Fields of treatment / Surgery, laparoscopy, hernias, excision / Proctology: painless haemorrhoids treatment

Proctology: painless haemorrhoids treatment

Our new Proctology Centre is here to help you address your haemorrhoids problems. We treat internal and external haemorrhoids, anal fissures, marisques, anal abscesses, anorectal fistula. as well as pain when pooping.

Information and appointments

One Day Surgery Centre Hradec Králové
recepce@1chirurgie.cz / +420 495 269 768 (weekdays 10 a.m.-3 p.m)
Štefánikova 454/28a, 500 11 Hradec Králové (Hvězda Complex)

Haemorrhoids

Haemorrhoids are swollen and inflamed veins in the anus and rectum They most often occur due to a sedentary lifestyle of job, a poor diet that lacks fibre and fluids or strain while having bowel movements.

The two types of haemorrhoids depend on where they happen. External haemorrhoids are small, soft, wet swollen veins underneath your skin around the anus. They normally do not bleed and are not painful. Internal haemorrhoids can be seen as they form inside your rectum. They may bleed and be itchy.

The haemorrhoid grading system

  • 1st degree: small bulges that may cause mild bleeding
  • 2nd degree a large bulge that protrudes out of your anus, but comes back
  • 3rd degree haemorrhoids are larger than 2nd degree haemorrhoids, they have to be physically pushed back into your anus
  • 4th degree haemorrhoids are abnormally large bulges that protrude out of your anus permanently

Haemorrhoids treatment

You can treat haemorrhoids at home. To ease symptoms, apply medications. Try changing your diet. Soak in a warm bath. Clean your bottom properly. 3rd and 4th degree haemorrhoids are best treated surgically. Several treatments options are available.

The following conditions are treated:

  • haemorrhoids, also known as piles
  • anal burning or itching,
  • anal fissure
  • marisques
  • anorectal fistula
  • rectal bleeding
  • pain when passing a bowel motion
  • tumours, rectal polyps

Haemorrhoid examination

When you come to our surgery and you are suspected of haemorrhoids, we will ask you how long your symptoms have presented and how severe they have been so far. We will evaluate your symptoms, which are usually as follows: pain, rectal or anal bleeding, stomachache, bloating. In addition, information on secretions from the rectum, swelling or palpable formations, perianal itching, consistency and frequency of stools is necessary. Examination is by sight, palpation and digital rectal exam (inserting a gloved finger into the anal canal and rectum) There is also anoscopic examination, which involves inserting a short tubular instrument into the anus).

How do I get ready for the examination?

Getting ready for a proctology exam is a simple procedure. It is best if you empty your bowels. 

Treatment options

and painless procedure to treat haemorrhoids.  A small band is applied to the base of the internal haemorrhoid, which is then tied off. The haemorrhoid then dies, and the band falls off during bowel movements.  Treatment is limited to 1 haemorrhoid at a time. The procedure takes around 30 minutes. Two to four weeks later the treatment is repeated to treat remaining haemorrhoids. Usually, it needs to be repeated 5 times until there are no haemorrhoids to treat.

What are the benefits?

  • no need to take time off work
  • instant relief of symptoms
  • affordable price

The HAL-RAR (Hemorrhoidal Artery Ligation-Recto Anal Repair) operation is a minimally invasive form of treatment for all grades of haemorrhoid. It is safe, reliable and effective.

What are the benefits of HAL-RAR?

  • it can be used to treat all degrees of haemorrhoids, even those with prolapse
  • it is highly effective with minimum recurrence
  • minimum post-operative pain
  • done on an outpatient basis
  • no need to take time off work in most cases
  • improves quality if life in patients

What is the procedure like?

The procedure is done under general anaesthesia in the office and takes 20-30 minutes. A probe is inserted into the rectum to search for arteries using Doppler signal. When they are detected, the surgeon litigates them, cutting them off blood supply. This causes the haemorrhoids to shrink. In the case of prolapsing haemorrhoids, the prolapsing tissue is lifted and pushed back. The tissue scars over and integrates seamlessly back into the anal tissue.

This a classic treatment option to manage haemorrhoids. It involves surgical removal of prolapsing haemorrhoids. For the procedure, the patient is under general anaesthesia. The aim of the surgery is to cut out the haemorrhoids, bringing relief of symptoms in anus. The technique works, but function of haemorrhoidal zone can still be impaired.

Stapled haemorrhoidectomy is a minimally invasive technique for treating abnormally large haemorrhoids. It aims to prevent further pain, bleeding and prolapsing the haemorrhoids. It is suitable when conservative management (warm bath, anal suppositories, changes to diet) fail. It can be used to treat 3rd and 4th degree prolapsing haemorrhoids.

