When all else fails, a hemorrhoidectomy may be your only option left - or is it?

Preparation, Procedure, Complications, Recovery, Return to Work and Possible Alternatives to Hemorrhoidectomy.

1.. What is a hemorrhoidectomy?

Literally, hemorrhoidectomy means ‘hemorrhoids cut away’. Surgically cutting the hemorrhoids out is also called an excisional hemorrhoidectomy and sometimes incisional hemorrhoidectomy. Hemorrhoidectomy is the major operation for the removal of hemroids, primarily by scalpel, but also by laser.

Please note, that if you are after information on hemorrhoidectomy for external hemorrhoids, then that page is the one that may be better for you.


If the hemorrhoids are sticking out of the anus most of the time, wont go back inside unless forced to, or just wont go back inside, you have left it too late for the simpler surgical procedures.

This type of hemorrhoid is medically described as a grade 3 or 4 hemroid.

You will more than likely require an operation which surgically removes the hemorrhoids and surrounding tissue.

This operation is called a hemorrhoidectomy, which is often spelt in many different ways, such as hemorhoidectomy, haemorrhoidectomy, hemmorhoidectomy or hemroidectomy.

However, there are nonsurgical hemroid treatments that use medicinal ingredients to help bring fast relief, healing and curing of hemroids and you can find them on our how to treat hemorrhoids page.


Preparing for a hemorrhoidectomy involves discussing with your surgeon or doctor the hemorrhoid treatments you are currently using, herbs, pain suppressants and so forth. Some of these hemorrhoid treatments or home remedies may need to be stopped several weeks before the hemorrhoidectomy surgery. Sometimes the hemorrhoid remedies may interact with other medications you will be given before, during or after the hemorrhoidectomy, some may have an effect on the body which may jeopardize the hemorrhoidectomy or your life.


Typically means you will be given a laxative, more commonly an enema (an enema is a laxative, so to speak, that is inserted into the anus), in order to cleanse the bowel out just prior to the hemorrhoidectomy. A local anesthetic is commonly used along with a sedative, so that the hemorrhoidectomy wont be as distressing. If you would rather not retain consciousness during the hemorrhoidectomy, you might consider asking your doctor about a general anesthetic to knock you out. The hemorrhoidectomy involves using a scalpel to cut the hemorrhoids and hemorrhoidal tissue out. Some surgeons then stitch the area together using absorbable stitches, while other surgeons may choose to leave it as an open wound, which is what my surgeon preferred. My surgeon believed that after a hemorrhoidectomy, the insertion of stitches was more likely to lead to infection.

4.. AFTER THE HEMORRHOIDECTOMY – When the operations done, what happens?

You normally go home the same day as the hemorrhoidectomy. Following the hemorrhoidectomy, you may be given pain killers, stool softeners and wound dressings to take home with you. You may be asked to take Sitz baths at home.


During the hemorrhoidectomy recovery phase, the wound is often left open to heal of it’s own accord. I’m assured by my surgeon that following an excisional hemorrhoidectomy, that it is quite an unpleasant and painful recovery over a week or two. Full healing in about three weeks after the hemorrhoidectomy. Not the most pleasant hemorrhoids treatment, but apparently very effective, as the hemorrhoidectomy removes the weakened tissue around the hemorrhoids as well. Hemorrhoidectomy also results in skin tags and incontinence from previous ineffective hemorrhoids surgery being rectified – So I’ve been told by my surgeon. Drink fluids to help maintain regularity and soft stools.

Surgeon with hyperdermic needle

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6.. HEMORRHOIDECTOMY – Return to Work, Time off Work.

Allow around a week before you return to work following an excisional hemorrhoidectomy and, discuss your work with your doctor to see if you need more time off work, or whether you need limited or lighter duties at first when recommencing work. The more physically demanding your duties, the more time you’ll likely need off work and the more likely you’ll need light duties at first.


Your surgeon or doctor is likely to be one of the best ones to tell you when you can start taking the vitamin herb preparations to prevent hemorrhoids from coming back following a hemorrhoidectomy. Check out the causes of hemorrhoids higher up on this page to find out the preventative hemorrhoid steps you can take.


