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Haemorrhoid Surgery (Piles Treatment)
Haemorrhoids, commonly known as piles, are swellings containing enlarged blood vessels inside or around the anus. They are extremely common and it is estimated that around half of all adults will experience symptoms at some point in their lives. Symptoms can include bright red bleeding after passing a stool, itching and discomfort around the anus, and a lump that may protrude from the anus.
While often manageable with lifestyle changes and over-the-counter treatments, persistent or severe haemorrhoids may require medical treatment. At Kinvara Private Hospital, we offer a full range of treatments from simple outpatient procedures like rubber band ligation to surgical options for the most troublesome cases.
Medically Reviewed By
Mr Vasu Karri, Medical Director • Updated 2026-01-25
The treatment for haemorrhoids depends on their grade and severity. Grade 1 and 2 haemorrhoids, which do not prolapse significantly outside the anus, often respond well to dietary modification, increased fibre intake, and topical treatments. If these measures fail, rubber band ligation is a highly effective outpatient procedure for internal haemorrhoids.
For larger prolapsing haemorrhoids (Grade 3 and 4), surgical options such as a traditional haemorrhoidectomy or a stapled haemorrhoidopexy may be recommended. Our experienced surgeons will assess your condition thoroughly and recommend the most appropriate treatment.
Diagnosis and Assessment
It is important to note that rectal bleeding can have other causes including more serious conditions like colorectal cancer. If you are over 40, have a family history of bowel cancer, or have other concerning symptoms, your surgeon may recommend a colonoscopy to examine the entire colon and rule out other pathology before treating the haemorrhoids.
Understanding Haemorrhoids
The anal canal contains cushions of tissue filled with blood vessels. These cushions help to control the passage of stool. Haemorrhoids develop when these cushions become enlarged and swollen, often due to increased pressure in the lower rectum. They are classified as either internal (arising inside the anal canal, usually painless but may bleed or prolapse) or external (arising below the dentate line, covered by sensitive skin, and can be very painful especially if a clot forms).
Internal haemorrhoids are graded by severity. Grade 1 are small swellings on the inside lining not visible from outside. Grade 2 may prolapse during a bowel movement but return inside spontaneously. Grade 3 prolapse and require manual pushing back inside. Grade 4 permanently hang outside the anus and cannot be pushed back in.
Benefits of Surgery at Kinvara
- Full range of treatments from banding to surgery
- Discreet private consultations for a sensitive condition
- Rubber band ligation performed as a quick outpatient procedure
- Experienced surgeons skilled in modern techniques
- Thorough investigation to rule out other causes of bleeding
What Causes Haemorrhoids?
Treatment Options for Haemorrhoids
Conservative Management
Surgical Options
Frequently Asked Questions
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