External piles can be diagnosed just by physical inspection by the doctor. To diagnose internal hemorrhoids, a digital examination is performed in which the doctor inserts his finger through the anal opening to check for abnormalities. A sigmoidoscope, proctoscope or anoscope can also be used to get images of the internal organs.
There are 2 types of Piles Surgery:
Hemorrhoidectomy is the surgical procedure to remove hemorrhoids or piles. It is the most effective treatment in which incisions are made around the tissue close to the hemorrhoid. Bleeding is prevented by tying the affected vein and the hemorrhoid is removed.
Hemorrhoidoplexy, also called Hemorrhoid stapling is the procedure in which an incision is not required to be made. A circular device is used to remove the hemorrhoidal tissue. It is stapled back into the anal canal and the incision is closed. This method is generally used for internal hemorrhoids as it causes less pain and faster recovery for patients. However, it carries a larger risk of rectal prolapse and recurrence of piles.
After the piles surgery, patients may have trouble urinating and hence a catheter may be connected to the bladder. Ice packs should be applied in case of swelling and sitz baths (anal area dipped in warm water) must be taken several times a day for pain relief. Laxatives and high fiber diet foods are recommended by the doctor to prevent constipation. It is essential to maintain hygiene in the anal area. In case of severe pain, certain pain killers may be prescribed.
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External piles can be diagnosed just by physical inspection by the doctor. To diagnose internal hemorrhoids, a digital examination is performed in which the doctor inserts his finger through the anal opening to check for abnormalities. A sigmoidoscope, proctoscope or anoscope can also be used to get images of the internal organs.
There are 2 types of Piles Surgery:
Hemorrhoidectomy is the surgical procedure to remove hemorrhoids or piles. It is the most effective treatment in which incisions are made around the tissue close to the hemorrhoid. Bleeding is prevented by tying the affected vein and the hemorrhoid is removed.
Hemorrhoidoplexy, also called Hemorrhoid stapling is the procedure in which an incision is not required to be made. A circular device is used to remove the hemorrhoidal tissue. It is stapled back into the anal canal and the incision is closed. This method is generally used for internal hemorrhoids as it causes less pain and faster recovery for patients. However, it carries a larger risk of rectal prolapse and recurrence of piles.
After the piles surgery, patients may have trouble urinating and hence a catheter may be connected to the bladder. Ice packs should be applied in case of swelling and sitz baths (anal area dipped in warm water) must be taken several times a day for pain relief. Laxatives and high fiber diet foods are recommended by the doctor to prevent constipation. It is essential to maintain hygiene in the anal area. In case of severe pain, certain pain killers may be prescribed.
Laser surgery is considered best for piles disease. This procedure can be done in the Outpatient Ward and is most convenient. The laser helps to pinpoint the exact tissue that needs to be treated and has to be removed. This gives the advantage of not disturbing or damaging the surrounding tissues.
The Piles surgery is done in advanced cases of piles, where the patients may have following symptoms-
The types of Piles Surgery are- Banding, Sclerotherapy, Coagulation Therapy, Hemorrhoidal artery ligation, Hemorrhoidectomy, Laser Piles Surgery.
The complications are rare, and can be the following types-
There are 2 main types of Piles- Internal Piles ( located 2-4 cm above the anal opening ) and External Piles ( located in the lower 1/3rd of the anal canal ).
The Piles Surgery should not be done with patients having the following conditions-
The cost of Piles Surgery in India varies across different hospitals and cities.
| CITY | COST |
| Cost of Piles Surgery in Mumbai | INR 150000- INR 350000 |
| Cost of Piles Surgery in Banglore | INR 130000- INR 330000 |
| Cost of Piles Surgery in Delhi | INR 130000- INR 330000 |
| Cost of Piles Surgery in Chennai | INR 110000- INR 310000 |
The patient must avoid strenous activities for 1-2 weeks after the piles surgery. The patient must be accompanied with family or friend to help move and sit, after the pile surgery. Sitz baths ( where the patient must sit in the warm baths for 15- 20 minutes, 3 times a day ) should be done after the pile surgery.
The piles patients must avoid- Bagels, white bread, meat, spicy food, dairy products, processed and packed frozen food items.
The success rate of piles surgery is very good. Surgery cures the piles usually. The other factors for the success rate of piles surgery depends upon factors like- diet modifiations, lifestyle modifications, daily bowel habbits, constipation, etc.