What are the conditions when piles surgery is absolutely needed ?

Piles, also known as hemorrhoids, are swollen and inflamed blood vessels in the rectum or anus. In most cases, piles can be managed with conservative measures such as lifestyle changes, dietary modifications, topical medications, and minimally invasive procedures. However, there are certain conditions when piles surgery may be considered necessary. These include: Severe or recurrent bleeding: If you experience significant and persistent bleeding from the rectum or anus, despite conservative treatments, surgery may be recommended. Prolapsed hemorrhoids: When internal hemorrhoids protrude outside the anus and cannot be pushed back in, they are considered prolapsed. If prolapsed hemorrhoids cause significant discomfort, pain, or interfere with daily activities, surgery may be necessary. Thrombosed hemorrhoids: When blood clots form within external hemorrhoids, causing severe pain, swelling, and inflammation, it is known as thrombosed hemorrhoids. Surgical intervention may be required to remove the clot and alleviate the symptoms. Persistent symptoms: If you have persistent symptoms such as chronic pain, itching, or discomfort that do not respond to conservative treatments, surgery may be considered to provide long-term relief. Large hemorrhoids: When hemorrhoids are exceptionally large and cause significant discomfort or interfere with bowel movements, surgical removal may be necessary. Complications: In rare cases, hemorrhoids can lead to complications such as the formation of an anal fistula (an abnormal connection between the anal canal and the skin near the anus) or the development of a strangulated hemorrhoid (where the blood supply to the hemorrhoid is cut off). These complications often require surgical intervention. It's important to consult with a healthcare professional to determine the most appropriate course of treatment for your specific situation. They will consider the severity of your symptoms, the type and size of hemorrhoids, and your overall health before recommending surgery. Which type of piles surgery is most suitable for my condition? Determining the most suitable type of piles surgery for your condition requires a thorough evaluation by a healthcare professional, such as a colorectal surgeon. The choice of surgery depends on various factors, including the severity of your hemorrhoids, their location (internal or external), and any associated complications. Here are some common types of piles surgery: Hemorrhoidectomy: This is the traditional surgical procedure for removing hemorrhoids. It is typically recommended for larger internal or external hemorrhoids or when other treatments have not been effective. During a hemorrhoidectomy, the surgeon removes the hemorrhoidal tissue and closes the wound with stitches. Recovery from this surgery may take a few weeks, and there can be some post-operative pain and discomfort. Stapled hemorrhoidopexy (Procedure for Prolapse and Hemorrhoids - PPH): This procedure is commonly used for internal hemorrhoids that have prolapsed. It involves using a circular stapling device to lift and reposition the hemorrhoids back into their normal position within the rectum. This surgery is associated with less post-operative pain and faster recovery compared to traditional hemorrhoidectomy. Rubber band ligation: This is a non-surgical procedure performed in an outpatient setting. It is typically used for internal hemorrhoids. A small rubber band is placed at the base of the hemorrhoid, cutting off its blood supply. Eventually, the hemorrhoid shrinks and falls off. Rubber band ligation is a relatively simple and effective procedure, but it may need to be repeated for multiple hemorrhoids. Sclerotherapy: This is another non-surgical procedure for treating internal hemorrhoids. A chemical solution is injected into the hemorrhoid, causing it to shrink and scar. Sclerotherapy is usually reserved for smaller hemorrhoids. It's essential to consult with a healthcare professional who can evaluate your specific condition and recommend the most appropriate type of surgery for you. They will consider factors such as the size and location of your hemorrhoids, your overall health, and your preferences to make an informed decision. How expensive is Rubber Band ligation ? The cost of rubber band ligation for hemorrhoids can vary depending on various factors such as the healthcare provider, geographical location, and any additional fees associated with the procedure. It's best to contact specific healthcare providers or medical facilities in your area to inquire about the cost. Rubber band ligation is generally considered a cost-effective treatment option for internal hemorrhoids. Compared to surgical procedures like hemorrhoidectomy or stapled hemorrhoidopexy, rubber band ligation is often less expensive because it is a relatively simple outpatient procedure that does not require anesthesia or hospitalization.