Piles Surgery

Overview

Piles Surgery

Piles, also called hemorrhoids, are swollen veins around the anus or rectum. They may cause bleeding, swelling, itching, pain or prolapse during bowel movements.

Piles surgery is considered when symptoms are severe, recurrent or not controlled with conservative care. Treatment is selected after examination and grading.

Care Highlights

Common Consultation Reasons

• Bright red bleeding during or after stool
• Lump, swelling or prolapse near the anal opening
• Pain, itching or irritation around the anus
• Recurring constipation and straining with symptoms

Planning

Planning for piles surgery

The treatment plan depends on piles grade, bleeding pattern, pain, prolapse and previous medicines or procedures.

• Private examination to confirm piles and rule out other causes of bleeding.
• Assessment of internal, external, thrombosed or prolapsing piles.
• Discussion of conservative care, laser, stapled or surgical options.
• Bowel habit correction to support healing and reduce recurrence.

Treatment

How piles surgery is selected

Procedure choice is individualized so symptoms are treated with the least disruptive safe option.

• Mild symptoms may first need fibre, fluids, stool softeners and medicines.
• Laser or minimally invasive options may be suitable for selected cases.
• Surgery may be advised for larger, prolapsing or recurrent piles.
• Post-procedure instructions focus on pain control, stool softness and hygiene.

Recovery

Recovery and follow-up

Recovery guidance is tailored to the operation, diagnosis and overall health. The care plan includes medicines, diet, activity, wound care and follow-up instructions.

• Maintain soft stools with diet, fluids and prescribed medicines.
• Avoid straining and prolonged toilet sitting.
• Follow sitz bath, hygiene and review instructions as advised.
• Heavy bleeding, fever or severe increasing pain should be reported.