My Experience with THD - Transanal Hemorrhoidal Dearterialization

had thd with mucopexy done exactly two weeks ago. a few days ago, i noticed my bum hurt worse and had prolapse almost as bad as before. i noticed what appears to be a new internal hemorrhoid that looks raw and red at the end (maybe this is one that had been stitched up?) and a couple smaller external hemorrhoids that had never been there before. i've stayed away from straining, taking the exact amount of laxatives and fiber as recommended (there was only one incidence of straining and my bum looked and felt exactly as it had prior to this new incidence). i have a follow up appt in two weeks since my doctor is out of the office until then. i have been in panic mode for the past few days and though my doctor says this is a normal part of the healing process, i don't understand how it could have happened overnight from neat and tidy to worse than before. can anyone give me any advice or hope that this will get better?

Hello there!
I got hemorrhoids during my pregnancy and giving birth naturally, to a big baby.
I tried band ligation a couple of times - worked only for certain period and only for three. So I was bleeding every time during BM and I had skin tags appeared. I got really sick of all this and thus decided to go through the THD.
I did it 8 days ago, and together with I had 4 skin tags removed. Those two procedures at the same time were awful combination, but I had to. The surgery was done with spinal anesthesia, which was ok during the actual surgery, only that I was feeling extremely cold and shaking like crazy all the time. I guess it would have been my nerves, because at one point they injected something and i felt relieved for a little while.
After the operation the pain was existent, but relatively bearable; I stayed in the hospital until the next morning, and was given Analgin shots every couple of hours. I urinated without problems after the anesthesia got away, and before that I had a catheter.
The next day post op I started feeling a terrible headache, it was like hell, I couldn't stay on my feet for a minute. They said it was the anesthesia - i got punctured 5 times until they got it right!!! Painkillers did not help. The headache distracted me from the actual pain in the butt; it was awful because I had 7-10 BMs per day, and had to take shower after each one and make sitz bats, and I could barely stay on my feet. A perfect hygiene was a must because of the cut skin tags. 3 days after, the headache went away, but a noise and high pressure in the ears appeared for two more days. Together with these, BMs were a nightmare! I was all shaking, sweating and crying. The urge to defecate was very strong, but hardly anything would come out, I needed instinctively to push, but I knew I must not, and the pain was horrible. I bought a child potty and did it in it, as this position is easing the passage. After the 7th day things got a bit better with the pain, but still at least 6 BMs per day... I called my doc and he confirmed it is normal, and will be like this maybe a month or more!!!! It is awful, I cannot go out of the house, because when I feel the urge, I cant stop it, I have to immediately go to the bathroom. And it is not just a feeling, believe me, I once tried to hold it and it just went out in my pants.... Words cant say the humiliation... :((((((
So now is day 8, pain is bearable, but still 7 times BMs per day, it is just killing me. It even wakes me up during the night.
I really hope this hell ends soon. Will keep you posted.

PS: I live in Bulgaria, and there is absolutely nothing on the topic in the local forums...

Hi, I just registered to help readers in following up. I forgot to say, that my hems were stage 3. So maybe band ligation could help if you have less number and at a lower stage. Also, for those considering THD - go for it. I think the pain is totally bearable, just make sure you have at least 10 days for a full rest post op. My terrible pain was mostly because of the cut skin tags, they hurt much more than the THD.

If you have to go through this only for a month then you're seriously lucky.

I'm in Ottawa, Ontario and I had 4 LARGE Internal Hemorrhoids. Doctor was shocked at how large they were. So he decided that the best Treatment was.... Rubber Band Ligation????

When I had the Hemorrhoids things wouldn't move through me but I was used to filling full like that. Now that things are sort of moving through me and I'm going 8-10 times a day it's extremely painful. I've been dealing with the many bowel movements now since the beginning of February.

From what I've been reading what you're going through is from the swelling from having the Procedure done. The Hemorrhoids have been popped and now you have to wait for the swelling to go down.

