Advanced Piles Surgery (Hemorrhoidectomy)

Piles surgery, or hemorrhoidectomy, removes swollen veins in the rectal or anal area that cause pain, bleeding, and discomfort. The surgery is recommended for severe or recurrent hemorrhoids that don’t respond to conservative treatments.

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Complete Guide to Piles Surgery

Everything you need to know about the procedure, preparation, and recovery

What is a Piles Surgery (Hemorrhoidectomy)?

A hemorrhoidectomy is a surgical procedure to remove severe or persistent hemorrhoids, swollen veins in the lower rectum or anus that can cause pain, itching, bleeding, and discomfort. It is the most effective treatment for large, painful, or recurring hemorrhoids that do not respond to conservative treatments like dietary changes, fiber supplements, or minimally invasive office procedures.

This surgery is typically recommended for:

  • Grade III or IV hemorrhoids (prolapsed hemorrhoids that don't go back in on their own)
  • Hemorrhoids causing severe pain or bleeding
  • Cases where other treatments have failed

During a hemorrhoidectomy, the surgeon removes the affected tissue using a scalpel, scissors, or energy devices like electrocautery or lasers. The procedure can be done under general, spinal, or local anesthesia, depending on your health and the extent of treatment.

Most people go home the same day and feel significant relief from piles symptoms. Recovery usually takes 2 to 4 weeks after piles surgery, with some temporary discomfort, but long-term results are excellent, with low recurrence rates.

What are the types of piles surgery?

"Piles" is a common term for hemorrhoids, and several surgical options are available depending on the severity and symptoms.

Traditional Hemorrhoidectomy (Open or Closed):

The most common and effective type. The surgeon cuts out the hemorrhoidal tissue and may stitch the wound closed (closed technique) or leave it open to heal naturally (open technique).

Best for: Large, external, or prolapsed hemorrhoids.

Stapled Hemorrhoidopexy (Stapled Procedure)

This method uses a special stapling device to remove a ring of tissue above the hemorrhoids, lifting them back into place and cutting off their blood supply so they shrink. It's less painful than traditional surgery and has a faster recovery.

Best for:Internal hemorrhoids that have prolapsed.

Note: Higher recurrence rate than traditional hemorrhoidectomy.

Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL or THD - Transanal Hemorrhoidal Dearterialization)

A minimally invasive procedure that uses a Doppler probe to locate the arteries feeding the hemorrhoids. The surgeon ties them off, causing the hemorrhoids to shrink. No tissue is removed.

Best for: Patients with internal hemorrhoids who want minimal pain and faster recovery.

Laser Hemorrhoidectomy

Uses laser energy to cut and seal hemorrhoidal tissue. It causes less bleeding and may reduce recovery time, but long-term outcomes are still being studied.

Best for: Select cases, often in outpatient settings.

Radiofrequency Ablation (RFA) and Infrared Coagulation

These are minimally invasive techniques that use heat to shrink hemorrhoids. They are usually done for smaller internal hemorrhoids and may require multiple sessions.

Your surgeon will help decide the best treatment for piles whether that's a surgical option like laser surgery for piles, stapler surgery for piles, or traditional hemorrhoidectomy, or a non-surgical approach if your condition allows.

30 to 60 Minutes

Surgery Duration

General Anesthesia

Anesthesia Used

1 Day

Hospital Stay

4-6 Weeks

Full Recovery Timeline

piles-surgery

What are the Indications of Piles Surgery(Hemorrhoidectomy)?

