Hemorrhoidectomy in Draper, Utah
Hemorrhoidectomy
Hemorrhoidectomy
Recovery takes about 2 to 3 weeks. Going home after surgery
The long-acting local anesthetic should last 6 to 12 hours to provide pain relief after surgery.• When done in the office you can drive yourself home.
Care after surgery
• You can expect some pain after surgery. 2-3-4 rule: 2 Tylenol, 3 Ibuprophen, 4 times a day. Breakfast, lunch, dinner, and bedtime works best. You may have to substitute with other medicine if you’re intolerant or allergic to any of these. Avoid narcotics as they can cause constipation which will make pain worse with bowel movements.
• Some bleeding is normal, especially with the first bowel movement after surgery.
• For a few days after surgery, drink liquids and eat a bland diet (plain rice, bananas, dry toast or crackers, applesauce). Then you can return to regular foods and gradually increase the amount of fiber in your diet.
• You may apply numbing medicines before and after bowel movements to relieve pain.
Why It Is Done
Hemorhoidectomy is appropriate when you have:
• Very large internal hemorrhoids.• Internal hemorrhoids that still cause symptoms after nonsurgical treatment.• Large external hemorrhoids that cause significant discomfort and make it difficult to keep the anal area clean.• Both internal and external hemorrhoids.• Had other treatments for hemorrhoids (such as rubber band ligation) that have failed.
How Well It WorksSurgery usually cures a hemorrhoid. But the long-term success of hemorrhoid surgery depends a lot on how well you are able to change your daily bowel habits to avoid constipation and straining. About 5 out of 100 people have hemorrhoids come back after surgery.
RisksPain, bleeding, and an inability to urinate (urinary retention) are the most common side effects of hemorrhoidectomy.
Other relatively rare risks include the following:
Early problems• Bleeding from the anal area.• Collection of blood in the surgical area (hematoma)• Inability to control the bowel or bladder (incontinence)• Infection of the surgical area-rare• Stool trapped in the anal canal (fecal impaction)
Late problems• Narrowing (stenosis) of the anal canal.• Recurrence of hemorrhoids.• An abnormal passage (fistula) that forms between the anal or rectal canal and another area.• Rectal prolapse, which happens when the rectal lining slips out of the anal opening