Haemorrhoidectomy​

We offer both conventional and laser haemorrhoid treatment, giving you access to the most suitable option for your condition.

What is a haemorrhoidectomy? 

A haemorrhoidectomy surgery is a procedure to remove haemorrhoids (piles).

There are two main techniques: conventional (surgical) haemorrhoidectomy and laser haemorrhoidectomy. Your surgeon will talk you through both options and help you decide which is right for you.

People usually choose to have a haemorrhoidectomy when other treatments have not improved their symptoms. These treatments may include creams, suppositories, or procedures to reduce the size of enlarged haemorrhoids.

Both conventional and laser haemorrhoidectomy may be suitable options. Laser treatment is usually used for smaller to medium-sized internal haemorrhoids. Your surgeon will examine you and explain which treatment is most suitable for you.

A conventional haemorrhoidectomy is usually carried out under a general anaesthetic, so you will be asleep during the procedure. The operation normally takes around 45 minutes.

Your surgeon will gently examine the area using a small instrument to hold your bottom open. They will then use a device called a diathermy to remove the haemorrhoids and any excess skin around the anus (skin tags).

Before your procedure, your surgeon will explain any preparation you need to make. This can vary from person to person, depending on your individual needs and medical history.

Recovery varies from person to person. It depends on factors such as your age, fitness level, and the type of procedure you have.

After your operation, our specialist nurses and physiotherapists will support you throughout your recovery. They will work closely with you to help you recover safely and return to your usual activities as soon as possible.

What is laser haemorrhoidectomy?

Laser haemorrhoidectomy is a minimally invasive alternative to conventional surgery.

Instead of cutting away the haemorrhoid, your surgeon uses a thin laser fibre to apply heat inside it. This seals the blood vessels that supply the haemorrhoid, causing it to shrink over the following weeks. This procedure is also known as laser haemorrhoidoplasty (LHP).

Laser treatment is usually most suitable for grade 2 and grade 3 internal haemorrhoids. These are haemorrhoids that may bulge outside the anus but can either move back inside on their own or be gently pushed back in. Your surgeon will assess your condition and advise whether this treatment is suitable for you.

Laser haemorrhoidectomy is usually carried out under a general or local anaesthetic and takes around 20 to 30 minutes.

During the procedure, your surgeon inserts a thin laser probe into each haemorrhoid and uses laser energy to shrink it.

Because no tissue is removed, many people experience less pain after the procedure and can return to their normal activities sooner than after traditional haemorrhoid surgery. However, recovery times vary from person to person.

Research has shown that laser treatment is often linked to shorter operation times, less pain during the first week after treatment, a lower risk of bleeding shortly after the procedure, and a quicker return to work compared with conventional haemorrhoidectomy.

Because no tissue is removed during the procedure, there is no open wound and dressings are usually not needed. Most people can go home a few hours after treatment, on the same day.

To help you recover, it is important to keep your stools (poo) soft and avoid constipation. Your surgeon may advise you to drink plenty of fluids, eat a high-fibre diet, and take a stool softener for a few weeks.

You should also avoid straining and heavy lifting for the first one to two weeks after your procedure.

Recovery after laser haemorrhoid treatment is often quicker and more comfortable than after traditional surgery. However, your surgeon will explain what recovery is likely to be like based on your individual circumstances.

Which technique is right for me?

The best treatment for you will depend on the size, location, and severity of your haemorrhoids, as well as your overall health.

During your consultation, your surgeon will explain the benefits and risks of both conventional and laser haemorrhoid treatment. Together, you can decide which option is most suitable for you.

Why choose Cromwell Hospital?

Clear self-pay options

As well as working with all major insurance companies, we also welcome patients who wish to pay for themselves. 

Below is an outline of our self-pay hospital price package for this procedure.

Hospital price package

Treatment from £3,875
Includes:
  • Pre-admission tests
  • Private ensuite room (nights subject to package terms)
  • Theatre procedure
  • Meals, nursing care, and discharge medication

Our consultants

See all the colorectal surgeons at Cromwell Hospital.

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Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone.