Hemorrhoid Treatment Surgery Experience

Eine Hämorrhoiden-Operation ist oft der letzte Ausweg, wenn konservative Behandlungen nicht mehr helfen. Doch wie läuft eine solche OP ab? In diesem Artikel beleuchten wir die Erfahrungsberichte von Patienten, die Heilungsdauer sowie mögliche Schmerzen und Komplikationen. Zudem geben wir einen Überblick über die verschiedenen Operationsmethoden und klären, wann eine OP wirklich notwendig ist. Abschließend betrachten wir das Rückfallrisiko und sinnvolle Nachsorgemaßnahmen.
Dr. med. univ. Lukas Heschl

Autor

Dr. med. univ. Lukas Heschl

Inhaltsverzeichnis

What experiences have patients had with hemorrhoid surgery?

Experiences with hemorrhoid surgery vary, but they largely depend on the surgical method, individual pain sensitivity, and aftercare.

How painful is a hemorrhoid surgery?

The intensity of the pain depends on the chosen surgical method.

How long does the healing take after hemorrhoid surgery?

The healing time varies depending on the surgical method and individual factors.

What complications can occur after hemorrhoid surgery?

Although most hemorrhoid surgeries proceed without complications, problems can occur in some cases.

What surgical methods are there and which one is the best?

There are various surgical procedures for the removal of hemorrhoids, which are used depending on the severity.

When is hemorrhoid surgery really necessary?

Surgery is recommended when conservative treatments are not sufficient.

What is the risk of relapse after surgery?

The risk of relapse depends heavily on the patient's method and lifestyle.

How does a hemorrhoid surgery affect everyday life?

In the first days after the surgery, patients should avoid physical exertion.

What aftercare is important following hemorrhoid surgery?

Careful aftercare is crucial for quick healing and the prevention of complications.

Are there alternatives to hemorrhoid surgery?

Yes, there are conservative alternatives that can help in early stages.

What experiences have patients had with hemorrhoid surgery?

Experiences with hemorrhoid surgery vary but strongly depend on the surgical method, individual pain sensitivity, and aftercare. Many patients report severe pain in the first days after surgery, especially during bowel movements. Others describe that modern methods like stapler hemorrhoidectomy (Longo method) cause fewer complaints. After the healing phase, most affected individuals report a significant improvement in their quality of life. Find further information here about the symptoms of hemorrhoids, such as itching, burning, swelling, pain, or even bleeding.

How painful is hemorrhoid surgery?

The pain intensity depends on the chosen surgical method for the hemorrhoid surgery. While minimally invasive procedures like the HAL-RAR technique cause less pain, the classic Milligan-Morgan hemorrhoidectomy can involve a longer and more painful healing process. The following table provides an overview of pain intensity according to the most common methods:

Surgical method

Pain intensity

Duration of pain

Rubber band ligation

Mild

2–3 days

Sclerotherapy (coagulation)

Very mild

1–2 days

HAL-RAR method

Moderate

3–5 days

Stapler hemorrhoidectomy (Longo)

Moderate to severe

5–7 days

Milligan-Morgan hemorrhoidectomy

Severe

1–3 weeks

How long does healing take after hemorrhoid surgery?

The healing time varies depending on the surgical method of the hemorrhoid surgery and individual factors. Generally, patients need between two and six weeks to fully recover. Mild methods like rubber band ligation often require only a few days, while a complete hemorrhoidectomy involves a significantly longer healing phase.

  • Week 1: Pain and swelling, initial wound healing

  • Week 2-3: Pain decreases, bowel movements normalize

  • Week 4-6: Complete healing, rarely still slight discomfort

What complications can occur after hemorrhoid surgery?

Although most hemorrhoid surgeries proceed without complications, problems can occur in some cases:

Possible complication

Frequency

Symptoms

Postoperative bleeding

Common in the first 48 hours

Bright red blood in stool

Wound infections

Rare

Pain, fever, pus discharge

Anal stenosis (scar narrowing)

Rare, mostly after radical surgery

Difficulty with bowel movements

Sphincter weakness

Very rare

Uncontrolled stool loss

Anal thromboses

Rare

Anal thromboses are painful swollen lumps on the anus

What surgical methods are there and which is the best?

