Yes, most hemorrhoidectomies can be performed in the comfort of the office under local anesthesia. We perform less invasive hemorrhoidectomies using a radio frequency device.
About 20 minutes.
Pain is typically experienced during this procedure, and patients should alternate between warm sitz baths and ice packs to reduce discomfort. Antibiotics may be prescribed as a precautionary measure against infection.
The worst side effect is usually pain and some difficulty with urination. Rarely does the anal passage narrow after a hemorrhoidectomy, which would cause difficulty in passing stool. Significant bleeding can also occur from the incision site. If any of these effects occur, call your doctor.
You will be given pre-op bowel prep instructions.
Recurring hemorrhoids in different locations may occur, although rarely. If this happens, infrared coagulation, rubber band ligation or repeat hemorrhoidectomy in the next few years may be necessary. Also, a sensible diet, moderate exercise, and proper bowel habits are helpful.