Doctor wants to do a Colonoscopy on me in 2 weeks to rule out any thing else wrong with my Bowels (the Prep for that is going to be tons of fun considering I still have two Golf Ball sized Roids) and then Band the last two.

I begged him to do something other than the Banding.... I even asked for a Traditional Hemorrhoidectomy... but the only thing he would consider is banding.

When you have one Banded it bursts in a day or two.... trust me, you don't want to know what is inside of them.... then they bleed for a further day or two before it's back to having 10 Bowel Movements a day. Plus from what I've seen looking in a Mirror the first two Bandings popped the Hemorrhoids and reduced them by about 3/4's but they are still there... on the outside...

I wish I had a Doctor that would do the THD Procedure but I'm in Canada and Doctors in every Specialty are part of a Team so even if I asked for a 2nd Opinion it would be the same procedure that the first Doctor recommended.

I am so sorry to hear, sounds like terrible experience! I dont know what to advise, maybe a fiber diet to ease the passage... I have done colonoscopy, under full anestesia, the procedure itself and afterwards is completely fine, the only bad thing is the Prep, really.

For my case - an update - its official - things get much better after day 10, when I had the first proper BM, with much less pain and in a normal qty. It is day 13 now, and I am feeling great, just 3 BMs per day, almost painless.

Today is Saturday. Mine was performed Fri. Mine was painful (not like the traditional) but I had 6-8 internal he had to do something else with another 2-3. Not sure the numbers are 100 still haven't pooped. Taking a stool softener. Glad I did it, if any else has them do this..

Thank you for sharing. I am scheduled for the surgery next week & you make me feel better. I was terrified but now realize I'm gonna feel much better after & that's the main goal.

Hi! After suffering from piles pretty much all my adult life (I'm 42) I had the THD plus mucopexy yesterday morning in the UK. Last year a surgeon wanted to do a full traditional haemorrhoidectomy on me (three huge internal hems with permanent prolapse) but I'd read enough to know I didn't want that, because of the potential complications and recovery period. I could write a book on everything I've tried to heal myself - peppercorns, garlic suppositories, buttplugs (don't ask), coffee enemas, massaging the haemmorhoids (GROSS!), to name but a few. Nothing at all worked.

These hems had completely overtaken my life. Flare-ups at least twice a month that put me flat on my back for a week. One thing I've noticed in the millions of posts I've read on the internet is that whilst everybody complained of the physical aspects, the aesthetic aspect wasn't really discussed, nor does it seem to be a priority. I'd even read of people saying they didn't care what they looked like after, they just wanted to be pain free. People seldom post about how they looked afterwards, which I've found frustrating.

Maybe it's vanity on my part but the way my backside LOOKED is a major issue to me. If you're in a loving, committed relationship then I'd imagine your other half would be supportive and it'd be easy to show/talk about it with them. But imagine meeting a new partner and having to explain that an inch of your rectum is permanently hanging out of your anus, often thrombosed, bleeding and strangulated. I wouldn't want to be in close proximity someone else's piles, so why the hell would they want to be near mine?! Suffice to say, I've been single for a long time and I'm not happy about it. Getting rid of the hems is extremely important to me, but it is IMPERATIVE that my backside looks normal afterwards. No skin tags, nothing.

I got lucky with the latest surgeon I was referred to last October. Before he came to my area a couple of years ago, no surgeon here could do THD. The very first time I saw him he suggested it and explained how it worked, and it made perfect sense. He initially disputed the prolapse, saying it was skin tags. By this point I was pretty clued up (as we all are who spend hours and hours reading about our conditions) and told him I was certain it was a mucosal prolapse because the lines/creases were radial rather than circumfrential and because of the shape. After I had a flexible sigmoidoscopy in January this year, the chap who performed that stated I had rectal prolapse and finally my surgeon concurred. HALLELUJAH! My surgeon said he would do THD with a mucopexy and warned me there will probably be further procedures.