Hemorrhoidectomy does have some risks / complications that you need to talk over with your doctor or surgeon. Such hemorrhoidectomy complications can include bleeding, infection, narrowing of the anal canal, non-healing wounds, urinary retention, anal fissure (cut that may require surgery to fix), anal fistulae ( Anal glands get blocked from draining into the anal canal and this may result in puss breaking through the skin surface as an abscess. If the blockage is not corrected, abscess’s can repeatedly burst, heal and come back again), severe pain and constipation. Also a hemorrhoidectomy does not guarantee that new hemorrhoids wont develop again – about 1.5% suffer recurrence of hemroids (Shiva Jayaraman Colquhoun, M.D., 2006). Further, sometimes the pain from the hemorrhoidectomy can last for months for some unlucky patients.


NON-OPERABLE HEMORRHOIDS – Sometimes a hemorrhoidectomy isn’t viable, most likely because of liver damage – nothing to do with the hemorrhoids as such.


An alternative to the excisional hemorrhoidectomy is the stapling technique, known as the Prolapse and Hemorrhoid Procedure (PHP), the Procedure for Prolapse and Hemorrhoids (PPH) and also known as the hemorrhoidectomy pph. You can find out more about this technique through the surgery hemroid treatment page – one of my page links at the top of this page.


A hemorrhoidectomy is a very fearful operation to have.  It involves much pain and the hemorrhoidectomy side effects and complications can be quite nasty.

Some time ago I was faced with having the diagnosis of a hemorrhoidectomy from a surgeon, but because I look after my wife and children, I couldn’t take the time out for a hemorrhoidectomy and there was no way I would be able to deal with the pain and discomfort and so on and still look after them over the recovery phase.

My solution, which my surgeon reluctantly agreed to, was to band the hemorrhoids.  So I went through the banding in the hospital surgery, where he double banded every hemorrhoid to try and get the job done.  I went home almost immediately and experiencing more and more discomfort for about  a week, which then started to ease off and flare up in one way or another for several more weeks.

Some of the side effects were my hemorrhoids feeling like a large stool that wouldn’t pass out.  A few days after this alternative to a hemorrhoidectomy I came down with a thrombosed hemorrhoid, which required a simple surgery under local anesthetic to fix.

When my local doctor checked my hemorrhoids about two weeks later, he said I still had hemorrhoids, but the bands were keeping them higher up now.

After a couple of months I was pretty well symptom free, but I was also following the suggestions to avoid hemorrhoids.  I have had no further troubles with Hemorrhoids since and the threat of the hemorrhoidectomy is long gone.


When the diagnosis was given that I needed a hemorrhoidectomy, I wasn’t really into herbal therapy to the extent that would I look at herbs as providing a possible alternative to hemorrhoidectomy or any surgery.  I just looked at herbs as means to soothe the hemorrhoids.

In hindsight, I now believe that herbs may be able to provide the solution.  Look through ALL the pages of this web site and gain a firm understanding of how and which herbs can be used to cure hemorrhoids as well as to soothe them.  By using combinations of herbs to soothe and heal the hemorrhoidal tissue, you may be able to get on without the pain and discomfort while the healing is taking place.

Expect to see notable results in two weeks to a month and a full healing in about six months, with almost immediate pain relief, assuming you selected the appropriate herbs we discuss.

Use the suggestions on our causes of hemorrhoids to help prevent new hemorrhoids developing.

Alternatively, if you are after a quick fix solution with no reading or learning involved, something you can just buy online, like pills, thenVenapro and Ensa appear as an option for you to consider. If money is tight, then try Venapro and changing your diet (diet discussed on the causes of hemorrhoids page).

Realize that if a hemorrhoidectomy has been suggested by your doctor or surgeon, that you have to do more than just get rid of the hemorrhoids, you need to heal the hemorrhoidal tissue that the hemorrhoid came from, else new hemorrhoids could develop almost immediately – which is why I suggest the Venapro as the first choice as a natural treatment alternative to hemorrhoidectomy out of all the products we review.

If after doing everything right the hemorrhoids haven’t improved enough – hopefully cured – then the hemorrhoidectomy or a lesser surgery or procedure may still be needed.

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