Here are the common indications that might lead to the recommendation of piles surgery:

  • Persistent Symptoms: When hemorrhoids cause persistent symptoms, such as pain, itching, bleeding, and discomfort that significantly affect the patient's quality of life, surgery may be considered.
  • Non-Responsive to Non-Surgical Treatments: If over-the-counter treatments, dietary changes, topical medications, and other non-surgical measures fail to alleviate the symptoms, surgery may be recommended.
  • Large or Prolapsed Hemorrhoids: Huge Hemorrhoids, prolapsed (bulging out of the anus) or thrombosed (containing clots) can cause severe pain and discomfort, making surgery a viable option.
  • Chronic Bleeding: If Hemorrhoids cause chronic bleeding that leads to anaemia or requires frequent medical intervention, surgery might be necessary to stop the bleeding.
  • Quality of Life Impairment: When Hemorrhoids significantly impact a person's daily activities, work, social life, and overall well-being, surgery can offer long-term relief.
  • Thrombosed Hemorrhoids: Thrombosed external Hemorrhoids, which are characterized by blood clots forming within the Hemorrhoids, can cause intense pain and might require surgical removal.
  • Recurrent Hemorrhoids: If Hemorrhoids keep recurring despite previous treatments, surgery might be considered to provide a more lasting solution.
  • Impaired Hygiene and Functionality: Hemorrhoids that interfere with proper hygiene or regular bowel movements due to pain or discomfort could warrant surgical intervention.
  • Severe Bleeding: Hemorrhoids that cause profuse bleeding or bleeding that cannot be managed through conservative methods might necessitate surgery.
  • Patient Choice: In some cases, patients might opt for surgery due to the severity of their symptoms or desire a more definitive solution.

What conditions does Piles Surgery(Hemorrhoidectomy) treat?

Piles surgery primarily treats:

  • Internal hemorrhoids (inside the rectum) that are large or prolapsed.
  • External hemorrhoids that are painful, thrombosed (clotted), or recurrent.
  • Hemorrhoids causing chronic or severe bleeding.

When would a doctor recommend Piles Surgery?

A doctor may suggest a piles surgery procedure (such as traditional hemorrhoidectomy, laser surgery for piles, or stapler surgery for piles) when:

  • Over-the-counter medicines, dietary changes, and topical treatments fail.
  • Hemorrhoids cause constant pain or affect bowel movements.
  • The patient experiences repeated flare-ups with swelling or clot formation.
  • Hemorrhoids significantly affect daily activities, work, or social life.

How to Prepare for Piles Surgery (Hemorrhoidectomy)?

Preparation for a pile surgery involves several essential steps to ensure a successful procedure and smooth recovery.

Here's a guide on how to prepare:

  • Consultation with a Specialist: Schedule a consultation with a colorectal surgeon, proctologist, or general surgeon who specializes in hemorrhoid surgery. They will evaluate your condition and medical history and recommend the most suitable treatment plan.
  • Medical Evaluation: Your medical team might conduct additional tests such as blood tests, imaging studies, and possibly a colonoscopy to assess your overall health and the extent of your hemorrhoids.
  • Medication Review: Provide a comprehensive list of all medications you take, including prescription, over-the-counter, and supplements. Some medicines need to be adjusted before surgery.
  • Fasting Instructions: Follow the instructions from your medical team regarding fasting before surgery. You'll be asked to avoid eating or drinking anything for a specific period before the procedure.
  • Anesthesia Discussion: Discuss the type of anaesthesia used during the surgery and any concerns or allergies you might have with the anesthesiologist.
  • Smoking and Alcohol: If you smoke, consider quitting or reducing smoking before the surgery, as smoking can affect healing. Avoid alcohol for a few days before the procedure.

Steps Involved in the Piles Surgery Procedure

Find step-by-step hemorrhoidectomy surgery procedures for hemorrhoid relief.