What are the benefits of staples haemorrhoidectomy?

  • post operative pain is minimized
  • quick surgery requiring short hospitalisation and time off work
  • favourable cosmetic effect
  • long-term solution

HEMORON is an apparatus used to generate low voltage impulse electrical current which closes arterial supply to the haemorrhoids. The treatment does not stimulate sensitive nerve endings and therefore eliminates local pain during and after the procedure. If performed correctly, it provides relief of symptoms.  Unfortunately, HEMORON treatment is not currently covered by Social Health Insurance system in the Czech Republic.

What are the advantages of HEMORON treatment?

  • according to scientific literature, this technique has the lowest number of complications
  • HEMORON does not cause scarring or suppuration
  • no need to take time off work for the patient or other restrictions

How to get ready for the procedure

Patients are advised to eat food that is light and easy to digest 3 days prior to the surgery. Rectum and colon cleanse is performed through orally administered solution

What happens during the surgery?

Haemorrhoid surgery is usually performed under general anaesthesia. It takes 15-20 minutes. A unique instrument called a circular stapler is inserted into the rectum. Tissue including vascular cushions is removed and then the loose tissue end is stitched together with special staples. This results in pulling hemorrhoidal cushions back up. After the procedure, a special tampon is inserted into the rectum to prevent postoperative bleeding, which is removed 1 day after the procedure

What are the risks of having a haemorrhoid surgery?

A very rare cases of major post-operative bleeding, haematoma or swelling in the anus, or damage to sphincter muscle have been reported.

How long do hospitalization and recovery take?

Patients are usually discharged on the day following surgery or they may stay hospitalized for another day. Normal, uncomplicated recovery should take around 4 weeks, during which the patients are recommended to restrict their physical activity. After 1 week they should be fit for work. Postoperative course includes lifestyle changes that should prevent constipation in patients. Patients should also drink plenty of fluids. It is also recommended to clean your anus in lukewarm soapy water after passing a bowel motion

Haemorrhoid related problems

Anal fissure is a tear in the lining of the anus, causing serious discomfort to patients. It happens when the stool is too hard or abnormally large. Acute anal fissure symptoms may include anal pain and blood from the anus. Medical treatment for anal fissures may include applying ointments or anal suppositories. You may also take a sitz bath or change your diet.

Chronic anal fissure causes permanent anal pain, bleeding, or a moist feeling to your anus.  Chronis anal fissure is a tear that won’t heal and must be corrected surgically by a minimally invasive procedure or by an open one.

These are growths of flesh that can be seen on the rectum. The happen because of anal inflammation or anal thrombosis. They may also develop after a surgery or injury to the anus. They can be one of the signs of an anal fissure or haemorrhoids.  They can be surgically removed under local anaesthesia in an ambulatory setting. Severe cases can be removed surgically too in an outpatient setting.

Anal fistula is sometimes called perianal fistula. It is an abnormal passageway that develops on the upper part of your anus. This area can become infected, and fistula is created. This infection is called a perianal abscess, which affects nearby issue. An abscess is a pocket of pus. Perianal infections and anal fistula develop separately, but you can also get it if you have Crohn’s disease or ulcerative colitis. Medical treatment (ointments, anal suppositories, antibiotics) can help first but a surgery is usually required to fix anal fistulas.

When you are an adult and have rectal bleeding, it can be a symptom of many different conditions, including cancer. It is important to contact a proctology specialist who will evaluate your condition and symptoms to determine what the cause is.

When you have haemorrhoids or anal fissure, you see bright red blood on your toilet paper when you wipe. When the blood drips or squirts or can be seen on the stool surface, it can be a sign of haemorrhoids. Dark blood can mean that you have internal haemorrhoids, but it can also point to higher up your colon where the source of bleeding may be due to an inflammation, tumour or diverticulosis.

Pain when pooping is a common condition. Type of pain may help point to the cause of it. Anal fissure causes sharp pain when passing a bowel motion. The pain lasts for several hours even after pooping Perianal abscess or inflammation cause dull, burning or throbbing pain. Your temperature might get elevated. Perianal thrombosis causes acute pain in your anus and swelling in the anus.  When you show these symptoms, proctology specialist examines your rectum by inserting an anoscope to determine what is causing the pain.

Benign tumours in the large intestine are non-cancerous. They are not life-threatening as they do not spread to adjacent tissue and other parts of the body. They can be easily removed.

Colon polyp is a small tumour in the shape of a dome. They can be flat and with a stalk. They can be found in the colon lining. They can be benign first, but they can grow into cancer. It is therefore best if they are removed. Patients that have had polyps before should have a colonoscopy on a regular basis.

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