Haemorrhoidectomy is the surgical removal of haemorrhoidal tissue, reserved for larger or more advanced haemorrhoids that haven’t responded to less invasive treatment. Mr Kimble only recommends it when it’s genuinely the most appropriate option, and always explains what to expect before you decide.
What is a Haemorrhoidectomy?
Haemorrhoidectomy is a surgical procedure to remove haemorrhoids directly, typically used for grade III–IV haemorrhoids or where other treatments haven’t resolved symptoms. It’s more effective than non-surgical options for advanced disease, but involves a longer recovery than banding, THD® or Rafaelo®.
When it's recommended
- Grade III or IV haemorrhoids
- Haemorrhoids that prolapse and don't reduce on their own
- Symptoms that haven't improved with banding, THD® or Rafaelo®
- Combined or particularly large haemorrhoids
- Recurrent haemorrhoids after previous less invasive treatment
The right surgical approach depends on how many haemorrhoids you have and whether internal or external tissue is involved.
Your treatment options
The right surgical approach depends on how many haemorrhoids you have and whether internal or external tissue is involved.
For one advanced haemorrhoid, a focused excision removes the affected tissue directly.
Several haemorrhoids can usually be treated in the same operation, avoiding the need for repeat surgery.
Where both internal and external haemorrhoids are present, both can typically be addressed in one procedure.
General or regional anaesthetic can be used depending on your preference and overall health, discussed at consultation.
Recovery & aftercare
Most patients go home the same day. Mr Kimble and his team give you clear, written aftercare advice and a direct point of contact, with structured follow-up to make sure you’re healing well.
While haemorrhoids are usually harmless, any bleeding from the back passage should be checked by a specialist to rule out other causes. Booking an assessment gives you peace of mind.
This is the more involved end of the haemorrhoid treatment pathway, and it’s worth being upfront about it. Most patients experience discomfort for one to two weeks, well managed with prescribed pain relief and stool softeners to keep bowel movements comfortable. Full healing takes several weeks, but most people are back to desk-based work within one to two weeks.
