Private Clinic is a multi award winning medical group with clinics located across the UK. We have over 40 years’ experience in offering the best in advanced minimally invasive non surgical treatments and expert led surgical procedures in our clinics and hospitals. Our surgeons are all registered with the and we are regulated by the . The CQC is an independent regulator for health and social care in England. Last review March 10th 2023.

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TPC Group Limited trading as The Private Clinic Harley Street London, which is an Appointed Representative of Chrysalis Finance Limited. TPC Group is a credit broker, not a lender. Chrysalis Limited is authorised and regulated by the Financial Conduct Authority for credit broking and lending.

haemorrhoidectomy