Hemorrhoids can be a persistent and painful condition that impacts your daily life and comfort. When conservative treatments such as dietary changes, creams, or sitz baths fail to provide relief, hemorrhoid surgery might be the next best step.

If you’re considering surgery, it’s important to understand what the procedure involves, the different surgical options, and what to expect during recovery. This guide will walk you through everything you need to know about hemorrhoid surgery—from preparation to healing—so you can make an informed decision and get back to living comfortably. Visit our site to know more about hemorrhoids Surgeon in Riyadh (افضل دكتور بواسير في الرياض).

What Are Hemorrhoids?

Hemorrhoids are swollen veins located in the lower rectum or anus. They are caused by increased pressure in these veins and can be internal (inside the rectum) or external (under the skin around the anus). Common causes include straining during bowel movements, chronic constipation or diarrhea, pregnancy, and sitting for prolonged periods.

Symptoms often include pain, itching, swelling, bleeding during bowel movements, and discomfort while sitting.

When Is Surgery Necessary?

Most hemorrhoids can be treated with home remedies and non-invasive treatments. However, surgery may be recommended if:

  • Hemorrhoids are large or prolapsed (bulging out of the anus)

  • You experience frequent bleeding

  • Conservative treatments fail to relieve symptoms

  • You have thrombosed hemorrhoids (blood clots causing severe pain)

  • Your symptoms interfere with daily life

Types of Hemorrhoid Surgery

There are several surgical options available depending on the severity and type of hemorrhoids. Here are the most common:

1. Rubber Band Ligation

A minimally invasive procedure where a rubber band is placed around the base of an internal hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

Pros: Outpatient, quick, minimal discomfort
Cons: May require multiple treatments, not suitable for external hemorrhoids

2. Sclerotherapy

Injection of a chemical solution into the hemorrhoid to shrink it.

Pros: Quick, outpatient procedure
Cons: Less effective for large hemorrhoids

3. Infrared Coagulation

Uses infrared light to coagulate the hemorrhoid tissue, cutting off its blood supply.

Pros: Minimally invasive, outpatient
Cons: May require repeat treatments

4. Hemorrhoidectomy

Surgical removal of hemorrhoids under anesthesia. Considered the most effective for severe cases.

Pros: Permanent relief, treats both internal and external hemorrhoids
Cons: Requires anesthesia, longer recovery

5. Stapled Hemorrhoidopexy

A procedure where hemorrhoidal tissue is stapled back into place inside the rectum, reducing blood flow and shrinking hemorrhoids.

Pros: Less painful than hemorrhoidectomy, quicker recovery
Cons: Not suitable for external hemorrhoids

Preparing for Surgery

Before surgery, your doctor will:

  • Evaluate your medical history

  • Conduct a physical exam

  • Discuss the best surgical option for your condition

  • Provide preoperative instructions such as fasting and medication adjustments

What to Expect During Surgery

Most hemorrhoid surgeries are outpatient procedures, meaning you’ll go home the same day. Depending on the surgery, local, regional, or general anesthesia may be used. The procedure duration varies from 15 minutes to an hour.

Recovery and Aftercare

Recovery varies based on the procedure but generally includes:

  • Pain Management: Expect some pain or discomfort; your doctor may prescribe pain medication. Sitz baths (warm water soaks) can relieve pain and promote healing.

  • Diet: Eat a high-fiber diet and drink plenty of fluids to prevent constipation and straining.

  • Activity: Avoid heavy lifting and strenuous activities for at least 1–2 weeks. Gradually return to normal activities as tolerated.

  • Hygiene: Keep the anal area clean and dry. Use moist wipes or gentle cleaning methods to avoid irritation.

  • Follow-up: Attend all post-surgery appointments to monitor healing.

Most patients return to normal activities within 1–2 weeks, though complete healing may take longer.

Potential Risks and Complications

While hemorrhoid surgery is generally safe, risks include:

  • Pain and discomfort

  • Bleeding

  • Infection

  • Difficulty urinating

  • Recurrence of hemorrhoids (rare)

Discuss all potential risks with your doctor before surgery.

When to Contact Your Doctor

Seek medical advice if you experience:

  • Excessive bleeding

  • Severe pain unrelieved by medication

  • Fever or signs of infection

  • Difficulty urinating or bowel movements

Final Thoughts

Hemorrhoid surgery can provide lasting relief from pain, bleeding, and discomfort. Understanding your options and the recovery process will help you prepare for a smooth and successful healing journey.

If you suffer from chronic hemorrhoids, talk to your healthcare provider about whether surgery is the right choice for you. With the right treatment and care, you can say goodbye to hemorrhoid pain and get back to living your best life.