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Hemorrhoidectomy

(Hemorrhoid Removal)

A hemorrhoidectomy is a surgical procedure to remove a swollen vein in the rectum or anus that causes pain and bleeding. Your surgeon will make incisions in your anal tissue and tie off the swollen vein inside your hemorrhoid to prevent bleeding. Then, the hemorrhoid is sliced off.

At a Glance: Hemorrhoidectomy

Also Known As

Hemorrhoid Removal

Anesthesia

General or Local

Hospital Stay

Outpatient

Typical Recovery Time

1-2 Weeks

Surgery Code

46221, 46250, 46945

Typical Price Range

Tell Me About The Surgery

Procedure Research and Consultation

Q

How is a hemorrhoidectomy done?

A

During a hemorrhoidectomy, your doctor will insert a tube-like instrument called an anoscope into your anus. This allows the surgeon to view the lining of your anus and rectum. Then, incisions are made in the anal tissue and the swollen vein inside the hemorrhoid is tied off to prevent bleeding. The hemorrhoid is then sliced off.

Q

What issue does a hemorrhoidectomy solve?

A

A hemorrhoidectomy removes painful, bleeding hemorrhoids.

Q

What is minimally invasive surgery?

A

A procedure that involves a smaller incision and a less-invasive technique, shortening recovery time.

Q

Do I have options for anesthesia for a hemorrhoidectomy?

A

A hemorrhoidectomy can be done with local or general anesthesia. 

Q

How do I know a hemorrhoidectomy is right for me?

A

You may be a good candidate for a hemorrhoidectomy if you have large, external hemorrhoids that are uncomfortable and make it difficult to keep your anal area sanitary. The procedure is also a good option if you have internal hemorrhoids that are large or continue to be uncomfortable following other nonsurgical treatments.

Q

How safe is a hemorrhoidectomy?

A

Hemorrhoidectomy is considered a safe, effective treatment for hemorrhoids. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by The Leapfrog Group, a national nonprofit health care watchdog organization; and was named the safest hospital in Indiana on the Lown Institute Hospital Index.

Q

What are the possible side effects and complications of a hemorrhoidectomy?

A

While rare, some of the possible complications of a hemorrhoidectomy include slow healing of the anal area, the inability to control your bowel or bladder, infection, small tears that can be painful for weeks or months, narrowing of the anus because of scar tissue, and a collection of blood (hematoma) in the surgical area. The most common side effects are temporary bleeding, pain, and an inability to urinate.

Q

What are the possible side effects of general anesthesia?

A

Some of the possible side effects include nausea and vomiting, dry mouth, sore throat, muscle aches, headache, bruising (from the IV), itching, shivering and feeling cold, difficulty urinating, and sleepiness. In older patients, memory loss and temporary confusion are possible.

Q

What are the alternatives to a hemorrhoidectomy?

A

Alternatives to a hemorrhoidectomy include adding more fiber into your diet, drinking more water, using a stool softener, taking baths, and using an over-the-counter or prescription medication to control flare-ups. For internal hemorrhoids, your doctor might recommend a non-surgical procedure that will cut off the blood flow to the hemorrhoids, causing them to fall off.

Q

What are the risks of not having a hemorrhoidectomy?

A

Although your hemorrhoid may retract back into your body on its own, prolapsed hemorrhoids tend to worsen over time. If they are not treated or removed, a prolapsed hemorrhoid can get trapped outside your anus and cause bleeding and pain.

Q

What kind of outcome is typical for a hemorrhoidectomy?

A

Hemorrhoideectomies are almost always an effective way to get rid of hemorrhoids.

Consultation and Choosing A Surgeon or Surgical Team

Q

Do I need a referral to see a surgeon for a hemorrhoidectomy?

A

You don’t need a referral to see a surgeon about a hemorrhoidectomy. 

Q

What should I bring to my first appointment with a surgeon?

A

Insurance information   Medical records, including your medical history, from your primary care physician A complete list of all medications you take on a regular basis, including any over-the-counter medication Your most recent diagnostic labs and imaging (Not sure where to go? Check out Gateway Hancock Health, where you’ll be able to get in and out quickly and pay, on average, 70% less than you’ll pay at a hospital.)

Q

Do I have to get a second or third opinion for a hemorrhoidectomy?

A

You can always get a second or third opinion, but it isn’t required. 

Q

How should I decide which surgeon’s advice to follow?

