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Surgery for piles (haemorrhoids)

Haemorrhoidectomy

Piles can be uncomfortable and cause irritation but they can easily be removed with a surgical procedure

About

Haemorrhoids (piles) are swellings in or around the anus that contain large blood vessels. They can be uncomfortable and itchy and sometimes bleed. Most piles don't need surgery but there are a few different ways you can have them surgically removed, including banding and stapling.

Need to know

  • What happens icon plus

    A conventional haemorrhoidectomy involves making small incisions around the piles to cut them out. There are also other procedures: - Banding involves cutting off the blood supply to the haemorrhoid with a rubber band, leaving it to die and drop off after a few days. - Stapled haemorrhoidectomy is a technique that removes the excess lining of the bowel, reducing the blood supply to the haemorrhoids. This makes them shrink. - Diathermy haemorrhoidectomy uses a high-frequency current that produces heat which kills the haemorrhoids. Haemorrhoidectomies are usually done under local anaesthetic, so you'll be awake.
  • How to prepare icon plus

    The type of surgery your consultant recommends for you will depend on the size and number of piles you have. Your consultant will explain which procedure is best and tell you exactly how to prepare for this. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you. Even if you can go home the same day as your surgery, you might feel uncomfortable afterwards - so it could be a good idea to arrange for someone to drive you home. Or maybe you can arrange for a taxi to pick you up.
  • Afterwards icon plus

    You might not notice your piles falling off, as they should pass out of your body when you go to the toilet. Straight after your procedure, you might notice blood on any toilet paper you use. This is normal, but you shouldn't experience excessive bleeding. If you've had banding, ulcers may appear at the site of the banding. These should go away by themselves. You should take about a week to recover fully from the surgery. If you've had to take time off work, you should be able to get back to your usual routine within a week.
Consultant in theatres

Our consultants

We're proud to work with leading experts across a range of medical fields, whose skills are matched by their integrity and compassion.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics. 

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 3131 7216
    Enquiries 020 3130 6833

  • Wellington-south-hero-facility-582-582

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 0207 483 5148
    Enquiries 020 3131 7478

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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