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Major Surgeries

Piles

What it is, when surgery is advised, what it typically costs, and what the alternatives are — before you decide anything.

Hemorrhoidal veins in the rectum and anus are what are known as piles because they are large and irritated. They can form externally, under the skin around the anus, or internally, inside the rectum.The two are as follows:
Haemorrhoids that appear externally and develop under the skin around your anus and Internal haemorrhoids, which develop in the lower rectum and anus lining.

Symptoms

  • Blood in the urine
  • Itchiness and annoyance
  • Any discomfort or pain
  • lumps or swelling around the anus
  • Prolapse
  • Mucus production

Common causes

  • Constipation straining
  • Persistent diarrhoea
  • Pregnancy
  • obesity
  • Regular heavy lifting
  • Advanced age
  • Genetics
  • A low-fiber diet.

Surgical options

Costs are 2023 estimates from our network, for reference only — the hospital and surgeon set the actual charge, and you will see it before anything is booked.

Haemorrhoidectomy

₹45,000 – ₹90,000 · typically ₹60,000

The most common and efficient surgical method for treating haemorrhoids is this one. It entails eliminating the piles surgically with a scalpel or laser. Usually, severe cases of internal or external piles require hemorrhoidectomy.

Common questions

What is a haemorrhoidectomy?
A surgical treatment called a hemorrhoidectomy is used to remove haemorrhoids, which are enlarged blood vessels in the anal and rectal regions. The discomfort, suffering, itching, and bleeding that haemorrhoids might cause may not always be adequately relieved by conservative therapy. An anal incision is made by the surgeon during a hemorrhoidectomy in order to reach and remove the hemorrhoidal tissue.
Why is a haemorrhoidectomy performed?
When more conservative treatments are ineffective or the haemorrhoids are causing severe pain, bleeding, discomfort, or other issues, a hemorrhoidectomy may be necessary. The following are some typical justifications for recommending a hemorrhoidectomy: bleeding, prolapse, thrombosis, and severe pain.
What are the risks and complications of a haemorrhoidectomy?
A hemorrhoidectomy has some risks and potential problems, just like any surgical surgery. Before having the procedure, you should be aware of them. The following are some of the potential side effects and hazards of a hemorrhoidectomy: Pain and discomfort, Bleeding, Infection, Anal stenosis, Urinary retention, and Faecal incontinence.
Are there alternative treatments to haemorrhoidectomy?
Yes, there are alternate haemorrhoid therapies that may be taken into account before deciding on a hemorrhoidectomy. The type of treatment you receive is determined by the severity of your haemorrhoids, your unique situation, and your doctor's recommendations. Lifestyle changes, topical therapies, sclerotherapy, rubber band ligation, infrared coagulation, and medications are a few examples of alternative treatments for haemorrhoids.
What things can happen after a haemorrhoidectomy?
Pain and discomfort: Following a hemorrhoidectomy, it's typical to feel pain, discomfort, and soreness in the anal region. In order to assist you manage the discomfort, your doctor will prescribe painkillers. The discomfort ought to gradually go away with time. During the healing period, it's crucial to strike a balance between activity and rest. Diet and bowel movements: During the healing process, it's critical to keep up a good diet and prevent constipation. Your doctor will advise you on how to take care of the surgical site when it comes to wound care. This may entail maintaining the region dry and clean, using medicated wipes or sitz baths, and using recommended ointments or lotions.
You'll probably schedule follow-up consultations with your physician to assess your recovery and discuss any issues or complications.
Are there any long-term effects or risks associated with haemorrhoidectomy?
Hemorrhoidectomy is typically regarded as a secure and successful method of treating haemorrhoids. Like any surgical procedure, there could be dangers and long-term side effects. Before having the surgery, it's crucial to go over things with your healthcare professional. Among the risks and potential long-term repercussions of a hemorrhoidectomy are: Haemorrhoids returning.
Anal stenosis is the medical term for the narrowing of the anal canal, which can happen as a result of surgical scarring. This may result in constipation issues and need for additional medical attention.
Bowel alterations: Following a hemorrhoidectomy, some people may notice changes in their bowel habits.
What are the dietary and lifestyle changes after a haemorrhoidectomy?
Making specific dietary and lifestyle modifications after a hemorrhoidectomy is crucial to promoting healing, avoiding constipation, and lowering the risk of problems. Here are a few suggestions: Improve your fibre intake, Avoid straining during bowel movements, Keep hydrated, Maintain proper oral hygiene.
Regular physical activity: To encourage healthy bowel movements and prevent constipation, engage in regular physical activity such as walking or light workouts.

Stapling

₹35,000 – ₹1,10,000 · typically ₹72,000

Internal haemorrhoids that have prolapsed are treated using this method. The haemorrhoids are moved back into their usual place after a part of the rectal lining is removed using a circular stapling tool. In comparison to hemorrhoidectomy, stapled hemorrhoidopexy has less pain and a faster recovery.

