What is a Hemorrhoidectomy?

hemorrhoidectomy is the extraction of hemorrhoids from a patient while under anesthesia. There are different kinds of hemorrhoidectomies, and depending on the situation, there are different types of anesthesia used for the procedures.

Your doctor may recommend a hemorrhoidectomy to treat large hemorrhoids that cause symptoms, such as rectal pain and bleeding. Your doctor may only consider a hemorrhoidectomy for you if other healing options with less risk of complications are ineffective. Ask your doctor about all of your healing options and consider getting a second opinion before deciding on a hemorrhoidectomy.

Your doctor may recommend a hemorrhoidectomy under the following conditions:

  • You have grade 3 or 4 prolapsed internal hemorrhoids. Prolapse means that the hemorrhoids are falling out of the anus. Grade 3 prolapse occurs with a bowel movement, but you can manually push the hemorrhoid back through your anus. A grade 4 prolapse cannot be put back.
  • You have significant amounts of bleeding from your hemorrhoids
  • You have additional anorectal conditions that require surgery.

Types of Hemorrhoidectomy

Currently the types of hemorrhoidectomy procedures include:
  • Excisional hemorrhoidectomy removes the hemorrhoidal tissue by cutting it. Your surgeon may choose to leave the tissue wound open (open excisional hemorrhoidectomy) or close it with stitches (closed excisional hemorrhoidectomy). Most surgeons prefer the closed technique.
  • Stapled hemorrhoidectomy is a newer procedure in hemorrhoid surgery. Developed in the early 1990’s, removes only a portion of the hemorrhoidal tissues. The remaining hemorrhoidal tissues are lifted back up into the anal canal and stapled into place with a special stapling device. This procedure tends to cause less postoperative pain and has a shorter recovery period. It is not effective for large external hemorrhoids, and hemorrhoids tend to recur more often. The risks of stapled hemorrhoidectomy can be: damage to the sphincter muscle and rectal wall, infection of the pelvic area and incessant pain. Possible rectum prolapse may occur as well.

Disadvantages of Hemorrhoidectomy Surgery

 The hemorrhoidectomy procedure is usually recommended only in very severe cases. The healing process can take several weeks and is very painful. The procedure also comes with high risks, such as hemorrhaging and urinary tract infections. The hemorrhoidectomy surgery is also possibly linked to the loss of bladder control in later life.

Cost of Hemorrhoidectomy Surgery

Hemorrhoidectomy surgery is typically covered by most insurance providers. But if you have a deductible, or no insurance, the cost for hemorrhoidectomy surgery can range from around $10,000 to $15,000.

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