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WHAT YOU NEED TO KNOW:
What do I need to know about a stapled hemorrhoidopexy?
A stapled hemorrhoidopexy is surgery to treat a hemorrhoid. It is also called a stapled hemorrhoidectomy, or procedure for prolapse of hemorrhoids. A prolapsed hemorrhoid is a hemorrhoid that extends out of your anus.
How do I prepare for a stapled hemorrhoidopexy?
Your healthcare provider will talk to you about how to prepare for surgery. You may be told not to eat or drink anything after midnight on the day of your surgery. Your healthcare provider will tell you what medicines to take or not take on the day of your surgery. You will need an enema on the morning of your surgery. An enema helps clean out your rectum so your surgeon can see your hemorrhoid better. Arrange for someone to drive you home after your surgery.
What will happen during a stapled hemorrhoidopexy?
You may be given general anesthesia to keep you asleep and free from pain during surgery. You may instead be given local or spinal anesthesia to numb the surgery area. With local or spinal anesthesia, you may still feel pressure or pushing during surgery, but you should not feel any pain. Your surgeon will use tools to shrink the hemorrhoid. The surgeon will staple the base of the hemorrhoid to the wall of your rectum. This will stop the blood flow to your hemorrhoid and decrease swelling. Your surgeon may place packing in your rectum to control bleeding.
What will happen after a stapled hemorrhoidopexy?
Healthcare providers will monitor you until you are awake. You may be able to go home after surgery or you may need to spend a night in the hospital. You may feel pressure in your rectum for 24 to 48 hours after your surgery. You may have light bleeding from your rectum for a few days. You may have bleeding and discomfort with bowel movements for several weeks. If you have packing, it may be removed before you go home or in a few days. You may be told to remove it at home instead.
What are the risks of a stapled hemorrhoidopexy?
Your hemorrhoid may return after surgery. You may bleed more than expected or get an infection. You may have a problem emptying your bladder after surgery. You may need a urinary catheter for a few days to help empty your bladder. Muscles in your rectum and anus may be damaged during surgery. This may make it hard to control your bowel movements. The tools used to treat the hemorrhoid may make a hole in your rectum. You may need surgery to fix this.
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