Piles Surgery Singapore (Haemorrhoidectomy)

Dr. Sulaiman Bin Yusof

MbChB (Sheffield) M.Med (Surg) FRCSEd (Gen Surg)
蘇萊曼·尤索夫博士

A haemorrhoidectomy, commonly referred to as piles surgery, is a procedure used to address haemorrhoids – swollen veins in the rectum or anus that often cause discomfort, pain, and bleeding.

This surgery is usually recommended for patients with severe haemorrhoids or when less invasive treatments have not provided sufficient relief. By removing the affected veins, haemorrhoidectomy aims to alleviate symptoms and prevent potential complications.

Indications for Haemorrhoidectomy

This procedure may be recommended for individuals experiencing ongoing symptoms or specific issues with haemorrhoids.

  • Pain and Discomfort: Surgery may be needed when haemorrhoids cause significant discomfort that affects daily life and does not improve with other treatments.
  • Bleeding: Persistent or heavy bleeding from haemorrhoids that does not respond to conservative measures can be treated with haemorrhoidectomy.
  • Prolapsed Haemorrhoids: Haemorrhoids that extend outside the anus and are challenging to manage with non-surgical options may be removed surgically.
  • Recurring Haemorrhoids: Frequent flare-ups that persist despite changes in diet or lifestyle may benefit from surgical removal.
  • Non-Responsive to Other Treatment: Haemorrhoids that do not improve with medications, dietary adjustments, or less invasive procedures may require surgery.

Benefits of Haemorrhoidectomy

For those with severe or recurring haemorrhoids, haemorrhoidectomy provides several benefits. These include:

Pain Relief

Surgery reduces the discomfort associated with haemorrhoids, allowing individuals to go about their day more comfortably.

Lower Risk of Health Issues

Removing haemorrhoids reduces the chance of complications such as anaemia from bleeding or infections linked to prolapsed haemorrhoids.

Easier Bowel Movements

Surgery can lessen the strain and discomfort during bowel movements, which can also help prevent further issues.

Reduced Recurrence

Haemorrhoidectomy lowers the likelihood of future haemorrhoid episodes compared to non-surgical treatments.

Types of Haemorrhoidectomy

There are several surgical approaches to treating haemorrhoids, chosen based on the severity of the condition and individual patient requirements.

Conventional Haemorrhoidectomy

This involves the surgical removal of haemorrhoids through incisions and is particularly effective for large or severe haemorrhoids. While it provides significant relief, the recovery period may be longer compared to other methods.

Stapled Haemorrhoidectomy

A stapling device is used to reposition prolapsed haemorrhoid tissue back inside the rectum. This technique is suitable for internal haemorrhoids and is associated with reduced post-operative discomfort and shorter recovery times.

Laser Haemorrhoidectomy

A laser is employed to shrink or remove haemorrhoid tissue with minimal impact on surrounding tissues. This method is often selected for mild to moderate cases and typically results in less bleeding and a quicker recovery.

Transanal Haemorrhoidal Dearterialisation (THD)

This minimally invasive procedure involves tying off the blood vessels that supply the haemorrhoids, causing them to shrink over time. It is commonly used for prolapsed haemorrhoids and is associated with less post-operative pain and faster recovery compared to conventional methods.

Preparing for Surgery

Medical Evaluation: A thorough medical evaluation is conducted to assess the patient’s overall health and suitability for the procedure. This may include blood tests, a review of current medications, and an assessment of any existing medical conditions. The evaluation helps identify and manage potential risks before surgery.

Dietary Advice: Patients may be advised to follow a low-residue diet in the days leading up to the procedure to minimise bowel movements. Fasting is typically required from midnight before the surgery to ensure the digestive system is clear, which reduces complications during the operation.

Medication Adjustments: Certain medications, such as blood thinners or anti-inflammatory drugs, may need to be stopped temporarily before surgery to reduce the risk of excessive bleeding. Clear instructions will be provided on which medications to pause or continue to ensure patient safety.

