Haemorrhoids removal treatment

At Spire Roding Hospital in Redbridge, we offer surgery for the removal of haemorrhoids (piles) in a clean and comfortable, private hospital environment. We welcome both privately insured and self-funding patients from Essex, East London and the surrounding areas.

What is haemorrhoidectomy?

Haemorrhoid removal treatment or haemorrhoidectomy is an operation to remove haemorrhoids (piles) from the anus. Haemorrhoidectomy is usually carried out as a day-case procedure, with no overnight stay in hospital.

The operation is usually performed under general anaesthesia. This means you will be asleep throughout the procedure. Some people choose epidural anaesthesia instead. This numbs your body from the waist down, but you will still be awake.

Your surgeon will explain the benefits and risks of having your haemorrhoids removed, and will discuss the alternatives to the procedure.

About the operation

There are a number of techniques for removing haemorrhoids. The most common technique involves placing a tight stitch (ligature) around the base of the haemorrhoid to control any bleeding during the operation. Then, your surgeon will make a cut on the outer part of the haemorrhoid and remove any excess tissue. The wound may be closed with dissolvable stitches. Most of the stitches will be inside the anal canal. These stitches will dissolve over about two to four weeks.

The surgeon may place an absorbent pack into your rectum to help stem any further bleeding. This usually stays in place until your first bowel movement. The operation usually takes 30 to 60 minutes.

Another technique is called circular stapled haemorrhoidectomy. A circular stapler is placed inside the rectum. It removes a ring of the rectal tissue above the haemorrhoids. This blocks the blood supply to the haemorrhoids so that they shrink.

This is a fairly new technique, and the National Institute for Health and Clinical Excellence (NICE) has found that it works as well as the usual technique. There also seem to be fewer problems, such as bleeding afterwards. For more information, please visit the NICE website www.nice.org.uk.

After a haemorrhoidectomy, you will have some pain at the site of the operation for a few days and there may be a small amount of bleeding or discharge from the anus.

Haemorrhoidectomy is a commonly performed and generally safe surgical procedure. For most people, the benefits are greater than any disadvantages. However, all surgery carries an element of risk.

Specific complications of a haemorrhoidectomy are unusual but can include:

  • constipation for a few days after the operation
  • an infection of the operation site or the urinary tract
  • the stitches coming apart, leaving an open wound – this usually heals quickly
  • scar tissue causing the anus to become tighter (stenosis), which can make it difficult to pass stools – you may need treatment called anal dilation
  • bleeding that starts a week or more after the operation, which may require further surgery

The chance of complications depends on the exact type of operation you are having and other factors such as your general health. Ask your surgeon to explain in more detail how any risks apply to you.

At Spire Roding Hospital, we also offer other types of surgery for the treatment and removal of haemorrhoids (or piles)


THD is a minimally-invasive method of treatment which can effectively address and solve the problems caused by piles. Read more about THD. 

Banding treatment
This procedure is usually performed by a surgeon in an outpatient clinic.  The surgeon uses forceps or a suction device to help place a rubber band at the base of the pile. This cuts off the blood supply to the pile, which then 'dies' and drops off after a few days. The tissue at the base of the haemorrhoid heals with some harmless scar tissue remaining after the procedure has been completed.

Banding is a common treatment for large internal and early prolapsing haemorrhoids. It may also be undertaken on smaller piles which have not settled.

A small number of people have complications following banding such as urinary problems, or infection or ulcers forming at the site of a treated haemorrhoid.

Injection Sclerotherapy
Injection of a 'shrinking' (scelorasant) chemical into the haemorrhoid, may be successful but the benefit can be short lived and this treatment may need to be repeated a few times before the condition is fully resolved.

Stapled Haemorrhoidopexy
This is a new procedure where the tissue above the piles is removed with a stapling device. It cuts off the blood supply and lifts the piles back into the anus. Although a much less painful technique than conventional surgery, it still requires a general anaesthetic. The major risk of this technique is bleeding but some other rarer more serious complications have been reported. Nonetheless it is an excellent procedure for very advanced, prolapsing piles.

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© Spire Healthcare Group plc (2016)