Hemorrhoidectomy (Single-Pillar) — Patient Information & After-Care
What is it?
A single-pillar hemorrhoidectomy removes one symptomatic hemorrhoid column in the office using local anesthesia only. Dr. Hansen does not use cautery (no burning) to help reduce postoperative pain. The vessel is tied/secured and the incision is closed with absorbable stitches. You remain awake, lying on your side, and you can go home immediately—no escort or ride needed for most patients.
Who is a good candidate?
You may benefit if one main hemorrhoid causes bleeding, prolapse, pain/swelling, or hygiene problems despite fiber, stool softeners, creams, or banding. Your surgeon will confirm that a single-pillar approach fits your situation and review alternatives.
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