I had THD and it did not work it is partially cause i think the Dr was new to THD he was as i said one of the first DRS in Ireland that trained in Italy to do THD in Ireland, thus he had not done many of them and like everything as they do more and more they learn what is better for each patient.
That said i had a miserable time it did not fully work and i will have to go back and have it done again sooner rather than later. I intend in doing what i was gonna do first time and that is go to the UK and see the guy there that was the first in the UK doing THD. I found the lack of after care and help with my DR beyond sh*t...they left me so in the lurch you have no idea.
I too underwent the THD, just yesterday (Thursday); it is now Friday about 24 hours after arriving home yesterday. When I got home yesterday I felt unusually pain free; just a slight aching in the rear end. I was worried that maybe this was just due to the local anesthetic or morphine from the IV drip. As soon as I got home I was starving so I had some chicken soup and watched some TV.
The nurse from recovery suggested that I buy some women's panty liners to catch any spotting from the surgery or if there happens to be any bleeding after having the first few BMs; also just to make you feel more assured that if there is any bleeding that it is caught there and not on your clothes avoiding embarrassment.
As Thursday went on the pain did not get any worse, still just an aching feeling. I didn't even take the Vicodin that was prescribed, only the Toridol. I ate a light dinner, baked chicken and mac&cheese. I even had a couple of beers.. :$
Started to watch a movie and felt very bloated, it was gas. Afraid of letting it out thought it would be painful, but it had to makes its way out so I let it go and didn't really have any pain, just a slight ache. Also taking one stool softener pill after each meal.
Well now it's Friday (the day after) and I woke up feeling a little more aching on the back-side, so I got up at 6a and took a vicodin and toridol; also took a stool softener after the vicodin, because I know from past experience that these can cause constipation...which i don't want! Went back to sleep until 9:30a. Still feel a little achy, but very tolerable. Had some cereal for breakfast and coffee, and still feel pretty good. Have not had a BM yet, just a little more gas; but know that it will be soon. Kind of scared but I know it has to happen at some point so I'll just go and see what happens.
Hope this helps others. There are so many posts on here of how bad and painful this procedure was, I wanted to let those know it can be easy too. At least so far, hoping it stays that way. Also I had no issues urinating either.
All day Saturday in bed with a fever, Sunday (today) woke up still with 101 degree. Not sure what is causing this. Don't really feel any pain; I did take some more laxative to see if I could go again.
I guess maybe a lesson learned is to not get too active too soon. I'll see how today goes.
I had it done by a Mr Mulligan in the Hermitage clinic.
I have actually been having a good bit of trouble since having the procedure with external piles. In the past I have suffered with external piles but not to the extent that I am now suffering. Basically, I have had some degree of pain/discomfort since the procedure back in at the start of November (8 weeks ago) and am regretting getting it done to be honest.
I was told that the procedure would not make me any worse but it looks like it has. I will update on my progress.
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Here is his info:
Dr. Theodoros Voloyiannis MD
Colon & Rectal Clinic of Houston
11920 Astoria Blvd
Suite 490
Houston, TX 77089
***edited by moderator*** web addresses not allowed
Feel free to send me a Private Message on the board if you'd like more info.
Cheers,
[GM]
GM I'm glad your procedure went well! I had mine performed in PA at St. Mary hospital. My doctor was:
Dr. David Schaffzin MD
Center for Colon and Rectal Health
1203 Langhorne Newtown Rd
Suite 130
Langhorne, PA 19047
I am a 22 year old male, and have had hemorrhoids since I was 5 years old, but just kept pushing them off. I workout and dealt with much pain every time i went to the bathroom, had to lay down for at least 20 minutes after a BM for "them" to go in. I was unable to workout if I had a BM prior. Unable to go at a public restroom or use rough toilet paper because it hurt. I would rather hold it in. Let all that go and get this amazing procedure done! My doctor said he was proud of me growing such beautiful kids! :-)
My surgery was monday march 28th 2011. Following up to the surgery, I have been taking stool softeners, and did do an enema an hour before the surgery. The surgery went as planned and successful. I do not remember anything during the surgery, no pain or discomfort. Unfortunately for me when asked to urinate, i was unable to do so. Could have been me being nervous. The nurses were wonderful and very helpful there, especially Mary Rita Lewis; she was a sweetheart. She did have to perform a catheter for me to pee and released me home. Upon getting home, I took the milk magnesium, I believe it was called, and immediately threw up. No BM that night, I did take one percocet every six hours. I was drowsy and well asleep as soon as i laid down. Had a difficult time sleeping because I could not find a comfortable position. Later to find out it was due to the cotton piece that was inserted to prevent the bleeding. I sweat a lot and had to change my t-shirt every few hours throughout the night, that was due to the anesthesia. Next morning i woke up to little discomfort and took a percocet, I didn't really have any pain, just discomfort, and obviously drowsy. It was difficult to urinate and took me a few minutes and some concentration to do so. Took my stool softeners once a day as told my the doctor. Later that day, i did have a BM, but it was a little one and felt some pain as I was doing it, thats when the cotton piece came out with my my little present. After all was done, I didn't wipe, but instead bathed with soap right after to not irritate anything. Compared to my huge real estate from before, all I felt was a little bump and no pain. I did do a spitz bath with warm water every few hours for about 10 minutes. On wednesday, I had another bowel movement and only took one percocet the entire day. Once again a little difficult to pee, but i tried to go twice a day. Thursday, I had 4 BM, and all about a few hours apart. It was a good day with almost no pain or discomfort, took no medication that day. Did wake up at midnight to change the sheets because everything was wet due to me sweating. Today is friday, had two bowel movements within an hour of each other, no pain and no real estate down there. Just once again took a warm bath to clean my self off. I did take this week off work so as to ay an relax.
