A hemorrhoid can be described as clumps of tissue (piles) that can form either internally or externally and are made up of blood vessels, muscle and elastic fibers. Hemorrhoidectomy is generally used to treat internal hemorrhoids of the third and fourth degree. The procedure can also be used to treat external hemorrhoids that were not fixed with other procedures.

How The Procedure Is Performed

The patient is given local or general anesthesia depending on various factors of health, preference and the situation. The procedure itself can last from one hour to an hour and a half and is usually an outpatient surgery. During the surgery the hemorrhoids are clamped, tied off and then cut away. Once this is done, the wound is sutured and the anus is packed with gauze. Antibiotic ointment may also be applied.

Preparing For The Procedure

Before the procedure is carried out tests such as a chest x-ray and blood and urine samples are usually administered. Your doctor will most likely recommend that you refrain from drinking and eating the night before the surgery.


Possible complications can include infection, bleeding, constipation, hematoma, and incontinence. Later stages after the surgery complications can arise such as narrowing of the anal canal, reappearance of hemorrhoids, and rectal prolapse.