Piles or haemorrhoids are caused when the veins inside the rectal region swell up causing pain and discomfort. This is typically the case of internal haemorrhoids. But these can also be external, when located outside the rectum.
Depending on the size of the piles of haemorrhoids, medical practitioners can either advice you to go for a surgical procedure or other non invasive methods to treat or remove them. Usually, in case of large internal piles, the treatment invariably will require you to undergo piles operation.
Different types of surgical treatment for piles and haemorrhoids
If all other methods of treating piles have not proved effective, getting them surgically removed is the only option left. There are different surgical procedures adopted to remove piles and haemorrhoids. Let us take a look at some major ones.
A haemorrhoidectomy is the process of haemorrhoids that is carried out under the influence of general anaesthetics. In the conventional method of this type of operation, the anal region needs to be opened up gently, so that the piles can be cut out.
During the entire operation, you will not be able to feel any pain because of the action of anaesthetics. But after the procedure you will feel significant pain, for which you will need to be treated with painkillers. The pain usually persists well even after few weeks of the surgery, so will need to follow medication as prescribed by your doctor. You will also need to be at complete rest to allow total healing of the wound.
The prognosis of haemorrhoidectomy is impressive. Only 1 out of 20 people might develop haemorrhoids again after this type of operation. A high fibre diet and drinking plenty of fluids is advised by medical practitioners to reduce these risks.
This surgical mode of piles treatment is the alternative to the conventional procedure of haemorrhoidectomy. Also, referred to as ‘stapled haemorrhoidopexy’, stapling is not used as widely as haemorrhoidectomy. This method is employed to eliminate piles that have or have not slipped off their position.
Stapling is sometimes used to treat prolapsed piles and is also carried out under general anaesthesia. In this process, the last part of your large intestine or anorectum, is stapled using a stapler like device. This is done to cut off the blood supply to these haemorrhoids. As a result, this ultimately reduces the flow of blood to the haemorrhoids, which leads them to shrink in size. The chances of the haemorrhoids to slip off are thereby minimized by this operation.
Stapling is a less painful process and you are likely to recover faster – in about a week, and resume normal daily activities. However, there might be fewer chances of complications after this surgery. Many women have been observed to develop fistula in the vaginal area after the stapling procedure.
- Other non surgical procedures
There are few minimally invasive options to treat piles and haemorrhoids like:
- Banding – Also called rubber band ligation, this process cuts off the blood supply to the haemorrhoids, which causes them to shrink and die
- Laser treatment – In this method, a laser beam of precise strength is used to burn away the haemorrhoids
- Sclerotherapy – Here, a chemical is injected into the haemorrhoid that results in its shrinkage and prevents further bleeding. This is the best treatment for small internal haemorrhoids with minimum pain involved
Although the non surgical methods are less painful and involve less complication, the surgical methods are known to offer better results in the long run. It is always advisable to consult your doctor regarding the best piles treatment for your case.