Key points to note.
Do the spitz baths, they feel very soothing.
Drink the stool softeners.
Don't get excited with the percocets so as to not get addicted.
If you're a male don't worry about difficulty with urination as it will go away.
Sweats during the night are okay because of anesthesia coming out.
Frequent BM are okay, but try not to wipe, warm bath and soap is best.
I did feel pressure when walking.
Every time i passed gas (which was often) felt as though i had to use the restroom.
Overall, i feel like a different person, the THD procedure was amazing, I still am not fully recovered but I cant praise the surgeon enough. After so many years with my friends, it was time to give them up. I highly recommend my surgeon, and if anyone has any questions, feel free to ask me! The staff at St. Mary was wonderful!
Once again, thank you Dr. Schaffzin and the wonderful nurse at St. Mary, Mary Rita Lewis!
Actually, the proper way to go THD is the one that you did. Stiches and then pulling pilles back to their position. However, sometimes they say that pulling them back causes some discomfort. That is why, sometimes, doctors do not pull them back, and wait for them to shrink after a few weeks/months. This is actuially what i was told from my doctor.
My aimoroids are really big and i worry for the discomfort and the pain of the post-recovery period. I am having exaclty the same symptoms as you did (no exercise, efforts to pull them back after toilet etc) and i found your posting very encouraging to go through THD.
many thanks
I underwent the THD procedure last week and here is my experience.
I have been suffering from hemorrhoids since I was a teenager. It was not a big deal except for bleeding 1-2 times a year. Otherwise I had a protruding lump, which I had to manually reduce after going to the bathroom (No big deal since it was completely painless). The country where I come from THD is not available as far as I know and I choose to live with my lump instead of going for the traditional hemorroidectomy after reading all the horror stories of those who have undergone it.
Then I came upon a webanaire about this relatively new procedure called THD, which was way too less painful than the traditional surgery (post surgical pain was my main concern). So I went to meet the doctor and asked about it. He explained the procedure and after the physical exam he said I was a potential candidate and he can do it if I like. he said I got two internal hemorrhoids which he is going to examine further under general anesthesia before the surgery. So we set upon a date for surgery and home I went.
4 days before surgery I get a call from the hospital that I need to come in for some pre surgical blood work. I went in and a nurse explained me about the anesthesia and I signed the consent forms. i was advised not to eat/drink anything after midnight the day prior to surgery.
So the day before surgery I had dinner as usual and drank a lot of water and went to sleep. Next day I went to the hospital with my husband and they put me in a room where I was given a gown to wear and stay until the theatre was ready. Then the surgeon came and talked with us and reassured me. Next the anesthetist called and explained me about the general anesthesia. He said for young women like me what he was most worried about was vomiting and pain after the surgery. He said other than that I am going to be fine and he is going to give me pain meds after surgery. I was cannulated at about noon and sent to the theatre around 2pm.
There were three nurses at the door and one of them was going to assist my doctor. They were talking to me and asking my name/ DOB etc. and then at once one of them said she is injecting a drug through the cannula and it is going to make me have a burning sensation. then they put the oxygen mask and asked me to close my eyes. That was all I remember until I was awaken by a nurse telling me my surgery was over.
She asked me to grade my pain and I said I was having seven out of ten (I was too drowsy but felt considerable pain as I was laid supine on a trolley). Then she immediately injected some painkillers. I was feeling very sleepy although I was awake and my vision was somewhat blurred. The pain went away completely after a couple of minutes and I slept again. I have no clear memory of whatever happened in recovery but I could hear my husband coming in and the nurse instructing him about how to give my meds etc. then she fed me a cracker and apple juice. By that time I was ravenous but had some difficulty swallowing the crackers.
That evening my husband drove me home and I was given my pain meds and I went to sleep (I felt really drowsy). I can remember him waking me time to time for my meds. Other than that I slept peacefully without pain. I spent the next morning in bed mostly drowsy. The pain meds I was given made me drowsy. By noon I was up and about and still no pain. The nurse has instructed to give vicodeine ahead of my pain and I got it every 4 hours. i had some jelly for lunch and went to nap again. By 2pm I was due to take my pain meds but as there was no pain i did not take any. After about an hour I felt severely nauseated and vomited all my jelly.