  • Preparation: The patient is positioned on an operating table, and the surgical area is cleaned and sterilized.
  • Anesthesia: The surgery is usually performed under general anaesthesia, ensuring the patient is asleep and pain-free.
  • Incision or Excision: The surgeon may choose one of several techniques to remove the hemorrhoids
  • Excision: The surgeon cuts out the hemorrhoid tissue using a scalpel, scissors, or electrocautery.
  • Stapler Surgery for Piles: Stapler surgery, also known as stapled hemorrhoidopexy, is a minimally invasive procedure that uses a stapling device to remove excess tissue and reposition the hemorrhoids. It is less painful and offers a quicker recovery than traditional hemorrhoidectomy.
  • Hemorrhoidal Artery Ligation: A technique that involves tying off the arteries supplying blood to the hemorrhoids, causing them to shrink.
  • Laser Surgery: A laser beam vaporizes or removes hemorrhoid tissue.
  • Closure and Dressing: After removing the hemorrhoids, the incision sites are closed using sutures or surgical staples.
  • Recovery and Postoperative Care:
  • The patient is monitored as they wake up from anaesthesia.
  • Pain medication and instructions for wound care are provided.
  • A follow-up appointment schedule is usually given.

Who Will Perform Piles Surgery?

Medical professionals involved in treating piles surgery (Hemorrhoidectomy) are those who are experts in the procedure.

Colorectal Surgeon

  • Colorectal surgeons are medical doctors who specialize in the surgical treatment of conditions affecting the colon, rectum, and anus.
  • They are trained to perform hemorrhoidectomy and other procedures related to the lower digestive tract.

General Surgeon

  • General surgeons have expertise in performing a wide range of surgical procedures.
  • Some general surgeons may also specialize in colorectal surgery and be qualified to perform hemorrhoidectomy.

Proctologist

  • Proctologists, also known as colorectal or pelvic floor surgeons, specialize in diagnosing and treating conditions of the rectum and anus, including hemorrhoids.

Anesthesiologist

  • Anesthesiologists are responsible for administering anesthesia during the surgery to ensure the patient's comfort and safety.

Surgical Team

  • Nurses, surgical assistants, and operating room staff work together as part of the surgical team to assist the surgeon during the procedure.

Gastroenterologist

  • Gastroenterologists are medical doctors who specialize in the digestive system.
  • While they often manage non-surgical hemorrhoid treatments, they might refer patients to a colorectal surgeon for surgical intervention.

Recovery After Piles Surgery (Hemorrhoidectomy)

Recovery after a piles operation involves a period of healing and adjustment as your body recovers from the surgical procedure. Here's an overview of what to expect during the postoperative phase:

  • Immediate Postoperative Period: After the surgery, you will be monitored in a recovery area until you wake up from anaesthesia. Your vital signs and comfort level will be closely observed.
  • Hospital Stay: Most piles surgeries are performed on an outpatient basis, allowing you to return home the same day. In some cases, an overnight stay might be recommended for observation.
  • Pain Management: Pain is joint pain after piles surgery. Your doctor will prescribe pain medications to help manage discomfort. Take these medications as directed.
  • Incision Care: Follow your medical team's instructions for incision care and hygiene. Keep the surgical area clean to prevent infection.
  • Diet and Hydration: Eat a balanced and fiber-rich diet to avoid constipation, which can strain the surgical area. Drink plenty of water to stay hydrated.
  • Physical Activity: Avoid strenuous activities and heavy lifting for several weeks to allow the surgical area to heal.
  • Follow-up Appointments: Your medical team will schedule follow-up appointments to monitor your recovery, assess your healing, and remove any sutures or staples as needed.
  • Bowel Movements: Your doctor might recommend stool softeners or mild laxatives to prevent straining during bowel movements, which can be uncomfortable after surgery.
  • Resuming Daily Activities: You can gradually resume light activities as your healing progresses. Consult your medical team before engaging in more strenuous activities.
  • Pain and Discomfort: Some discomfort is expected during the recovery period. However, contact your medical team promptly if you experience severe pain, excessive bleeding, or other concerning symptoms.
  • Healing Time: Complete healing can take several weeks. The initial discomfort and any swelling or bruising should gradually improve over time.

