Hemorrhoid and Polyp Surgery: What to Expect Post-Operation - Surgery

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Hemorrhoid polypectomy?


Hello Doctor: After having a bowel movement, I feel a swelling sensation in my anus and have noticed a polyp-like growth.
A few days ago, I visited the clinic, and the doctor informed me that I have both internal and external hemorrhoids, as well as a polyp, and that I need to undergo surgery for removal.
I was a bit shocked to hear that I need surgery, and many questions have arisen since then.

1.
The doctor told me that after the surgery, I would be observed in the recovery room for a short time before being discharged, and that I wouldn't need to be hospitalized.
However, after researching online, I found that there are many types of surgeries, and traditional methods usually require hospitalization.
Is my condition considered mild, or will I be undergoing a different surgical approach?
2.
For surgeries like mine, where I can leave the same day, how long will it typically take before I can walk normally and return to work? A few years ago, I had a rubber band ligation for internal hemorrhoids, and for the first 2-3 days afterward, I felt very uncomfortable and had difficulty urinating without warm water.
I'm wondering if the post-operative experience will be similar this time.

Ba La Ba, 20~29 year old female. Ask Date: 2017/07/11

Dr. Ke Fangxu reply Surgery


1.
Complete excision of internal and external hemorrhoids generally requires a three-day hospital stay, primarily due to postoperative pain.
Only procedures such as external hemorrhoid removal or polypectomy may not necessitate hospitalization.

2.
Since I have not personally undergone this type of surgery, I cannot provide a definitive answer.
Please discuss thoroughly with your surgeon, including topics such as postoperative recovery, duration of pain, and the extent of excision, before deciding whether to proceed with surgical treatment.

Reply Date: 2017/07/11

More Info


After undergoing surgery for hemorrhoids and polyps, it is completely normal to have a lot of questions and concerns about what to expect during the recovery process. Here’s a comprehensive overview of what you can anticipate post-operation, along with some additional insights into the surgical procedures involved.


Understanding the Surgery
1. Types of Surgery: The type of surgery you will undergo can vary based on the severity of your condition. For hemorrhoids, options include traditional hemorrhoidectomy, which may require hospitalization, or minimally invasive procedures like rubber band ligation or laser surgery, which often allow for same-day discharge. Your doctor likely assessed your condition and determined that your case is suitable for a less invasive approach, which is why you can go home the same day.

2. Recovery Room Observation: After surgery, you will be monitored in a recovery room for a short period to ensure that you are stable and that there are no immediate complications. This is standard practice, even for outpatient procedures.


Post-Operative Expectations
1. Discomfort and Pain Management: It is common to experience some discomfort after the procedure. You may feel swelling or a sensation of fullness in the anal area, especially after bowel movements. Pain management is crucial, and your doctor will likely prescribe pain relief medications to help manage any discomfort.

2. Walking and Mobility: Most patients can start walking shortly after the surgery, often within a few hours. However, you should listen to your body and avoid strenuous activities for a few days. Generally, you can return to light activities within a few days, but full recovery may take a couple of weeks.

3. Returning to Work: The timeline for returning to work depends on the nature of your job and how you feel. If your job is sedentary, you might be able to return within a week. However, if it involves heavy lifting or strenuous activity, you may need to wait longer. Always consult with your healthcare provider for personalized advice.

4. Bowel Movements: After surgery, you may experience changes in your bowel habits. It’s essential to maintain a high-fiber diet and stay hydrated to prevent constipation, which can exacerbate discomfort. If you had issues with urination after previous procedures, it’s important to communicate this to your doctor, as they can provide strategies to help manage this.

5. Follow-Up Care: Regular follow-up appointments are crucial to monitor your healing process. During these visits, your doctor will check for any signs of complications, such as infection or excessive bleeding, and assess your recovery.


Additional Considerations
- Hygiene: After surgery, maintaining proper hygiene is vital. You may be advised to use warm sitz baths to soothe the area and promote healing. Avoid using harsh soaps or wipes that could irritate the surgical site.

- Signs of Complications: Be vigilant for any signs of complications, such as increased pain, swelling, fever, or unusual discharge. If you experience any of these symptoms, contact your healthcare provider immediately.

- Long-Term Outlook: Most patients experience significant relief from symptoms after surgery. However, lifestyle changes, such as dietary adjustments and regular exercise, can help prevent recurrence.

In summary, while the prospect of surgery can be daunting, understanding what to expect can help alleviate some anxiety. Your healthcare team is there to support you through the recovery process, so don’t hesitate to reach out with any questions or concerns. Remember, each patient’s experience is unique, and your recovery timeline may vary.

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