So yesterday morning I arrived at the hospital at 7.30am and by 9.45am I was in the operating theatre awaiting anaesthesia. They had previously explained that my surgeon would inject me internally with some very strong drugs (painkilliers or local anaesthetic, not sure) at the end of the procedure which will numb me for a long time afterwards. Prior to knocking me out, I was given a hit of something through the cannula which was very enjoyable, like being a bit drunk. Two minutes later they gave me the knockout stuff.

I looked at the clock in the recovery room and it was 11.15am, so I'd been unconcious for an hour and a half. I was shaking uncontrollably but they said it was normal. When I got back to the ward I needed to pee BADLY and they brought me a bed pan but I insisted on getting up and going to the toilet, dragging my drip behind me. It felt like I'd been kicked in the arse by someone wearing steel toe cap boots. I couldn't pee,at all.

I was given more painkillers, which were great and slept for a bit. They said I couldn't go home until the evening and I had to pee first. The noise on the ward was awful, I had a groaning old lady next to me, everyone had their tv's on and we had an hour of cleaners clattering and banging. Not to mention the constant beeping of machines, which I have to say was like Chinese water torture. This is how bad it was - I'm pretty much deaf and use hearing aids, I switched them off but the noise still drove me mad.

It probably wasn't the best idea but I discharged myself at about 3.30pm yesterday, I just knew I'd be better at home. The nurses were annoyed but it's not like they can stop you. I was given codeine, paracetamol and ibuprofen to take with me.

When I got home I managed to pee about a thimble full. All my private parts were completely numb and stayed numb till the evening. The last 24 hours have been a cycle of sleeping for a couple of hours, watching documentaries, waking up needing to pee but only managing a squirt, drinking green tea and taking tablets.

The pain was pretty bad last night, I'd say it was comparable with a really bad, strangulated flare-up but my mindset was different. The pain was caused by this hideous affliction being mended and corrected, so it's a really good pain. To be honest, the burning desire to pee and being unable to has caused me as much discomfort as the site of the surgery. Thankfully, this afternoon I have been peeing a lot more. This is a relief as I really didn't want to have to turn up to a hospital or doctors surgery asking to be catheterised.

I haven't had a bowel movement yet but it's on its way and I am SCARED. Keep telling myself it can't be worse than having a BM whilst having a bad flare up. I just know it's going to be hell on earth.

I'm also pleased to report that I look a lot better aesthetically. I'd use the analogy of a wrinkly sock being pulled up, everything looks quite tidy and I actually have an anus again. I see a large hem lurking and poking out a bit, but I'm not too concerned right now, those haemorrhoidal arteries have been sutured and that little demon is going to drain and shrivel away. Got to stay positive!

Forgive me if I've rambled, these codeine are very strong and I feel a bit sparkly haha. I will post daily updates, possibly at times with TMI but hopefully someone may find it useful.

Hi GM,

I just read your story with THD procedure. I am trying to have THD done, as well but having problem with insurance. Insurance is not approving. Did you had a problem with insurance? Any suggestions on how to resolve tell issue and get her procedure done.

Thank you

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hi - im also in the UK and going in to have THD on the 9th June. just wondered how you were getting on and if the "back to a normal routine in 4 days" is applicable to you?

Can anyone tell me if they do this procedure in Canada and where? I have been on a waiting list for about 2 years for this surgery and am currently looking elsewhere.

Baths are not supposed to be taken after this procedure.

Was treated for hemorrhoids with creams and sitzs baths months before procedure was requested. You need to show that other less expensive methods have been tried and failed.

I would never do it again if given the choice. Terrible recovery and bowl incontinence. Worst pain and experience ever. And I an 5 weeks out. That's the truth you won't find online.

Hi....sorry for my english. Did you have your thd? Please tell us....