Step-by-Step Procedure

Anaesthesia Administration

Anaesthesia is administered to ensure the patient remains comfortable and pain-free during the surgery. General anaesthesia may be used to induce sleep, or regional anaesthesia may numb the lower body. The choice depends on the patient’s condition and the procedure being performed.

Surgical Techniques

The surgeon selects the most appropriate technique based on the severity and type of haemorrhoids. Options include excision, stapling, laser treatment, or dearterialisation, each designed to remove or shrink haemorrhoids effectively while minimising tissue damage.

Closure

After removing or reducing the haemorrhoids, the surgical site may be left open to heal naturally or closed with dissolvable stitches. The method depends on the specific procedure and the need to promote healing while reducing the risk of infection.

Post-Procedure Monitoring

Patients are monitored in a recovery area until they wake from anaesthesia and are stable enough for discharge. Vital signs and pain levels are assessed, and initial post-operative care instructions are provided before the patient is sent home.

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Post-Operative Care and Recovery

Pain Management: Pain relief is typically provided through prescribed medications to ensure comfort during the recovery period. Patients are encouraged to follow dosing instructions and report if pain persists or worsens.

Resumption of Activities: Patients can typically resume light activities, such as walking, within a few days to a week after the procedure. Full recovery usually takes 2 to 4 weeks, depending on the surgical technique used and the patient’s overall health. Strenuous activities and heavy lifting should be avoided until advised by the surgeon.

Follow-Up Care: A follow-up appointment is scheduled within a few weeks to monitor the healing process and address any concerns. During this visit, the surgeon will check for complications, assess progress, and provide further guidance on activities and care.

Potential Risks and Complications

Haemorrhoidectomy is generally safe, but potential risks include post-operative pain, minor bleeding during bowel movements, infection at the surgical site, and temporary urinary retention. Most risks are manageable with proper care, but persistent symptoms should be promptly reported.

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Dr. Sulaiman Bin Yusof

MbChB (Sheffield)

M.Med (Surgery)

FRCSEd (General Surgery)

蘇萊曼·尤索夫博士

Dr. Sulaiman Yusof is a distinguished Senior Consultant in colorectal and general surgery, boasting over 15 years of expertise. His passion lies in minimally invasive techniques, particularly robotic surgery, where he has achieved remarkable success using the Da Vinci Xi system. Dr. Sulaiman is dedicated to delivering high-quality, personalized, and empathetic care, always striving for the best outcomes for his patients.

Education & Specialist Training
  • MbChB(Sheffield)
  • M.Med(Surgery)
  • FRCSEd(General Surgery)

Dr. Sulaiman’s journey began at the University of Sheffield, where he graduated in 2002. He honed his skills during his house officer and basic surgical training in the UK before returning to Singapore. There, he completed his Advanced Surgical Training at Changi General Hospital and earned the Joint Speciality Fellowship in General Surgery in 2013.

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    our locations

    Gleneagles Medical Centre

    6 Napier Road #06-16
    Singapore 258499

    Mount Elizabeth Novena Hospital

    38 Irrawaddy Road, #10-48/49
    Singapore 329563

    Parkway East Hospital

    #05-08, 319 Joo Chiat Place
    Singapore 427989

    Mount Alvernia Hospital

    #08-62, Medical Centre D
    820 Thomson Road
    Singapore 574623

    Connexion

    Farrer Park Medical Centre #14-12
    1 Farrer Park Station Road
    Singapore 217562

    Frequently Asked Questions

    Are there non-surgical alternatives to haemorrhoidectomy?

    Yes, treatments like rubber band ligation and sclerotherapy can shrink haemorrhoids or cut off their blood supply. These options are suitable for mild cases and may be combined with dietary and lifestyle changes to manage symptoms.

    What dietary changes are recommended after surgery?

    Post-surgery, a fibre-rich diet combined with adequate water intake is crucial to ensure soft stools and reduce strain. This helps minimise complications during recovery and prevent future haemorrhoid issues.

    Can haemorrhoids recur after surgery?

    New haemorrhoids can develop if factors like straining or constipation are not addressed. Adopting a healthy diet, staying active, and avoiding prolonged sitting can help reduce the risk of recurrence.

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