Haemorrhoidectomy

What are haemorrhoids?

Haemorrhoids, also known as piles, are soft fleshy lumps just inside the back passage (anus). They bleed easily, usually causing fresh bright-red bleeding when a motion is passed. They do not usually cause pain but can cause itching. When large, they can pass through the anus (prolapsed pile), feeling like a lump when you clean yourself (see figure 1).

Haemorrhoids develop gradually, often over a long period of time. They are associated with constipation, often run in families and can be made worse by pregnancy.

Haemorrhoidectomy 

What are the benefits of a haemorrhoidectomy?

Surgery will remove the haemorrhoids. You should no longer have any of the symptoms that haemorrhoids can cause.

Are there any alternatives to surgery?

Haemorrhoids can often be successfully treated by simple measures such as eating more fibre and drinking more fluid.

If these simple measures are unsuccessful, the haemorrhoids can usually be treated successfully in a clinic. Local treatments include ‘banding’ or ‘injecting’ the haemorrhoids.

What does the operation involve?

A haemorrhoidectomy is usually performed under a general anaesthetic and takes about twenty minutes. Your surgeon will remove your haemorrhoids by either cutting them away or using a staple gun. They will make sure that the blood vessels that supplied the haemorrhoids have stopped bleeding.

What complications can happen?

General complications of any operation:

  • Pain
  • Bleeding
  • Infection in the surgical wound
  • Blood clots

Specific complications of this operation:

  • Incomplete haemorrhoidectomy
  • Difficulty passing urine
  • Anal stenosis
  • Developing skin tags
  • Developing an anal fissure
  • Incontinence

How soon will I recover?

You should be able to go home after two to three days, usually after passing your first motion. If your haemorrhoids were treated using a staple gun, you should be able to go home the same day. You should drink plenty of fluid and increase the amount of fibre in your diet to avoid constipation. The wounds often take several weeks to heal completely and you may need to wear pads until then. There are no open wounds with the stapled technique.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice. Occasionally haemorrhoids come back.

Haemorrhoidectomy summary

Haemorrhoids are a common problem. If non-surgical treatments fail, surgery is usually recommended.

Paying for your procedure

Haemorrhoidectomy costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.

Acknowledgements

Author: Mr Jonathan Lund DM FRCS (Gen. Surg.) and Miss Gillian Tierney DM FRCS (Gen. Surg.)

Illustrations: LifeART image copyright 2007 Lippincott Williams & Wilkins. All rights reserved.

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

Copyright © 2008 EIDO Healthcare Limited   The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by BMI Healthcare. The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace advice that your relevant health professional would give you.

Pricing

Excision of abnormal skin around the anus (local anaesthetic)

Patient pathway Initial consultation Diagnostic investigations Main treatment Post discharge care Total
Hospital fees N/A Included £1,584 Included £1,584
Consultants fees £200 N/A Included Included £200
Total £1,784
Initial consultation
Hospital fees N/A
Consultants fees £200
Diagnostic investigations
Hospital fees Included
Consultants fees N/A
Main treatment
Hospital fees £1,584
Consultants fees Included
Post discharge care
Hospital fees Included
Consultants fees Included
Total £1,784

Haemorrhoid / Piles removal

Patient pathway Initial consultation Diagnostic investigations Main treatment Post discharge care Total
Hospital fees N/A Included £2,629 Included £2,629
Consultants fees £200 N/A Included Included £200
Total £2,829
Initial consultation
Hospital fees N/A
Consultants fees £200
Diagnostic investigations
Hospital fees Included
Consultants fees N/A
Main treatment
Hospital fees £2,629
Consultants fees Included
Post discharge care
Hospital fees Included
Consultants fees Included
Total £2,829

Terms & Conditions

Treatment prices displayed are a guide for initial consultation, and a guide price for our fixed price packages which include pre-assessment, procedure and aftercare. Your Consultant will be able to discuss costs in greater detail at your consultation, after which a quote of your fixed price package will be provided [which is subject to results of any pre-assessment tests]. Prices can be subject to change.

For more information please refer to our terms and conditions (large print version).

Want to look at other treatments? or find it on the A-Z list.