Surgical Treatment for Piles: When Is Surgery Necessary and What to Expect

Piles, also known as hemorrhoids, are a common medical condition affecting millions worldwide. While many cases can be managed with lifestyle changes, dietary adjustments, and medication, some may require surgical intervention for relief. In this blog, we’ll delve into when surgical treatment for piles becomes necessary, what to expect from the procedure, and where to find a piles specialist in Dombivli for expert care.

When Is Surgery Necessary for Piles?

1. Persistent Symptoms: If conservative measures fail to alleviate symptoms such as bleeding, pain, itching, or prolapse, surgery may be recommended.
2. Severe Cases: Large, external hemorrhoids or internal hemorrhoids that have prolapsed and cannot be pushed back may require surgical removal.
3. Complications: Complications like thrombosis (blood clot within a hemorrhoid), strangulation, or significant bleeding may necessitate surgical intervention.
4. Chronic Conditions: Individuals with chronic, recurring piles that significantly affect their quality of life may opt for surgery to find lasting relief.

Types of Surgical Procedures for Piles:

1. Hemorrhoidectomy: This traditional surgical procedure involves the removal of hemorrhoidal tissue. It’s typically recommended for severe cases or when other treatments have failed.
2. Stapled Hemorrhoidopexy (PPH): Also known as stapling, this procedure involves stapling the hemorrhoids to block blood flow, reducing their size. It’s less painful than traditional hemorrhoidectomy and offers a quicker recovery time.
3. Rubber Band Ligation: A minimally invasive procedure where rubber bands are placed around the base of internal hemorrhoids, cutting off blood supply and causing them to shrink and fall off.
4. Sclerotherapy: Injection of a chemical solution into the hemorrhoid to shrink it. This is more commonly used for smaller hemorrhoids or as a complementary treatment.

What to Expect from Piles Surgery:

1. Pre-operative Evaluation: Your doctor will conduct a thorough examination, including a physical examination and possibly additional tests like colonoscopy, to assess the severity of your condition.
2. Anesthesia: Most procedures are performed under general anesthesia, ensuring you’re comfortable and pain-free during the surgery.
3. Procedure Duration: The duration of the surgery varies depending on the type and severity of piles. Hemorrhoidectomy may take around 30 to 90 minutes, while stapled hemorrhoidopexy can be quicker.
4. Hospital Stay: While some procedures may allow for same-day discharge, others may require a short hospital stay for observation and pain management.
5. Recovery: Recovery times vary depending on the type of surgery performed. Hemorrhoidectomy typically requires a few weeks for full recovery, while stapled hemorrhoidopexy may offer a quicker return to normal activities.
6. Follow-up Care: Your doctor will provide instructions for post-operative care, including pain management, diet modifications, and follow-up appointments to monitor your progress.

Surgical treatment for piles becomes necessary when conservative measures fail to provide relief or when complications arise. By understanding the indications for surgery, the types of procedures available, and what to expect from the surgical process, individuals can make informed decisions about their treatment options. When seeking surgical care for piles in Dombivli, entrusting your health to a specialized piles specialist in Dombivli like Dr. Ashok Borisa ensures the best possible outcome and a path towards lasting relief from piles.