Best Treatment for Piles Surgery: A Complete Guidance

Piles are swollen and inflamed blood vessels in the anal or rectal area, which can result in various symptoms, including pain, itching, and bleeding. While mild cases can often be managed with lifestyle changes and medication, severe cases may require surgical intervention. If you’re looking for the best treatment for piles surgery, this comprehensive guide will help you understand your options and make an informed decision.

Understanding Piles and When Surgery is Needed

Piles can be classified into four grades:

Grade 1: Small swellings inside the lining of the anus that do not protrude.

Grade 2: Larger piles that may protrude but retract on their own.

Grade 3: Piles that protrude and need to be manually pushed back.

Grade 4: Large, external piles that remain outside and cannot be pushed back.

Surgery is usually recommended for Grade 3 and Grade 4 piles or when non-surgical treatments fail to provide relief. Symptoms that indicate the need for surgery include excessive bleeding, persistent pain, prolapsed hemorrhoids, and chronic inflammation.

Best Surgical Treatments for Piles

Several advanced surgical procedures are available to treat piles effectively. Here are the most effective options:

• Minimally Invasive Procedures

Laser Surgery for Piles

Laser surgery is one of the most advanced and effective treatments for piles. It involves using a laser beam to shrink or vaporize the affected hemorrhoidal tissue with minimal bleeding and pain.

Benefits:

Painless and bloodless procedure

Quick recovery time (1-2 days)

Minimal risk of infection

Outpatient procedure

Ideal For:

Patients with Grade 1,2 & 3 piles

Those looking for a quick and painless recovery

• Stapler Hemorrhoidectomy (PPH – Procedure for Prolapse and Hemorrhoids)

Stapler Hemorrhoidectomy, also known as Minimally Invasive Procedure for Hemorrhoids (MIPH), is another innovative surgical method. It involves using a circular stapler device to cut and reposition the hemorrhoidal tissue, reducing blood flow and shrinking the hemorrhoids.

Benefits:

Less post-operative pain compared to traditional surgery

Faster recovery (3-5 days)

Minimal bleeding

Ideal For:

Patients with prolapsed hemorrhoids (Grade 3 & 4)

Those looking for a less painful alternative to conventional surgery

• Traditional Surgical Treatments

Hemorrhoidectomy

A hemorrhoidectomy is a surgical procedure where the hemorrhoidal tissue is completely removed. It is one of the most effective treatments for severe or recurrent piles.

Benefits:

Permanent removal of hemorrhoids

Effective for severe cases

Ideal For:

Patients with large external or internal hemorrhoids (Grade 3 & 4)

Those who did not benefit from minimally invasive procedures

• Sclerotherapy

Sclerotherapy involves injecting a chemical solution into the affected hemorrhoidal veins, causing them to shrink and eventually fall off.

Benefits:

Quick procedure with minimal discomfort

No hospitalization required

Ideal For:

Patients with smaller internal hemorrhoids (Grade 1 & 2)

Those looking for a non-surgical option

Choosing the Best Treatment for You

The best treatment depends on several factors, including the severity of your condition, symptoms, medical history, and personal preferences. Consulting a qualified proctologist or colorectal surgeon will help determine the most suitable surgical approach.

Key Factors to Consider When Choosing Piles Surgery:

Severity of Hemorrhoids: Mild cases may be treated with non-surgical methods, while severe cases require surgical intervention.

Recovery Time: Minimally invasive procedures like laser surgery have shorter recovery periods compared to traditional hemorrhoidectomy.

Cost of Surgery: Costs vary depending on the procedure and hospital.

Doctor’s Experience: Choose a specialist experienced in the latest surgical techniques.

Recovery and Post-Surgery Care

Regardless of the type of surgery, post-operative care plays a crucial role in ensuring a smooth recovery and preventing recurrence.

Tips for a Speedy Recovery:

Follow Post-Surgical Instructions: Your doctor will provide specific guidelines on diet, medications, and activities to avoid.

Maintain a High-Fiber Diet: Eating fiber-rich foods like fruits, vegetables, and whole grains prevents constipation and straining.

Stay Hydrated: Drink plenty of water to keep stools soft and reduce strain during bowel movements.

Avoid Straining During Bowel Movements: Use a stool softener if necessary.

Practice Good Hygiene: Clean the anal area gently with warm water and avoid harsh soaps.

Take Sitz Baths: Soaking in warm water for 10-15 minutes can help reduce pain and swelling.

Avoid Heavy Lifting: Give your body time to heal before engaging in strenuous activities.

Preventing Piles After Surgery

While surgery effectively treats piles, making lifestyle changes is essential to prevent recurrence. Here are some preventive measures:

Eat a Fiber-Rich Diet: Helps maintain regular and soft bowel movements.

Exercise Regularly: Reduces pressure on the rectal veins.

Avoid Prolonged Sitting: Sitting for long periods can increase pressure on the anal area.

Stay Hydrated: Drinking at least 8-10 glasses of water daily helps digestion.

Use the Toilet When Needed: Delaying bowel movements can lead to constipation and worsen piles.

Conclusion :

Pile surgery has evolved significantly, with advanced treatments like laser surgery and stapler hemorrhoidectomy offering pain-free and quick recovery options. The best treatment for piles surgery depends on the severity of your condition, budget, and personal preferences. Consulting a specialist will help you choose the most effective option for a safe and permanent solution to hemorrhoids.

If you’re suffering from chronic piles, don’t wait—seek professional medical advice today and regain a pain-free and comfortable life!

This article has been medically reviewed by Dr Naga Sudha Ashok, Surgical Gastroenterologist