Hello everybody. I'm living with hemorrhoids from "always", I'm having grade 3 internal ones. Until 6 months ago I had not a lot of problems with them, sometimes occasional bleeding. From 6 months ago I'm having itching burning. Not very painful, pain level 1-2 of 10 but a constant one. I tried everything Preparation H, Anusol, Cortisone 2.5%, many more. Some of them working some of them not, but not a permanent solution. I had visits with a couple of surgeons all advised to me hemorrhoidectomy. Most of them want to perform conventional closed, one of them PPH Stapled Hemorrhoidectomy. I thought about THD but in my area, one institution is doing but it is not covered by my insurance. I'll have to pay $3,700 from my packet. I read many scientific articles about different methods as well as many message boards. According to all of them, PPH is less painful with a shorter time to normal activity. So questions, will you do it PPH Stapled Hemorrhoidectomy or any other one in a case like mine? On messages boards so many horrific stories. When I spoke with PPH I surgeon he gave me the "traditional" answer 7-14 days and I'll be OK. About horrific stories " most people having a positive experience and don't post on message boards". I don't know what to do? I would like to finish this inconvenience which I'm having but on another hand, I'm worried that I'm going to regret it and be in a worst situation than the current one. Any advice or opinion would be valuable to me.
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Hi, guest. Your concerns are valid, and choosing a surgical procedure can be daunting.
Here's a brief overview of the procedures you mentioned:
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Conventional Hemorrhoidectomy (Closed Hemorrhoidectomy): This is the traditional method where the hemorrhoidal tissue is removed surgically. It's very effective, but recovery can be painful, usually requiring pain medications. Complete recovery can take a few weeks.
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PPH (Procedure for Prolapse and Hemorrhoids) or Stapled Hemorrhoidectomy: This procedure uses a circular stapling device to resect a ring of excessive hemorrhoidal tissue. This reduces the prolapse of hemorrhoidal tissue. The main advantage is that the staples are placed above the level where you feel pain, leading to a less painful recovery compared to the traditional method. However, it might not be as effective for more advanced hemorrhoids. There's also a risk of complications like rectal perforation, though it's rare.
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THD (Transanal Hemorrhoidal Dearterialization): This procedure involves tying off the arterial blood flow to the hemorrhoidal cushions. It's less invasive and is associated with less pain. However, it may not be as effective for more advanced hemorrhoids, and recurrence might be higher than with the other procedures.
When deciding between these options, consider the following:
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Effectiveness: Ensure you pick a procedure that's effective for your grade of hemorrhoids. For grade 3, all methods could be effective, but some might have higher recurrence rates.
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Recovery Time: If a shorter recovery time is essential for you (due to work or other commitments), then PPH might be more attractive.
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Pain: PPH generally has a reputation for being less painful than the conventional method, but everyone's experience can be different.
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Cost: If one procedure is significantly more expensive and not covered by insurance, it's essential to weigh that against its benefits.
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Surgeon's Experience: The skill of the surgeon is crucial. A more experienced surgeon can often lead to better outcomes and fewer complications, regardless of the method chosen.
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Long-Term Outcomes: Look into the recurrence rates and long-term satisfaction of each procedure. Sometimes, the less painful recovery might come at the cost of higher recurrence rates.
It's true that people with negative outcomes might be more inclined to post online, but it's essential to remember that every individual's experience can differ. What's most crucial is feeling comfortable and confident in your decision.
Whatever you choose, I wish you a swift and comfortable recovery.
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