There are various surgical procedures for removing hemorrhoids, which are used depending on the severity of the hemorrhoids. The choice of the best method depends on individual factors. Read more here about the hemorrhoid surgery.

Method

Suitable for

Advantages

Disadvantages

Rubber band ligation

Grade 2

Fast, outpatient, hardly any pain

Hemorrhoids can regrow

Sclerotherapy

Grade 1-2

Painless, outpatient

Multiple sessions needed

HAL-RAR method

Grade 2-3

Little pain, fast healing

More expensive, not available everywhere

Stapler method (Longo)

Grade 3-4

Less pain than open surgery

Risk of recurrence

Hemorrhoidectomy (Milligan-Morgan)

Grade 4

Permanent solution

Long healing, pain

When is hemorrhoid surgery really necessary?

A Hemorrhoid Surgery is recommended if:

How high is the risk of recurrence after surgery?

The risk of recurrence depends heavily on the method and the patient’s lifestyle. Studies show the following recurrence rates:

Surgical method

Recurrence rate after 5 years

Rubber band ligation

30–50 %

Sclerotherapy

20–40 %

Stapler method (Longo)

10–20 %

HAL-RAR method

5–15 %

Hemorrhoidectomy

5–10 %

Patients who change their diet and lifestyle (high-fiber diet, sufficient exercise) have a significantly lower risk of recurring hemorrhoids. Further information about the role of nutrition can be found in the blog post on preventing hemorrhoids through nutrition. You can also find comprehensive information in the blog post on preventive measures for hemorrhoids

Read more about various therapy approaches in the blog post on hemorrhoid treatment. The blog post about the doctor’s visit for hemorrhoids provides comprehensive information on diagnosis and examinations.

How does hemorrhoid surgery affect daily life?

In the first few days after hemorrhoid surgery, patients should avoid physical exertion. Office work is usually possible again after 1–2 weeks, while heavier physical activities should be paused for up to 6 weeks. Stool softeners and a high-fiber diet are essential to support the healing process.

What aftercare is important following hemorrhoid surgery?

Careful aftercare following hemorrhoid surgery is crucial for quick healing and avoiding complications. This includes:

  • Daily cleaning with lukewarm water

  • Avoiding straining during bowel movements

  • Taking stool softeners to protect the wound

  • CANNEFF® SUP suppositoriesto promote healing and reduce inflammation

  • Regular check-ups at the doctor

Also read more about the duration of the recovery process and the sick leave after hemorrhoid surgery.

Are there alternatives to hemorrhoid surgery?

Yes, there are conservative alternatives that can help in early stages and thus prevent the need for hemorrhoid surgery:

Alternative treatment

Effectiveness

High-fiber diet

High prevention against recurrences

CANNEFF® SUP suppositories

Use of CANNEFF® SUP suppositories promotes healing and relieves pain

Sitz baths (e.g., chamomile, oak bark)

Soothing, but no cure

Ointments and creams

Symptomatic relief

Rubber band ligation or sclerotherapy

Can prevent surgery, but not always effective

A hemorrhoid surgery can significantly improve pain and quality of life but requires good aftercare. Conservative measures such as a high-fiber diet, certain ointments, or even CANNEFF® SUP suppositories can help delay or avoid surgery. For severe hemorrhoids, choosing the right surgical method is crucial to minimize recurrences. Find further information here about the hemorrhoid surgery or about the causes of hemorrhoidal disease.

 

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Dr. med. univ. Lukas Heschl

Dr. med. univ. Lukas Heschl

Specialist in General Medicine

Dr. med. univ. Lukas Heschl is a general practitioner. After completing his medical studies in 2013, Dr. med. univ. Lukas Heschl has been working as a practicing general practitioner since 2017, dedicated to the well-being of his patients. In 2019, he became a partner in the rural medical practice in Oed, Lower Austria. As the first point of contact for all medical concerns, Dr. med. univ. Lukas Heschl relies on innovative treatment methods, such as CANNEFF medical products against inflammation and to improve mucous membrane regeneration in the intimate area.