My Experience with THD - Transanal Hemorrhoidal Dearterialization

I'm looking for a doctor with good experience in THD. What would be some suggestions?

Had it done in last week - wish I did not

had mine done on wednesday

the pain is sending me thru the roof

have not been able to go to toilet and have a lot of gas



feels like a lump indside me

Hi GaryIrl, Just doing some resarch amd stumbled on this thread not sure if it is still relevant but I am a nurse in Ireland and have alittle inside knowledge. There are a couple of surgeons doing THD procedures in Ennis General in co Clare Mr. Condon and Mr Waldron both very well known and experienced surgeons in thier field. They have been carrying out THD for at least 6 months now I would defo recommend either surgeon. As like most things in life prsctice makes perfect Im sure Mr. Mulligan is quite the expert now as he was first in the country to my knowledge and must have numerous procedures done.Hope this helps.

I had this done in april and my roids are gone, but the area around my crack is all red still. Since I'm only 2 months out I guess I'm still healing, but will it ever look normal again?

I had mine done 5 weeks ago and definitely wish I had not been in and out of hospital ever since and am still in great pain.

It seems like there are posts where people either have great success, or are in terrible pain and don"t recommend this procedure. I am wondering why there are so many differences. Is it due to the severity of the hemorrhoids in general or perhaps how well the doctor does the procedure? I am scheduled for August 14, 2012 and would appreciate any feedback or guidance immensely. Thanks,
Chris

Not sure why there are so many differences only know I wish I had never had it done. Due to go back into hospital this afternoon at a different hospital to be put out and the new surgeon to see if he can find the reason for all the pain. Have already had this done by original surgeon. Will keep you posted.

I have a mixed hemorrhoid. But the external one is not big and not painful at all. I have bleeding everyday after banding for almost 4 months, but not painful. I have two small internal hemorrhoids, one of which is a mixed one (internal and external). Am I a good candidate for the HAL (similar to THD?)  procedure?

For those of you who do not recommend the THD procedure, would you rather go for the traditional hemorrhoidectomy if you had a chance to choose again?

I consulted two colorectal surgeons and they recommended hemorrhoidectomy. There is one doctor in the local area who can do HAL, but the next available appointment time would be several weeks away. I am afraid if he think I am not a candidate for the procedure, My  hemorrhoidectomy would have to be postponed to late August. At that time, the school would start, and I would not be able to send and pick up my kids during my recovery time. So I have to make a decision as soon as possible.

Any input or sharing of experience is greatly appreciated.

I had mine done about three weeks ago

I had THD surgery 4 days ago, to be honest I was expecting an easier recovery because I have seen so many post that are saying that the surgiry is almost painless. However my surgeon warn me that it will hurt more than the rubber band ligation, which in my case hurts  quite a bit, according to him my hemorrhoids were located in a place that was really bad pain wise.  He also told me that he may have to do some minor cuts if he finds too much hemorrhoid tissue, in order to prevent recurrences, now I have been 4 days post op and my first bowel movement was yesterday, and I felt like I was passing a melon, but I didn't had to push and my stools were soft and long, and I was done in 20 seconds, however today, when I went to the bathroom I felt the same contractions like yesterday, however today my bowel movement was small and skinny and i also saw a little bit of blood and some tissue wrapped around my stools, it was small, like 5mm diameter, I am also still in pain  and I see some prolapse, however does the prolapse suppose to disappear automatically after the surgery? does this tissue that I was seeing in my stools is a sign that I messed up some stitches? did you guys have a lot of swelling after surgery? I am a 30 years old female desperate to solve this problem.

Hi there,

 

I would like to say that this is a great forum, I learned more from here than from my doctor. I am a 25 yr old male who suffered from hemorrhoid since teen. Whenever I have a bowel movement my rectum would slightly prolapse and will be uncomfortable for about 20 minutes until it automatically slowly goes back (or I physically push it). Some times, one of this "prolapse" would remain there and form a painful thrombosed hemorrhoid which usually resolve in about a week to 10 days. I do not strain for BMs nor push hard yet my rectum still prolapse and will still get those hemorrhoid. My doctors tell me that the thrombosed hemorrhoids are external.