Lifestyle Changes After Piles Surgery (Hemorrhoidectomy)

After undergoing surgery for piles, making specific lifestyle changes can contribute to a smoother recovery, promote healing, and reduce the risk of recurrence. Here are some lifestyle adjustments to consider:

  • Hydration and Diet: Consume a diet rich in fiber from fruits, vegetables, whole grains, and legumes. Fiber helps prevent constipation and reduces strain during bowel movements. Drink plenty of water to stay hydrated and maintain soft stools.
  • Avoid Straining: Straining during bowel movements can irritate the surgical area. To make bowel movements more comfortable, use stool softeners or fiber supplements.
  • Regular Bowel Habits: Establish regular bowel habits by using the restroom at the same time each day. Don't ignore the urge to have a bowel movement.
  • Proper Hygiene: After bowel movements, maintain good anal hygiene by gently cleaning the area with mild soap and water. Avoid using rough toilet paper or wipes with alcohol or fragrance.
  • Avoid Prolonged Sitting or Standing: Avoid sitting or standing for prolonged periods, as this can increase pressure on the anal area. Take breaks and change positions regularly.
  • Smoking and Alcohol: If you smoke, consider quitting or reducing smoking, as smoking can impair healing. Limit alcohol consumption, as excessive alcohol can lead to dehydration.
  • Regular Check-ups: Continue attending follow-up appointments with your medical team to monitor your recovery and address any concerns.

Benefits of Piles Surgery (Hemorrhoidectomy)

  • Provides long-term relief from painful piles symptoms such as bleeding, itching, and swelling.
  • Most effective solution for large, prolapsed, or recurrent hemorrhoids compared to non-surgical options.
  • Reduces the risk of recurrence when compared to hemorrhoid removal without surgery or temporary treatments.
  • Improves bowel comfort and hygiene.
  • Helps patients return to normal daily activities, work, and social life more comfortably.
  • Different surgical methods like laser surgery for piles and stapler surgery for piles may offer faster recovery and less pain.

Risks and Complications of Piles Surgery

Like any surgical procedure, a piles surgery procedure carries some risks, though they are relatively uncommon:

  • Excessive bleeding during or after surgery.
  • Adverse reactions to anesthesia.
  • Infection at the surgical site.
  • Anal stenosis (narrowing of the anal canal), rare but possible.
  • Fistula formation (abnormal passage near the anus).
  • Delayed wound healing in patients with diabetes or other health conditions.
  • Recurrence of hemorrhoids in some cases.

Side Effects of Piles Surgery

Piles surgery side effects are usually temporary and improve with proper care. These may include:

  • Pain and discomfort: Especially during bowel movements, lasting for a few days to a week.
  • Swelling: Around the anal area, which subsides within days.
  • Minor bleeding: Often occurs in the first few days after piles surgery.
  • Itching: Common during the healing process.
  • Constipation: May result from pain, medications, or dietary changes.
  • Urinary retention: Temporary difficulty urinating due to swelling or pain.
  • Skin tags: Small skin growths may remain or form after healing.
  • Delayed healing: Especially in patients with underlying health issues.
  • Fecal incontinence (rare): If nerves or muscles are affected during surgery.
  • Infection: Low risk, but possible at the surgical site.

Following post-operative instructions carefully helps reduce these risks and ensures smoother recovery. Most patients recover well and are able to resume routine activities after piles surgery within 2-4 weeks.

How Much Does Piles Surgery Cost?

The piles surgery cost in India can vary widely depending on the type of procedure and the hospital where it is performed. On average, it may range from Rs. 30,000 to Rs. 1,20,000 or more. Advanced techniques such as laser surgery for piles or stapler surgery for piles may cost slightly higher than traditional hemorrhoidectomy because of specialized equipment and faster recovery benefits.

What Factors Affect the Cost of Pile Surgery?

