Colon & Rectal Surgery

Rectal Cancer

Delta Medix Patient General Information


Hemorrhoids are dilated or swollen veins in the anal-rectal region. Hemorrhoids can be classified as external or internal (see General Conditions & Diseases). Usually, external hemorrhoids are bothersome with symptoms of itching, pain, and burning. Internal hemorrhoids are rarely painful but can cause bright red blood on the toilet paper. Occasionally, hemorrhoids can become thrombosed and are typically very painful.

Most hemorrhoids can be managed with dietary measures and topical agents applied directly to the hemorrhoids. Surgery is indicated when conservative management has failed.

A hemorrhoidectomy is the surgical removal of hemorrhoids. It is the most complete removal of internal and external hemorrhoids. A hemorrhoidectomy removes excessive tissue that causes the bleeding and protrusion. The procedure is performed under anesthesia. Laser hemorrhoidectomies offer no further advantages over standard surgical techniques and contrary to popular belief is no less painful.

A Procedure for Prolapse and Hemorrhoids (PPH) can also be performed to remove hermorrhoids. It is most often used for prolapsing internal hemorrhoids. PPH reduces the prolapse of hemorrhoidal tissue by excising a band of prolapsing anal mucosa membrane. The prolapsing excess tissue is pulled into a device that removes it while the remaining hermorrhoidal tissue is returned to its original position. This method may lead to shrinkage of but does not remove external hemorrhoids. Patients experience less pain and a quicker recovery after PPH.