3 Common Surgical Solutions For Severe Hemorrhoids
Hemorrhoids are as common as strikeouts in baseball. Each year millions of people suffer from their painful symptoms. Most hemorrhoids (80 to 90%) are successfully treated at home. However, the remaining 10 to 20 percent of hemorrhoid sufferers require specialized treatment in order to get relief for their severe hemorrhoids.
The severity of hemorrhoids is graded by the degree of prolapse. Prolapsed hemorrhoids begin internally but become so distended that they push themselves out of the rectum. If the sphincter muscle then spasms it can trap the prolapsed hemorrhoid outside of the rectum, cutting off its blood supply. When this happens the hemorrhoid is said to be “strangulated.”
The four grades of hemorrhoids are: (1) no prolapse at all, (2) prolapse after a bowel movement, but spontaneously retract, (3) prolapse after a bowel movement but must be manually retracted, and (4) hemorrhoids that are prolapsed and strangulated. In grades 3 and 4, hemorrhoids usually require specialized treatment. Most specialized treatments can be performed on an outpatient basis. The most common specialized treatments for severe hemorrhoids are: ligation, hemorrhoid stapling, and hemorrhoidectomy.
Sometimes called the rubber band treatment, ligation, is the least invasive of the three treatments. In this procedure the physician places a rubber band around the prolapsed hemorrhoid. Within a few days both the hemorrhoid and the rubber band fall off. What remains is soreness and tenderness at the wound site. Usually within a week the soreness is gone.
Stapling is another method that is frequently used in treating severe hemorrhoids. In this procedure the physician uses a special stapling tool to excise the internal hemorrhoid. This stapling causes the hemorrhoid to shrink and thus eliminates the pain, but not the hemorrhoid itself. In general hemorrhoid stapling is more painful than the rubber band treatment and less painful than having the hemorrhoids surgically removed.
Surgically removing the hemorrhoid is the most invasive and most thorough treatment of hemorrhoids. Aptly called a hemorrhoidectomy, it is a surgical procedure using the standard scalpel and suture or the newly adapted laser technique. Hemorrhoidectomies are often the treatment of last resort, usually reserved for the most severe hemorrhoids or in cases of frequent hemorrhoid re-occurrences.
Hemorrhoid sufferers today have a wide variety of treatments available to them. Whether their symptoms are mild or severe, hemorrhoids are ultimately curable.
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