External Hemorrhoidectomy

Hemorrhoid Care | Skin Surgery | Vasectomy | Reversal | Varicose Veins | Nail | Cysts | Lipoma | Hyperhidrosis | Endoscopy | Joint Pain

Introduction | Infrared Coagulation | IRC FAQ | Banding | Hemorrhoidectomy | Sphincterotomy | Anal Fistula | Anal Tag Removal | Anal Wart Removal

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While most internal hemorrhoids can be successfully treated with non surgical methods such as infrared coagulation and banding, external Hemorrhoidectomies may be performed to remove external hemorrhoids as part of complete hemorrhoid care.

Flap - Before Surgery - Skin Cancer
Before Surgery
Flap - After Surgery
After Surgery

During this procedure, the prolapsed tissue is surgically removed with a radiofrequency device under local anesthesia.

After the hemorrhoid is removed, the incision is cauterized shut. Good hemostasis is achieved with radiofrequency device, so sutures are not necessary in the most cases. Medicated gauze is then placed over the remaining wound.

Healing time is generally two to four weeks. During this time, you must do a lot of Sitz bath with warm water every day, increase fiber intake, drink plenty of fluids and take stool softeners to keep your stool soft. Some bleeding may occur, so blood in the stool is normal.


Can the procedure be done in the doctor’s office?

Yes, most external hemorrhoidectomies can be performed in the comfort of the office under local anesthesia. We perform less invasive surgeries using a radio frequency equipment.

How long is the procedure?

About 20 minutes.

Does it hurt?

Pain after the surgery is typically experienced, most patients recover smoothly as long as they follow the post operative care instructions. Patients should alternate warm sitz baths with ice packs to reduce discomfort. Antibiotics may be prescribed as a precautionary measure against infection.

The worst side effect is usually pain and infection. Rarely does the anal passage narrow after a hemorrhoidectomy, making it more difficult to pass stool. Significant bleeding can also occur from the incision site. If any of these effects occur, call your doctor.

How should I prepare for the procedure?

You will be given the pre-op bowel prep instructions.

Will hemorrhoids come back?

Recurring hemorrhoids in different locations may occur, although rarely. If this happens, repeat hemorrhoidectomy in the next few years may be necessary. Also, a sensible diet, moderate exercise, and proper bowel habits are helpful.