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Stapled Hemorrhoidopexy


Stapled hemorrhoidopexy is surgery to treat hemorrhoids. It is also called stapled hemorrhoidectomy, or procedure for prolapse of hemorrhoids (PPH). Hemorrhoids are swollen blood vessels inside your rectum or on your anus. A prolapsed hemorrhoid is a hemorrhoid that extends out of your anus.


  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.
  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.
  • Enema: You may be given an enema (liquid medicine put in your rectum) to help empty your bowel.
  • Pre-op care: You may be asked to lie on your stomach or on your back with your knees bent upwards.
  • Anesthesia: This is medicine to make you comfortable during the surgery. Healthcare providers work with you to decide which anesthesia is best for you.
    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
    • Regional anesthesia: Medicine is injected to numb the body area where the surgery or procedure will be done. You will remain awake during the surgery or procedure.
    • Local anesthesia: This is an injection of numbing medicine that is put into the walls of your rectum. Medicine to decrease bleeding may be added to the numbing medicine.
  • Monitoring: Your heart rate and blood pressure will be checked during surgery. These help your healthcare provider see how your heart and lungs are doing during the surgery.

During your surgery:

  • A tool is placed in your anus to keep it open. A suction tool may be used to remove bowel movement and mucus inside your rectum. Your healthcare provider will tighten the skin tissue around your anal canal. This is done to help stop your skin tissue and hemorrhoids from prolapsing in the future.
  • At the same time, he will staple the hemorrhoid to the wall of your rectum or anus. He will place the staple at the base of the hemorrhoid to stop blood flow to the hemorrhoid. This helps to decrease swelling. Extra tissue will be taken out and sent to the lab for tests. Injured blood vessels are tied to stop bleeding. You may need stitches depending on how much you bleed around your surgery area.

After your surgery:

You will be taken to a room where you can rest until you are awake. You may be allowed to go home. If you are staying in the hospital, you will be taken back to your room. Your healthcare provider may remove the sponge soon after surgery. Do not try to get out of bed until your healthcare provider says it is okay.

  • Medicines to treat pain, swelling, or fever: These medicines are safe for most people to use. However, they can cause serious problems when used by people with certain medical conditions. Tell caregivers if you have liver or kidney disease or a history of bleeding in your stomach.
  • Stool softeners: This medicine makes it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.
  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.


  • Too much or too little tissue may be removed during surgery. The stapled skin tissue may detach. Even with surgery, you may get hemorrhoids again. After your surgery, you may have pain, bleeding, bruising, or infection. It may be hard to urinate or have a bowel movement. You may be unable to control your bowel movements, gas, or urine. You may have pain during your bowel movements. The tissue in your rectum or anus may have an anal fissure (tear), causing pain or itching. Your anus may also become more narrow.
  • You may get a blood clot in your leg or arm. The clot may travel to your heart or brain and cause life-threatening problems, such as a heart attack or stroke. It is possible that you will get a serious infection in your blood. You may bleed, and not be able to stop it. You may need another surgery to fix some of these problems. Even with surgery, you may get hemorrhoids again. Without surgery, your hemorrhoids may bleed and become more painful.


You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Further information

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