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Stapled Hemorrhoidopexy


  • Stapled hemorrhoidopexy is a surgery to treat hemorrhoids. It is also called stapled hemorrhoidectomy or procedure for prolapse and hemorrhoids (PPH). Hemorrhoids are blood vessels surrounded by cushions of skin tissue inside your anus or rectum. Your anus is the opening where the stool from your bowel movements (BM) leaves your body. Your rectum is the lower part of your bowel just behind your anus. You may have hemorrhoids disease when these blood vessels become swollen and slip out of place. Hemorrhoid disease can occur inside your rectum (internal hemorrhoids), around your anus (external hemorrhoids), or both (mixed hemorrhoids). Sometimes the hemorrhoid may prolapse, which means it extends out of your anus.
  • Your hemorrhoids may be caused by straining during a bowel movement or weak skin tissue around your anus. Anal intercourse (sex) and poor anal hygiene may also cause hemorrhoids. You may need stapled hemorrhoidopexy if your hemorrhoids are large or have prolapsed. A stapled hemorrhoidopexy may also be done if other treatments do not work for you. During this surgery, your caregiver will attach your prolapsed tissues onto your rectal wall using a special stapler. Although the hemorrhoids are not removed, their blood flow is cut off. A stapled hemorrhoidopexy may decrease pain, bleeding, swelling, and itching around your anal area and inside your rectum. It may also help you avoid urine or stool accidents (incontinence).


  • Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.
  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.
  • Pain medicine: You may need medicine to take away or decrease pain.
    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.
  • Stool softeners: This medicine makes it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.
  • Topical medicines: These are medicines that you put on your skin. They may help decrease pain and swelling, or help your rectum heal faster. They may also contain antibiotics. Ask your caregiver for more information about hemorrhoid topical medicines.

Home care:

  • Sitz bath: A sitz bath is a pan that fits on the toilet bowl with warm water in it. Your caregiver will tell you how often he wants you to take a sitz bath.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

Prevent constipation:

High-fiber foods, extra liquids, and regular exercise can help you prevent constipation. Examples of high-fiber foods are fruit and bran. Prune juice and water are good liquids to drink. Regular exercise helps your digestive system work. You may also be told to take over-the-counter fiber and stool softener medicines. Take these items as directed.


  • You are bleeding from your anal area.
  • You have a fever (high temperature).
  • It is hard to urinate or have a BM.
  • It hurts to urinate or have a BM.
  • You have questions or concerns about your condition, medicine, or care.


  • You begin to bleed and do not stop.
  • You have very bad pain in your stomach or anus.
  • You cannot urinate or you urinate very little.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.