Common questions

What is stapling in surgery?
Stapling in surgery refers to a procedure called staple surgery for piles or stapled hemorrhoidectomy. It is a minimally invasive alternative to standard hemorrhoidectomy used to treat internal hemorrhoids that have prolapsed or are causing symptoms. The surgeon uses a specialized circular stapler to reposition the prolapsed hemorrhoidal tissue and create a circular staple line, removing the excess tissue above the staples. The remaining tissue develops scar tissue that helps keep the hemorrhoids in place.
What are the benefits of stapling compared to traditional sutures?
Stapling surgery for piles offers several benefits compared to traditional sutures or standard hemorrhoidectomy: 1) Less postoperative pain is typically experienced. 2) Recovery is often quicker compared to a typical hemorrhoidectomy. 3) The anal sphincter muscles, which control bowel movements, are not damaged as the stapling technique primarily targets internal hemorrhoids. 4) There is a reduced likelihood of anal stenosis as less tissue is removed during stapling surgery. 5) Stapling surgery is particularly effective for internal hemorrhoids that have prolapsed outside the anal canal.
Are there any risks or complications associated with stapling?
In some cases, the staple line may not seal properly during stapling surgery for piles, leading to leakage or bleeding. This can result in complications such as infection, abscess formation, or the need for additional interventions to address the issue. It is important to discuss potential risks and complications with your healthcare provider.
Are there any specific post-operative care instructions for piles patients?
Yes, following precise post-operative care guidelines is crucial for promoting recovery and reducing the risk of complications after piles surgery. Some general post-operative care instructions for patients with piles include: 1) Take prescribed medications as directed and inform your doctor if the pain is not well-controlled or if any side effects occur. 2) Consume a high-fiber diet to promote regular bowel movements and prevent constipation. Include plenty of fruits, vegetables, whole grains, and fiber-rich foods. Stay hydrated by drinking an adequate amount of water. 3) Avoid alcohol and spicy foods as they may aggravate the digestive tract.
What are the types of surgery for piles?
There are several types of surgical procedures available for the treatment of piles (hemorrhoids), and the specific approach chosen depends on factors such as the severity of the hemorrhoids, presence of complications, and the patient's condition. Some common types of surgery for piles include: 1) Hemorrhoidectomy: Surgical removal of hemorrhoids. 2) Stapled hemorrhoidopexy: Stapling technique to reposition and remove excess tissue. 3) Rubber band ligation (RBL): Placement of rubber bands to cut off the blood supply to hemorrhoids, causing them to shrink. 4) Doppler-guided hemorrhoidal artery ligation: Use of ultrasound to identify and tie off the blood vessels supplying the hemorrhoids.

How treatment proceeds

Haemorrhoids and piles are normally identified using a combination of physical examination, medical history review, and, occasionally, further tests. Here is a summary of the piles diagnosis procedure:

Examining your medical history: Your doctor will start by asking you about your symptoms, such as any pain, itchiness, bleeding, or discomfort you may be feeling. Your bowel habits, food, and any past medical disorders that might have contributed to haemorrhoids will also be discussed.

Physical examination: The anus and rectum are typically examined physically. This could entail:
Visual examination: The medical professional will visually look for any external haemorrhoids, edoema, or discomfort in the area surrounding the anus.
A lubricated, gloved finger may be gently inserted into the rectum during a digital rectal examination (DRE) to check for internal haemorrhoids or any anomalies in the anal canal.

Additional testing may be advised in some circumstances to thoroughly assess the condition or rule out other potential underlying causes. These tests could consist of:

Anoscopy or proctoscopy: In these procedures, the anal canal and lower rectum are more thoroughly examined using a specialised device called an anoscope or proctoscope. They make it possible to see internal haemorrhoids and other potential bleeders in great detail.

A flexible tube with a camera on the end is used during a colonoscopy or sigmoidoscopy to inspect the whole colon and rectum. They might be suggested if additional digestive issues are suspected or if symptoms don't go away after treatment.

Non-surgical care

Haemorrhoids can be treated non-surgically with a variety of methods that can lessen discomfort and speed up recovery. These non-surgical options are frequently suggested for mild to moderate piles situations. Here are a few typical non-surgical methods:

Lifestyle and nutritional adjustments: Making specific adjustments to your lifestyle and food can help reduce symptoms and stop piles from getting worse. For the purpose of softening the stool and promoting regular bowel movements, this involves increasing the consumption of fibre from fruits, vegetables, whole grains, and legumes. Water consumption in moderation, avoiding extended sitting or straining during bowel motions, and frequent exercise are all recommended as well.

Topical treatments: You can treat piles pain, itching, and inflammation with over-the-counter lotions, ointments, or suppositories that contain hydrocortisone, witch hazel, or lidocaine. These topical remedies can offer momentary comfort because they are applied directly to the afflicted area.

Medication: To treat underlying disorders causing piles or to lessen their symptoms, your doctor may prescribe medication. To prevent constipation, for instance, stool softeners or fibre supplements could be suggested. Anti-inflammatory medications or painkillers may also be administered for pain management.

Sclerotherapy is an injection therapy that, like surgery, can be done as an outpatient procedure. The haemorrhoid is injected with a chemical solution, which causes it to contract and scar, lessening symptoms.

This page is general information about a medical condition, not a diagnosis or a recommendation to undergo surgery. Decisions about surgery should be made with a qualified doctor who has examined you.

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