If you’re dealing with persistent, painful hemorrhoids that disrupt everyday life, Haemorrhoidectomy at Liv & Harley Street Hospital offers a long-term solution. Our experienced colorectal team will guide you from pre-operative preparation through recovery, aiming for a comfortable, safe, and effective outcome. Contact us to schedule a consultation and regain your daily comfort.
Haemorrhoidectomy at Liv & Harley Street Hospital
Take the Next Step Toward Lasting Relief
What does Haemorrhoidectomy Mean?
A Haemorrhoidectomy is a surgical procedure to remove hemorrhoids—swollen veins in the rectum or anus—particularly when other treatments (like dietary changes or topical remedies) haven’t resolved symptoms. This approach is often recommended for severe cases causing persistent pain, bleeding, or prolapse, helping individuals regain comfort and quality of life.
Who do we treat?
Who Should Have Haemorrhoidectomy?
Large External Hemorrhoids: Those experiencing significant pain, discomfort, or difficulty with normal activities.
Internal Hemorrhoids Causing Bleeding/Prolapse: Patients whose hemorrhoids protrude from the anus and/or bleed frequently.
No Response to Non-Surgical Measures: Individuals who have tried fiber supplements, topical treatments, or rubber band ligation without improvement.
Significant Rectal Bleeding: Chronic or recurrent bleeding that disrupts daily life.
Recurrent Thrombosed Hemorrhoids: Those prone to clots in hemorrhoidal veins, causing severe pain.
Chronic Anal Itching/Mucus Discharge: Persistent symptoms related to advanced hemorrhoids.
Who Can Have Haemorrhoidectomy?
Adults with Severe Symptoms: Patients whose lives are affected by persistent hemorrhoid issues and unresponsive to conservative management.
Medically Evaluated for Surgery: People deemed suitable for anesthesia and post-operative recovery.
Committed to Post-Op Care: Those able to follow instructions for rest, wound care, and dietary adjustments.
Able to Manage Pain and Recovery: Individuals prepared for potential short-term discomfort following surgery.
Who Cannot Have Haemorrhoidectomy?
Uncontrolled Bleeding Disorders: Hemophilia or severe thrombocytopenia must be addressed first.
Active Infections: Rectal or anal infections can complicate surgery and must be resolved beforehand.
Pregnant Women: Typically avoided unless absolutely necessary and carefully evaluated by a specialist.
Severe Cardiac or Respiratory Conditions: High-risk patients may need alternative treatments or special clearance.
Inability to Follow Post-Operative Care: Those who cannot comply with rest or avoid strenuous activity.
Significantly Compromised Healing: Uncontrolled diabetes or immunosuppressive therapy that may delay wound recovery.
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Why Choose Liv & Harley Street Hospital
Why Trust Us for This Treatment
Expert Colorectal Team
GMC-Registered surgeons with deep expertise in hemorrhoid treatment, including traditional, stapled, and laser haemorrhoidectomies.
State-of-the-Art Facilities
Our operating suites in London’s Harley Street district are equipped for both standard and minimally invasive approaches, ensuring top-level safety and comfort.
Patient-Centric Philosophy
We tailor each procedure to your unique medical history, symptoms, and lifestyle, prioritizing a smooth, supportive experience.
Comprehensive Post-Op Care
Our team provides clear guidance on pain management, wound care, and follow-up visits, minimizing complications and promoting faster recovery.
What Do We Do? (Procedures & Treatments)
Procedure Details
Pain Relief: General or spinal anesthesia is typically used to ensure a pain-free experience during surgery.
After Treatment: Patients often notice relief from hemorrhoid symptoms, although some discomfort may persist for days to weeks.
Number of Sessions: Usually performed once; follow-up visits may be needed for check-ups or dressing changes.
Duration: 30 minutes to 1 hour, based on severity and type of haemorrhoidectomy.
Recovery Time: Most regain normal activities in 1–2 weeks, but complete healing can take up to 6 weeks.
Types of Haemorrhoidectomy
Traditional Haemorrhoidectomy
Method: Surgical removal using a scalpel or scissors.
Pros: Highly effective for large or prolapsed hemorrhoids.
Cons: Can involve more post-operative pain and longer recovery compared to other methods.
Stapled Haemorrhoidectomy (PPH)
Method: Uses a specialized stapling device to remove the hemorrhoidal tissue and reposition what remains.
Pros: Faster recovery, less pain.
Cons: May not be suitable for all types or severities of hemorrhoids.
Laser Haemorrhoidectomy
Method: Laser energy shrinks and removes hemorrhoidal tissue.
Pros: Less bleeding, potentially quicker recovery.
Cons: Less common than traditional or stapled techniques; availability may vary.
Preparation for Haemorrhoidectomy
Dietary Changes: Low-fiber diet a few days before surgery to reduce bowel movements and strain.
Bowel Prep: Enemas or laxatives the night before to empty the bowels thoroughly.
Medication Adjustments: Temporarily discontinue blood thinners like aspirin or warfarin as instructed.
Hydration: Drink adequate fluids to assist in recovery.
Post-Operative Support: Arrange help at home; mobility may be limited initially.
Clothing: Wear loose, comfortable clothes to minimize irritation post-surgery.
Benefits of Haemorrhoidectomy
Long-Term Relief: Effective at removing severe hemorrhoids and alleviating chronic symptoms.
Improved Quality of Life: Reduces pain, bleeding, and difficulty with bowel movements.
Reduced Recurrence: Significantly lowers the chance of hemorrhoid return, especially in advanced cases.
Enhanced Comfort: Decreases discomfort when sitting, walking, or performing daily tasks.
Potential Risks & Limitations
Post-Op Pain: Common during the first days or weeks; can be managed with medication.
Bleeding or Infection: Wound dehiscence (reopening) or infection may occur but are generally rare.
Bowel Movement Difficulties: Temporary issues with stool control or constipation.
Scar Tissue: In rare cases, scarring can narrow the anal canal.
Recurrence: While rare, hemorrhoids can reappear if lifestyle factors remain unaddressed.
Anesthesia Risks: Potential allergic reactions or respiratory complications, though uncommon.
Post-Operative Care and Recovery
Pain Management: Use prescribed painkillers, stool softeners, and warm sitz baths to ease discomfort.
Activity Restrictions: Avoid heavy lifting or strenuous exercise for several weeks.
Dietary Tips: Gradually increase fiber intake and fluids to prevent constipation and strain.
Wound Care: Keep the surgical site clean and dry; follow dressing-change guidelines.
Follow-Up Visits: Attend check-ups to monitor healing and address any complications early.
Watch for Symptoms: Contact your care team if you experience severe pain, heavy bleeding, or signs of infection like fever.
FAQ
Frequently Ask Questions.
Everything you want to know about Haemorrhoidectomy in London Liv & Harley Street Hospital.
Discomfort varies but can be significant in the first few days. Pain relief measures such as medication, sitz baths, and rest help manage symptoms.
Many patients take 1–2 weeks off. However, recovery timelines differ based on individual pain thresholds and the nature of your work.
Choice depends on hemorrhoid type, severity, and patient preference. Your surgeon will recommend an approach tailored to your condition.
Recurrence is possible but less common than with non-surgical treatments. Lifestyle changes (e.g., high-fiber diet, regular hydration) reduce reappearance risk.
Yes. Options like rubber band ligation, sclerotherapy, or THD (Transanal Hemorrhoidal Dearterialization) may be tried if your symptoms are moderate.