Several factors can influence the total expense of a piles surgery procedure:

  • Type of surgery: Traditional hemorrhoidectomy, laser surgery, or stapler surgery each have different costs.
  • Hospital or clinic: Costs may be higher in multi-specialty hospitals or metro cities compared to smaller towns.
  • Surgeon's expertise: Experienced colorectal or general surgeons may charge higher fees.
  • Anesthesia and operating room charges: Type of anesthesia (general, spinal, or local) also impacts the cost.
  • Severity of hemorrhoids: Complex or advanced cases may require longer surgery or hospital stay.
  • Hospital stay and recovery needs: While most patients go home the same day, some may need admission, adding to costs.
  • Post-surgery care and medications: Pain management, follow-up visits, and additional treatments can add to the overall expense.

It's always best to discuss with your doctor about the expected piles surgery cost, available treatment options, and whether your health insurance covers the procedure.

Meet Our Piles Surgery (Hemorrhoidectomy) Experts

Our team of expert proctologists and colorectal surgeons specialize in advanced, patient-friendly treatments for piles, offering personalized care with a focus on comfort, safety, and rapid return to daily life.

Why Choose Medicover Hospitals for Piles Surgery (Hemorrhoidectomy)?

We provide expert colorectal care with modern facilities, experienced specialists, and personalised treatment for safe, pain-free piles removal.

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Highly Experienced Piles Surgery Specialists

Our proctologists and laparoscopic surgeons are skilled in advanced hemorrhoidectomy techniques with minimal discomfort and fast recovery.

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High Success Rate in Piles Surgery

Proven outcomes with complete symptom relief, low recurrence, and return to normal life within days.

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Advanced Technology & Facilities

Equipped with stapled hemorrhoidopexy, Doppler-guided ligature, and minimally invasive tools for precise, low-pain piles treatment.

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Personalised Patient Care

Each treatment plan is tailored to pile stage, symptoms, and patient's lifestyle for optimal healing and comfort.

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International Patient Support

Comprehensive care for overseas patients, from post-surgery to follow-ups.

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24/7 Emergency Care

Immediate availability of expert medical teams to address urgent needs and 24/7 Tele Call Support.

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ISO-Certified Intensive Care Units

Critical care facilities designed for safe recovery in complex cases.

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Exclusive membership benefits including priority consultations, discounts, and year-round healthcare support for you and your loved ones.

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Patient Success Stories

Real experiences from patients who regained their mobility and quality of life

Insurances & TPAs

At Medicover Hospitals, we’re committed to making your treatment journey seamless and stress-free. That’s why we’ve partnered with a wide network of leading private health insurance companies and TPAs to offer cashless and reimbursement options for most of our procedures, including this one.

If you’re covered under an individual, family floater, or corporate health plan, there's a good chance your insurance provider is on our empanelled list. We currently work with 30+ trusted insurers to help ease the financial burden of medical care. To confirm your coverage and know the list of insurance companies associated with us, please get in touch with our insurance help desk or call us directly.

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Advanced Piles Surgery (Hemorrhoidectomy) Price in Major Cities in India