A

You should work with the surgeon with whom you feel comfortable, whether that’s one of our surgeons or not.

Q

Will the surgical team know my health history?

A

Your health history will be compiled and available to the team before, during, and after surgery. If you’re a Hancock Health patient, we will be able to access your records within our system. If you aren’t, we will work with your doctors to get the necessary information. 

Q

Why might I have to wait to schedule a hemorrhoidectomy?

A

In some cases, it takes time for a patient’s body to be ready for a hemorrhoidectomy. For example, if you have another medical issue including another surgical procedure or an illness, we might wait to perform your hemorrhoidectomy. Your health and safety are our top priority, so we schedule surgeries when they’re best for our patients.

Q

What happens if my symptoms get worse while I wait for my hemorrhoidectomy?

A

Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your surgery is rescheduled.

Insurance & Cost

Q

How much does a hemorrhoidectomy cost?

A

Consult the price transparency tool at HancockRegionalHospital.org for an idea of how much a hemorrhoidectomy might cost.

Q

Will insurance cover my hemorrhoidectomy?

A

In most cases, insurance will cover most of the costs associated with a hemorrhoidectomy. To obtain an estimate of your possible out-of-pocket expenses, use our Price Estimator Tool.

Q

Will Medicare cover my hemorrhoidectomy?

A

Medicare parts A and B will cover the cost of a hemorrhoidectomy, but it’s important for your doctor to indicate that the surgery is medically necessary.

Q

What are payment options like for a hemorrhoidectomy at Hancock Health?

A

Hancock Health is committed to helping make great care affordable for all patients. To find out more about payment options, please visit the billing and insurance FAQ page at HancockRegionalHospital.org.

Pre-op and Day of Surgery

Q

How should I prepare for a hemorrhoidectomy?

A

Don’t eat or drink anything after midnight on the night before your surgery and tell your medical team about all of the medications you are taking, including vitamins, supplements, and blood thinners. There also is a possibility that you will be asked to prepare by removing everything from your bowel before the procedure. This can be done by taking an enema, suppository, or drinking a liquid. Your doctor will tell you which option is best for you. 

Q

Why can’t I eat before surgery?

A

There’s a risk of aspiration, which means you’re breathing foreign objects, like food or saliva, into your lungs. This can occur because the anesthetic for your hemorrhoidectomy surgery can impair your body’s ability to stop the contents of your stomach from entering your lungs.

Q

What should I expect right before my hemorrhoidectomy?

A

You’ll arrive several hours before your surgery and be escorted to the preoperative waiting area. You’ll remove all of your clothing and jewelry, and put on a hospital gown. (Your valuables will be placed in a secure area or may be given to a family member.)  You’ll sign any necessary paperwork and a preoperative nurse will take your vital signs, review your medications, and answer any questions. You’ll meet your anesthesiologist and the members of your surgery team.  An I.V. (intravenous line) will be placed in your hand or arm, so medications—including general anesthesia—can be administered. If you’re using a different kind of anesthesia, you’ll receive an injection. When it’s time for your surgery, you will be wheeled into the operating suite on a stretcher.

Q

Will I need someone to take me home after a hemorrhoidectomy?

A

For your safety and the safety of other motorists, you will need someone to drive you home after your hemorrhoidectomy. If you don’t have a ride, we’ll help you arrange one.

Q

Why are there so many people on my surgery team?

A

In addition to the surgeon, you have an anesthesiologist, nurses—some of them specialize in working with patients and others assist the surgeon—and support staff, who get you checked in and out, compile your records, and more. They all work together, performing their individual jobs, so the procedure is as successful as possible.

Q

Why am I asked for my name and date of birth every time I get medicine?

A

It’s a safety precaution to make sure you’re receiving the medication that’s prescribed for you.

Q

What do I need to bring to the hospital on the day of my hemorrhoidectomy?

A

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications. You probably will not be there overnight, but it’s a good idea to be prepared.

Q

How long does it take the anesthesia to wear off after my hemorrhoidectomy?

A

It takes about an hour for general anesthesia to wear off, but you may notice the effects for a day or so. It usually takes 30 minutes to an hour for local anesthesia to wear off, though the effects can last a few hours.

During Surgery

Q

What will happen during a hemorrhoidectomy?

A

You’ll either lie on your stomach or on your side with your knees drawn up towards your chest. You will feel relaxed and drowsy, or fall asleep, due to the sedation.

