When Is Hemorrhoid Surgery Necessary?

hemorrhoids surgeryAlthough most cases of hemorrhoids are not severe and can be managed with over the counter medications, doctor prescribed medications or home remedies, there are times when hemorrhoid surgery becomes necessary.

Hemorrhoid surgery usually becomes the recommended treatment when the hemorrhoids cause excessive pain, swelling or bleeding that does not respond to any other type of treatment.

There are a variety of different surgical procedures for hemorrhoids ranging from minimally invasive office procedures to more in depth surgical procedures which require a longer recovery time.

Some popular surgical procedures for hemorrhoid removal include the following:

Rubber Band Ligation

With Rubber Band Ligation, a rubber band is used to tie the hemorrhoid off at its base.

The rubber band works to cut off the hemorrhoids blood supply, causing it to shrink and fall off.  This falling off process takes about a week or so.

Rubber Band Ligation does not require admission to the hospital and can be done right in the doctor’s office.

Most people undergoing this procedure can resume normal activity the same day the procedure is performed, while others may need a couple of days to recuperate.

Everyone is different so pain and recovery time can vary for people who have this procedure.


With Sclerotherapy a chemical is injected directly into the hemorrhoid which causes it to collapse.

When it collapses it causes the flow of blood to the hemorrhoid to stop, which will cause it to dry up.

Although Sclerotherapy is a pretty safe procedure, slight bleeding may occur after it is done.

Sclerotherapy is used to treat minor to moderate cases of hemorrhoids.

After having Sclerotherapy it is not uncommon to have pain in the area.  Pain meds are usually prescribed to minimize the pain. 

The results of the procedure are usually visual in about a week.

Infrared Coagulation

Infrared Photocoagulation gets rid of hemorrhoids by using  heat generated by infrared lights.

The infrared heat lights cauterize the area and cut off the blood supply to the hemorrhoids, causing them to dry up and fall off.

This is a minimally invasive procedure that is performed in the doctor’s office.

When the procedure is complete some slight pain, discomfort and bleeding may occur.

The pain associated with infrared coagulation can usually be treated with over the counter medication such as Aleve and Tylenol.

Some of the possible side effects of photocoagulation are pain in the area, heavy bleeding and infection.

Once the hemorrhoid falls off in seven to ten days you may notice slight bleeding which will typically go away on its own.

More advanced surgical procedures for hemorrhoids include Procedure for Prolapse and Hemorrhoids (pph) and hemorrhoidectomy.

Procedure for Prolapse and Hemorrhoids (PPH)

PPH or hemorrhoid stapling is a treatment which is typically used for third and fourth degree hemorrhoids.

With this technique a stapling device is used to return the hemorrhoids to their normal position while trimming off a portion of the hemorrhoid tissue.

Once the tissue is removed the hemorrhoid will begin to shrink in size within a couple of weeks.

This procedure requires little down time. In most cases patients can return to their normal activities within a few days.


A hemorrhoidectomy is the surgical removal of hemorrhoids. The patient is given general anesthesia and feels no pain during the procedure. Patients having this done typically go home the same day.

A hemorrhoidectomy has a longer recovery period than other procedures. Patients undergoing hemorrhoidectomy can expect recovery time to be around three weeks.

Hemorrhoid surgery should be used as a last resort when all other treatments have failed. Even after surgery, it is possible for hemorrhoids to reoccur.

To prevent them from coming back it is important to make healthy changes to your diet and lifestyle.

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