3 Common Surgical Solutions For Severe Hemorrhoids

Hemorrhoids are as common as kittens in May. Millions of people are afflicted with them each year. In most instances hemorrhoids can be treated at home with good success. For the remaining 10 to 20 percent of sufferers with severe hemorrhoids, more strenuous interventions might be needed.

In order to understand the degrees of severity in hemorrhoids, it is necessary to understand the term "prolapse." Hemorrhoids begin internally but as they become swollen and distended they can protrude from the rectum. This protrusion is called a prolapse. When a prolapsed hemorrhoid gets tapped outside the rectum, the blood supply is cut off and it becomes "strangulated."

The medical community grades the severity of hemorrhoids as follows: Grade 1 hemorrhoids have no prolapse whatsoever; grade 2 prolapse after a bowel movement, but spontaneously retract; grade 3 hemorrhoids prolapse after a bowel movement, but must be manually re-inserted; and grade 4 hemorrhoids prolapse after a bowel movement but are trapped outside and cannot successfully be re-inserted. Specialized treatments are prescribed for both grades 3 and 4 hemorrhoids. Some of the many treatments available for grade 3 and 4 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.

Hemorrhoidectomy is a surgical procedure that removes the hemorrhoid entirely. It can be done with standard operating procedures using a scalpel and sutures or it can be performed with a laser. Hemorrhoidectomies are 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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