One of the most frequent questions in the consulting room is: "Do I need an operation?" The answer, in the majority of cases, is no. Surgery is indicated in specific situations and there are minimally invasive alternatives that resolve the problem without going to theatre.
Most cases do not require surgery
Grade I, II and III haemorrhoids — the vast majority of cases — can be successfully treated with outpatient techniques at the clinic. If a surgical recommendation has been made, it may be worth requesting a specialist second opinion.
Alternatives to surgery
- Rubber band ligation: a small band is placed at the base of the haemorrhoid, cutting off its blood supply. Indicated for grade II and III. Performed at the clinic, in the same appointment as the diagnosis, without general anaesthesia.
- Foam sclerotherapy: a sclerosing injection that causes the haemorrhoid to shrink. Particularly effective for grade I and II with bleeding.
When is surgery indicated?
- Grade IV haemorrhoids that remain permanently prolapsed
- Failure of minimally invasive techniques after several attempts
- Mixed haemorrhoids with significant symptoms that do not respond to other treatments
- Acute external haemorrhoidal thrombosis within the first 72 hours
What happens if I do not seek treatment?
Untreated haemorrhoids tend to progress over time. Chronic bleeding can lead to anaemia. The earlier advice is sought and treatment begun, the greater the likelihood of resolving the problem with conservative techniques and the lower the risk of eventually needing surgery.