Q

When will my family be informed about how I’m doing?

A

Our associates will get information from the surgical team in the operating room during your surgery and keep them updated.

Q

How long will the hemorrhoidectomy take?

A

A hemorrhoidectomy typically lasts from 30 to 60 minutes.

Q

How long will I be under?

A

You will be anesthetized for the entire hemorrhoidectomy and a few minutes after. 

Q

How long will I be in the hospital after a hemorrhoidectomy?

A

While the length of a hospital stay depends on each patient’s individual needs, patients are typically discharged within a few hours following the procedure.

After Surgery

Q

What can I expect right after my hemorrhoidectomy?

A

After the procedure, you will be moved to a recovery room where you will stay until you’re ready for discharge. The amount of time you are in recovery depends on the types of anesthesia and pain medication you receive.

Q

How will I know if the hemorrhoidectomy worked?

A

Your surgeon will discuss your procedure with you. 

Q

When will I get to talk to my surgeon after my hemorrhoidectomy?

A

You’ll be able to talk to your surgeon immediately after your procedure, while you’re in the recovery room.

Q

How soon after a hemorrhoidectomy will I be up and moving around?

A

You will be up and moving around almost immediately after the procedure, but patients are encouraged to avoid alcohol, driving, and operating machinery for at least 24 hours after a hemorrhoidectomy and while taking pain medication.

Q

Will I receive pain medication right after surgery?

A

Most hemorrhoidectomy patients receive pain medication immediately following surgery.

Q

How soon after my hemorrhoidectomy can I eat or drink?

A

Unless otherwise instructed, you may immediately return to eating and drinking. Your doctor might recommend that you eat a bland diet and drink plenty of fluids for a few days after your hemorrhoidectomy. Within a week, you’ll probably be able to return to your normal diet and gradually increase the amount of fiber you’re consuming.

Q

Will I need to fill any prescriptions or take medication after a hemorrhoidectomy?

A

Your doctor may prescribe an antibiotic and pain medication to ease any discomfort associated with the procedure.

Recovery and Follow-Up

Q

What will I need to do to prepare for my recovery from a hemorrhoidectomy?

A

Make sure you have groceries for when you arrive home from the hemorrhoidectomy. If you live alone, you may want to arrange for a friend or family member to check in with you.

Q

How should I prepare for my at-home recovery?

A

You may want to ask a friend or a relative to check on you and assist with everyday tasks for the first 24 hours following your procedure.

Q

If I need physical therapy or rehabilitation after a hemorrhoidectomy, how is that arranged?

A

Physical therapy and rehabilitation are not typically needed after a hemorrhoidectomy. Our associates will help you arrange the postoperative care you’ll need.

Q

Will I need any follow-up appointments or procedures?

A

Your doctor will likely schedule a follow-up appointment two to three weeks after your hemorrhoidectomy.

Q

Will there be any scarring or stitches to remove?

A

There will not likely be any scarring or stitches to remove after your hemorrhoidectomy. 

Q

What do I need to have to care for any wounds or incisions?

A

Following your hemorrhoidectomy, you’ll probably experience some pain in your rectal area and you might notice some rectal bleeding for one or two days. If you have a large amount of rectal bleeding, high or persistent fevers, or severe abdominal pain within the next two weeks, go to your local emergency room and call the doctor who performed your exam. You might also experience temporary constipation or difficulty urinating. Your care team will give you instructions about how to alleviate those issues.

Q

What should I do if I have an emergency or accident after a hemorrhoidectomy?

A

If you have an emergency following your procedure, call your surgeon’s office. If you’re in need of immediate emergency services, go to the nearest emergency room. 

Q

When will I be able to get back to work after my hemorrhoidectomy?

A

Most people are able to return to work and other activities about a week after a hemorrhoidectomy.

Meet Our Surgeons

Thomas Meads, MD

P: 317-462-3255

General Surgery

Jeff Heise, MD, FACS

P: 317-462-3255

General Surgery

Manuel Lozano, MD

P: 317-462-3255

General Surgery

Affordable Labs and Imaging at Gateway Hancock Health

Need preoperative blood tests or an MRI? Check out Gateway Hancock Health, where labs and imaging prices are 70% lower than you’d pay at a hospital. An MRI that might cost as much as $1,600 is just $599 at Gateway. 

Learn More

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