 

Last time I decided I am fed up and after reading about THD I thought this is a good option for me. I went to an "experienced" doctor with this procedure (according to him he did about 200 THD operations). At the time of the visit I had a throbmosed hemorrhoid which was in the "shrinking" stage. It was no longer painful. Upon examining me, he said that I have three hemorrhoid. One internal (which I never knew about, as I never had bleeding), one external hemorrhoid and one internal/external hemorrhoid as he called it which is the recently thrombosed one. He recommended the surgery to avoid having the problem and he told me that he can "lift" the rectum as well.

 

I did the procedure and today is day 8. After the operation he told me every thing went well and he is quite happy with the result. The post operation recovery was very painful and uncomfortable. I have very vigorous spasms (involuntary contractions) during BM's. On day 1 after taking liquid Lactulose, it provoked those spasms and allowed passing some stool but the pain of straining was extreme to say the least. I stopped taking it since then because I thought, my body is forcing those spasms on me anyway. I wasn't sure how bad my constepation was. During the later spasms/BMs I don't pass stool but pass pieces of blood/clots. Some times small pieces of blood coated dark stools are passed. However, I did not have a decent bowel movement until day 6. 

One the first week I did feel what could be a new external thrombosed hemorrhoid forming. When I say my doctor on day 4 he told me that this is not a hemorrhoid but rather a thrombosed hematoma which is supplied by a different network of arteries. He offered to lance it to remove the clot which will help relieve my pain. He did and that was taken care of. He told me that the reason I had it is that I am unlucky.

After that, as my bruise-type pain started to slowly ease, I started feeling like a foreign object is always in my anus. Before the surgery I would say this would have been a stuck stool ready to fall. However, obviously there is no stool. I did not put my finger to feel what is in there.

 

On day 6, and this is the important part, after getting really uncomfortable because of the constipation I decided to take a tablet laxative called Senokot. That did help with my constepation and allowed me to have a better BM on that day. During the night after a heavy dinner I sensed the urge to go and watched a video on the best position to pass stool while consetpated and applied that which helped in allowing a decent BM that night. However after that BM I felt like a decent size tube is prolapsing from my anus. It was very scary! I looked at the mirror and it was what I think is a new prolapsed internal hemorrhoid.I put my finger in and followed it along to about the second joint of my finger. It feels like a vein tube inside the wall of the rectum running from about 5 cm or more all the way to my anus and protruding. It is a very uncomfortable feeling but because I have been having all types of pain I can't tell when did it form.

This same prloapsed vein was seen forming in the next two BMs about 12 hours apart. Last seen, few minutes a go.

I went to see my doctor the very next day to express my deep worries about this new internal hemmerhoid. He examined me and said he could find any thing. I told him that I see it only after BMs and he told me that he can't find out for sure until he does a full colenscopy. 

 However, according to him he does NOT think that this is a new internal hemorrhoid. He thinks that this is a rectal swelling because of the operation. he told me that during the operation he lifted the prolapsed rectum and since I am still recovering this is likely to be a swelling rectum that will ease as I recover down the road and adjust to position. He says he can't confirm any thing until three weeks after the operation or even after by doing full colonscopy. I asked if he is wrong and it is indeed a new internal hemorrhoid how come it formed when he stitched the artery? He assured me that he stitched the main classical artery but told me there is a lot of arteries in the anus and he can't stich them all. It is possible that this one is supplied by different artery.

 

MY QUESTION is: Should I believe him in thinking that what I am seeing is just a post operation swelling or is it a new internal hemorrhoid that has formed which means this operation has in fact caused a new never existing before hemorrhoid despite?

 

On the positive side, my pain is easing to mild. The only pain I get is during BM. My other hemorrhoid seem to have "deflated" to a skin tag. It does swell a bit during BM.

 

P.S since the operation until now I am still bleeding. I see drops of blood every time I have a BM.

thank you for your thorough description of your experience. I see my dr. for the first time this tues. will schedule surgery then.



Thanks



Brian

I am so glad it worked for you but for me it certainly did not. Had the procedure in May and things are still not right in fact I have started bleeding again over the last few weeks. The pain I have experienced in these last few months had been unbearable. My surgeon cannot understand what has gone wrong and is again referring me to someone else.

Thank you for all the detailed information. My husband and I are trying to decide the best procedure to go for right now. His insurance doesn't kick in till December so he will have to deal with it till then. We have read some horror stories on the banding so that route really doesn't seem to be the way to go. The stories we are seeing on THD are much more hopeful. When things finally get done I will post my husbands story as well to help anyone else who was in our position of fear. Thanks again... :-)