Severe cases of hemorrhoids, especially those that do not respond to conservative treatments, may require more advanced interventions. You can explore hemorrhoid surgery options.
If you have questions about hemorrhoids, you can visit Doral Health and Wellness. We have the best hemorrhoids doctor near you that can help you with your condition. You can contact us by visiting our clinic or visiting our website at https://doralhw.org/.
hemorrhoid Surgery Options
- Hemorrhoidectomy
- Description — This is the most effective surgical option in removing large external hemorrhoids and prolapsed internal hemorrhoids.
- Procedure — The hemorrhoidal tissue is excised using a scalpel, scissors, or a laser. The wounds are either left open (open hemorrhoidectomy) or closed with sutures (closed hemorrhoidectomy).
- Recovery — Recovery can take several weeks, and postoperative pain is fairly common. Pain management and stool softeners are often prescribed to ease your recovery process.
- Stapled Hemorrhoidopexy (PPH – Procedure for Prolapse and Hemorrhoids)
- Description — Also known as stapling, this procedure is less painful than traditional hemorrhoidectomy and has a quicker recovery time.
- Procedure — A circular stapling device is used to remove a ring of the prolapsed hemorrhoidal tissue and reattach the remaining hemorrhoidal tissue back into its normal position inside your rectum. This cuts off blood supply to the hemorrhoids, causing them to shrink.
- Recovery — You may typically experience less pain and a faster return to normal activities compared to a traditional hemorrhoidectomy.
- Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL)
- Description — This minimally invasive procedure reduces blood flow to hemorrhoids, causing them to shrink.
- Procedure — A Doppler ultrasound probe is used to locate your hemorrhoidal arteries. These arteries are then ligated (tied off) with sutures to cut off the blood supply to your hemorrhoids.
- Recovery — Recovery is typically quick, with less pain and discomfort compared to traditional hemorrhoidectomy. It is effective for internal hemorrhoids but may not be suitable for large external hemorrhoids.
- Transanal Hemorrhoidal Dearterialization (THD)
- Description — Similar to DGHAL, this technique uses Doppler guidance to locate and ligate hemorrhoidal arteries.
- Procedure — It involves ligation of hemorrhoidal arteries and is sometimes combined with a mucopexy, where the mucosal layer is lifted to reduce prolapse.
- Recovery — Typically involves less postoperative pain and a quicker recovery compared to traditional hemorrhoidectomy.
Each of these surgical options has specific indications and potential risks. The choice of procedure depends on the severity and type of hemorrhoids, your preferences, and your surgeon’s expertise. Consulting with a colorectal surgeon will help you determine the most appropriate surgical treatment based on your condition.
If you or your loved one have signs and symptoms for hemorrhoids, have them/yourself checked. You can schedule an appointment with Doral Health and Wellness Gastroenterology Center’s best hemorrhoid doctors in Brooklyn. If you are looking for treatments, you can also talk to our specialists and inquire with them. To schedule an appointment, please visit us at 1797 Pitkin Avenue, Brooklyn, New York 11212 or call 1-347-384-5690.





