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  You are at: Procedure info > Bowel surgery > Haemorrhoids / Piles > Piles treatment

Treatment for Piles
















What are the options for piles treatment?

The simplest method of piles treatment is by eating a high fibre diet and not straining when passing motions. The piles will often improve, or at least not worsen. There are also a number of creams available that may help relieve the symptoms of the piles.

Failing this, the piles can be injected or have a band placed around them to shrink them down.

If this does not work then piles surgery may be needed, in the form of a hemorrhoidectomy.


What is a hemorrhoidectomy?

This treatment is usually performed under general anaesthesia. The piles are either cut away or removed using a special staple gun. A dressing may be placed in the back passage, which is easily passed at the time of the first bowel motion.

After the surgery, you can often return home on the same day. It may take several weeks to heal fully, and should should check with your specialist before returning to normal activities such as driving or working.


What are the risks of hemorrhoidectomy / pile surgery?

  • Pain - it may be sore for 2-3 weeks after the treatment, but this can be helped with painkillers.

  • Infection - antibiotics may be needed if an infection occurs after the piles treatment.

  • Bleeding - a small amount of bleeding is common after piles treatment, but occasionally further surgery may be needed to stop any persistent bleeding areas.

  • Anal narrowing - scar tissue from pile surgery may cause narrowing of the back passage, requiring further surgery

  • Anal fissure - if the wound does not heal properly then a small tear can develop at the back passage. This can usually be simply treated, although further surgery is occasionally needed.

  • Difficulty passing urine - if this happens you may need a tube (catheter) for a day or two after treatment to help you pass water.

  • Blood clots in the legs - clots in the calf (deep vein thrombosis / DVT) can usually be treated with medication, but a DVT can (rarely) move to the lungs. This can cause breathing difficulty, or even be life threatening.


Any procedure involving skin incision can also result in unfavourable scarring, wound infection, or bleeding. This list of risks is not exhaustive, and you should discuss possible complications with your specialist. Whilst these risks will seem very worrysome, and indeed can be serious, it should also be borne in mind that many people have no postoperative problems whatsoever.

The information provided is as a guide only and you should discuss matters fully with your specialist before deciding if this is the right procedure for you. Please also read our disclaimer





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