For two days I could not retain anything in my stomach. Whatever went in came through the mouth and I was feeling weak and dehydrated. We thought it was the after effects of anesthesia as the anesthetist warned. But when I was not improved three days after I got worried and read about my pain meds. Then only i realized I it was the culprit (I was not given a antiemetic for vomiting when I came home from hospital). Since I did not have pain I stopped vicodeine and started Tylenol.
The vomiting immediately went away and I regained my appetite. I was feeling almost normal by post op day 4 when I got a call from the hospital. By that time my only concern was that i have not passed stools for 3 days. The nurse said I might want to use some Colace. I went to the drug store and bought some but did not swallow them that night because I did not want to go in the middle of the night.
Next morning (around 3am) I woke up and had some Colace. I waited until noon but still nothing. I had some dulcolax at home so I swallowed it at noon. This is post op day 04 and I was really worried now. Around 5pm I started having violent contractions in my bowels and it was painful as hell. However I still was not able to pass anything else other than gas. After about 1 hour I felt like I was going to pass out from pain. The doctor warned me I will get constipated with vicodeine. Now I am thinking may be there is a hard stool plug blocking the way and that is why I am having so much pain. Whenever the bowel spasms start I run in to the toilet only to pass nothing. But I could feel something coming down and it really hurt at the surgical site.
Finally after two hours and more than thirty trips to the toilet I decided this was enough. I popped in my finger and scooped out what was impacted in my anal region. The scooping was not really as much painful as bearing down when the bowel contractions came. So I continued scooping and removed several hard stools and suddenly like a coke being popped I was passing watery stools. That was such a huge relief and the bowel spasms went away with it. Ther was no blood in my stools and I was happy to have overcome the bowel spasms.
When it was all over I was worn out with stress and pain. That night I had dinner and went to bed early. Next day onwards I was passing stools with normal consistency. The lump is still protruding but the doctor said it will shrink off with time.
I still have pain when I get the urge to go but it is getting less and less. Now it is 8 days post op and yesterday I went for my first follow up. The doctor wanted to see me again in there weeks.
For me the surgery was a piece of cake. There was minimal pain at my surgical site and there was no bleeding. But I went to hell and came back with post op vomiting and constipation.
Would I do it again? Yes if I have to. i can deal with the surgery but post op complications I am not very sure!
Looks like I'm due for THD as well. I'm 41 and have had hemorrhoids for as long as I can remember - my experience tends to be an uncomfortable swollen feeling after bowel movements, with occasional pain and itching and traces of blood on the toilet paper. But last year things seemed to get worse, with about 5 weeks of daily bleeding whenever I sat on the toilet (the blood immediately dripping into the bowl). This was obviously quite alarming, so I went to the doctor who confirmed that it was due to the hemorrhoids (she also did a digital examination, just to make sure there was nothing more sinister further up the bowel). She asked if I'd like to be referred to the specialist at the local hospital who could decide whether banding or injections would be the most appropriate treatment. I thought I might as well take her up on this, as I'd already read that these were relatively quick and painless solutions to a nuisance that I admittedly could put up with but just as easily be rid of. Well, I saw the specialist yesterday morning and he seemed to be all ready to do the injection treatment but asked first if I suffered from a nut allergy as apparently there is almond essence in the sclerosing agent. I mentioned that very rarely I get a slight irritation to the throat if I eat something with almonds in, but so mild as to be of little concern. This was enough however to make him decide against doing the injections, but he said he'd still examine my anus with the proctoscope and then decide whether to get me booked in for a ligation procedure. I got a detailed commentary on his findings, as a medical student was in the room and I gave my consent for her to watch the procedure. He explained to her that as well having a look at the status of the hemorrhoids he was also checking for potentially more serious causes of pain and bleeding. He invited the student to have a look for herself through the proctoscope and she confirmed his assertion that my hemorrhoids were much more obvious than with the previous patient they'd seen. Once the examination was finished he filled out a form for me to complete and take up to the booking desk at the operations department so that I could get the ligation done at a later date. Until I got to the last part of the form I was convinced that I was being booked in for a simple banding procedure but wondered why there were questions about whether I had somebody to take me home and be with me for 24 hours after the procedure. Thinking this was a 'cover all' question which didn't apply to my case I asked the lady at the desk and she pointed to the 'General Anaesthetic' box on the front of the form which the specialist had ticked. Puzzled by this, I searched the NHS website when I got home and discovered that 'ligation' also means transanal hemorrhoidal dearterialization which requires the patient to be put to sleep - very different from the level of procedure I was expecting as a result of my doctor's referral. I would have thought rubber band ligation would have been tried first. Has anyone else found themselves 'fast-tracked' to surgery without the simpler methods being given a chance? Thanks anyway to GM for easing my trepidation with his positive account of what to expect.