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Is a hemorrhoidectomy right for you? Many people who suffer from severe hemorrhoids are faced with this question. In this article, we will discuss a little bit about the process of getting a hemorrhoidectomy as well as the pros and cons of the surgery. When you are finished reading you will have the information you need to make an informed decision.
Hemorrhoids occur as a result of inflammation in the normal veins of both the anus and rectum. About three quarters of Americans suffer from hemorrhoids, and while most don’t need of medical assistance, for those who do the decision can feel intimidating. If you have excessive bleeding, and other less invasive methods have not solved the problem, or if your hemorrhoids are very large, your doctor may suggest a hemorrhoidectomy. A hemorrhoidectomy is a surgical procedure that removes the entire hemorrhoid. The doctor makes an incision around the hemorrhoid tissue, ties off the swelled vein in the hemorrhoid to stop the bleeding, and then removes the hemorrhoid. Your doctor may choose to leave the surgical area open or stitch it up depending on what would be more medically beneficial. In either case the wound is covered with a medicated gauze.
You will have to go to a surgical center to have the procedure done. Usually you’ll be able to go home on the same day. A hemorrhoidectomy may be done with either a scalpel, a cautery pencil, or with a laser. Whether you use the traditional scalpel or newer instruments, the level of success is the same. While lasers seem fancier, they cost more, take longer, and even cause deeper injury to tissue.
Hemorrhoidectomy is about 95% effective in protecting against recurrence of hemorrhoids. Some early side effects include bleeding, problems with urination including urinary tract infections and difficulty urinating, pain, infection, impacted feces, and incontinence. Long-term issues include the forming of a fistula, or abnormal passage between the rectal or anal canal and other areas, rectal prolapse (rectum pushes through the anal opening), stenosis (the anal canal narrows), and hemorrhoid recurrence. Depending on the severity of your hemorrhoids, risking these side effects might be worthwhile. However, it is worth noting that the majority of internal hemorrhoids get smaller and show a reduction in discomfort with noninvasive procedures or home treatment. These less invasive procedures are less risky, hurt less, and mean less time out of work or other important activities of daily life. If internal hemorrhoids are small, doctors do not recommend surgery.
If you are going to have success following up a hemorrhoidectomy, the most important factor is to make the necessary changes to your bowel habits. It is essential to do what you can to pass stools as easily as possible. While you may see better results in the long term from a hemorrhoidectomy as opposed to less invasive, fixative procedures that work by cutting off the flow of blood to the hemorrhoid, surgery is expensive, offers more risks and complications, and generally has greater pain.
If you suffer from severe hemorrhoids, a hemorrhoidectomy is worth considering. Make sure to consult with your doctor the specifics of your medical condition and create a plan of action for the modification of your bowel habits so that you can have the greatest chance of success.
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