Types of Piles Surgery and Procedures

Piles can be categorized into two major types and the surgery and procedures include;

Piles, or commonly known as hemorrhoids are lumps developed in the lower rectum or the anus. In some cases, when other methods do not prove effective, surgery might be required. This article seeks to discuss the different kinds of piles surgery and procedures which can be used to treat the above condition.

When is Surgery Needed?

Surgery for piles is typically considered when:

  • Noninvasive measures that include diet changes, drugs, and changes in daily activities do not solve the problem.
  • The symptoms are severe for instance intense pain, bleeding that does not stop or external hemorrhoids that protrude out of the anus.
  • Others are thrombosis, that is, clotting of blood within the hemorrhoid; strangulation, that is, when the blood supply to the hemorrhoid is blocked.

Looking for piles operation in Lahore? You can visit online platforms like oladoc to get an idea about the doctors performing this surgery and the prices.

The Different Piles Surgery and Procedures

The surgical procedures that can be carried out in the treatment of piles include the following; minor surgeries and major surgeries. Here are the most common types:

1. Rubber Band Ligation

Procedure: Rubber band ligation is one of the most popular treatment methods performed on an out-patient basis for internal hemorrhoids. The procedure involves tying a piece of rubber band at the base of the hemorrhoid to starve it on supply of blood. The hemorrhoid withers and drops off within a week.

  • Indications: This procedure is applicable to the first to third degree of internal hemorrhoids.
  • Recovery: The patient may possibly suffer from slight pain and some blood flow. Most of the normal activities can be carried out within a few days.

2. Sclerotherapy

Procedure: Sclerotherapy entails the use of a chemical solution to inject into the hemorrhoid tissue. This solution works by making the skin of the hemorrhoid to become inflamed and forms a scar.

  • Indications: Sclerotherapy is the most commonly used treatment for small to medium sized internal hemorrhoids.
  • Recovery: The procedure is relatively fast and usually does not take place in a hospital, but rather in a doctor’s office. The majority of the patients can resume their normal activities right after the treatment.

3. Infrared Coagulation (IRC)

Procedure: Infrared coagulation involves the use of light to cause the blood vessels which supply the hemorrhoid to be sealed. This makes the hemorrhoid wither away and at some point drop off.

  • Indications: Surgery known as Internal RCMP can be used for small to medium sized internal hemorrhoids.
  • Recovery: It is a simple and commonly performed procedure and patients are often able to resume their activities the same day.

Read also: At What Point Do Professionals Recommend Surgery for a Knee?

4. Hemorrhoidectomy

Procedure: Hemorrhoidectomy is the surgical removal of hemorrhoids that are large or protrude out of the anus. It can be done with local, spinal or general anesthesia; the choice of which will depend on a number of factors. The surgeon then cuts the hemorrhoid by making an incision and then removes the swollen tissue.

  • Indications: This method is advised for very bad hemorrhoids that are not cured by other methods.
  • Recovery: It may also take some time to heal after the surgery as opposed to other minor surgery which may take 2-4 weeks to heal. Surgery may be painful, and pain experienced after the surgery is normal which is why pain management is crucial.

5. Stapled Hemorrhoidopexy

Procedure: This procedure uses a circular stapling device to replace the prolapsed hemorrhoidal tissue back to the anal canal. The stapler also severs the blood supply, and that results in the shrinking of the hemorrhoid.

  • Indications: Stapled hemorrhoidopexy is used in the management of third degree hemorrhoids and some fourth degree hemorrhoids.
  • Recovery: The technique is less invasive in comparison with the conventional hemorrhoidectomy and normally the process of healing takes lesser time. The majority of the patients are able to resume activities within a week after the procedure.


There are many surgical procedures for piles where different types of procedures are recommended for different conditions, their pros and cons, and recovery periods. It is advised that one should consult with a healthcare professional to get the right treatment plan depending on the level of the symptoms and personal health status. If the patient undergoes the right treatment, most of the patients are able to get a lot of relief from the discomfort and pain that is affiliated with piles. To get piles operation in Islamabad you can book an appointment with a general surgeon.

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