City Average Cost (INR)
Advanced Piles Surgery (Hemorrhoidectomy) Cost in Hitech CityRs. 36,000 - Rs. 180,000
Safe Piles Surgery (Hemorrhoidectomy) Cost in ChandanagarRs. 34,900 - Rs. 174,600
Trusted Piles Surgery (Hemorrhoidectomy) Cost in KarimnagarRs. 31,300 - Rs. 156,600
Comprehensive Piles Surgery (Hemorrhoidectomy) Cost in NizamabadRs. 31,300 - Rs. 156,600
Certified Piles Surgery (Hemorrhoidectomy) Cost in WarangalRs. 31,300 - Rs. 156,600
Accredited Piles Surgery (Hemorrhoidectomy) Cost in SecunderabadRs. 36,000 - Rs. 180,000
Clinical Piles Surgery (Hemorrhoidectomy) Cost in KokapetRs. 37,800 - Rs. 189,000
Evidence-Based Piles Surgery (Hemorrhoidectomy) Cost in VisakhapatnamRs. 32,400 - Rs. 162,000
Patient-Centric Piles Surgery (Hemorrhoidectomy) Cost in GunturRs. 31,600 - Rs. 158,400
Standardized Piles Surgery (Hemorrhoidectomy) Cost in VizianagaramRs. 30,900 - Rs. 154,800
Cost-Effective Piles Surgery (Hemorrhoidectomy) Cost in SrikakulamRs. 30,900 - Rs. 154,800
Advanced Piles Surgery (Hemorrhoidectomy) Cost in KakinadaRs. 31,300 - Rs. 156,600
Structured Piles Surgery (Hemorrhoidectomy) Cost in KurnoolRs. 30,900 - Rs. 154,800
Affordable Piles Surgery (Hemorrhoidectomy) Cost in NelloreRs. 31,300 - Rs. 156,600
Professional Piles Surgery (Hemorrhoidectomy) Cost in MumbaiRs. 43,200 - Rs. 216,000
Expert Piles Surgery (Hemorrhoidectomy) Cost in NashikRs. 37,800 - Rs. 189,000
Regulated Piles Surgery (Hemorrhoidectomy) Cost in Chhatrapati Sambhaji NagarRs. 36,000 - Rs. 180,000
Ethical Piles Surgery (Hemorrhoidectomy) Cost in PuneRs. 37,800 - Rs. 189,000
Advanced Piles Surgery (Hemorrhoidectomy) Cost in SangamnerRs. 33,100 - Rs. 165,600
Transparent Piles Surgery (Hemorrhoidectomy) Cost in White Feild, BengaluruRs. 39,600 - Rs. 198,000

Disclaimer: The costs mentioned above are approximate and may vary based on individual clinical evaluation, the complexity of the procedure, pre-operative assessments, surgeon expertise, hospitalization requirements, and post-operative care. Patients are advised to consult Medicover medical team for an accurate and personalized treatment estimate.

Frequently Asked Questions

While surgery can provide long-term relief, recurrence is possible if lifestyle changes and proper hygiene are not maintained.

Light activities can be resumed after a few weeks. Still, strenuous activities and heavy lifting should be avoided for a more extended period.

A high-fibre diet and proper hydration are recommended to prevent constipation. Your doctor may provide specific dietary guidelines.

Pile surgery is typically avoided during pregnancy unless necessary. Non-surgical treatments are usually preferred during pregnancy.

Sexual activity can be resumed once you are comfortable and healed. It's advisable to consult your doctor for personalized guidance.

Maintaining a high-fibre diet, staying hydrated, avoiding prolonged sitting or straining during bowel movements, and practising good anal hygiene can help prevent haemorrhoids.

Your doctor will schedule follow-up appointments to monitor your healing and address any concerns.

Gradually reintroduce your regular diet, but ensure it includes fibre-rich foods to prevent constipation.

After piles surgery, eat a high-fiber diet with fruits, vegetables, whole grains, and plenty of fluids. Avoid spicy, oily, or processed foods. Soft, easily digestible meals prevent constipation and promote smooth healing.

Laser surgery may be costlier than conventional methods, and in some cases, recurrence can occur. Rare side effects include mild pain, bleeding, or burning sensation, though overall risks are lower compared to open surgery.

Yes, in early stages, piles can often be treated without surgery using lifestyle changes, high-fiber diet, stool softeners, topical medicines, and warm sitz baths. Advanced or severe cases may still require surgical treatment.

Yes, for severe or chronic piles, surgery is worth it. It provides long-term relief from pain, bleeding, and discomfort, especially when lifestyle changes and medications no longer control the symptoms effectively.

Piles need surgery if they cause persistent pain, heavy bleeding, prolapse (coming out of the anus), or do not improve with medicines, diet changes, and non-surgical treatments like injections or banding.

Mild piles may be controlled permanently with diet, lifestyle changes, and medications. However, severe or recurrent piles often require surgery for complete and lasting cure, as non-surgical treatments may not stop recurrence fully.

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