Can I Remove an External Hemorrhoid Under Local Anesthesia?

I would like to have an external mole excised?

Hello Dr.
Ke: I would like to ask about a thrombosed external hemorrhoid I had previously.
The thrombosis has resolved, but now there is a residual external tag remaining after one month.
Can Dr.
Ke remove it under local anesthesia in an outpatient setting? How does the pain level and recovery time of this outpatient procedure compare to hemorrhoid surgery? I am really scared!

Gu Xiaojie, 40~49 year old female. Ask Date: 2021/07/14

Dr. Ke Fangxu reply Surgery

If the external hemorrhoid tissue left after the resolution of a thrombosed external hemorrhoid is generally small and rarely causes pain or bleeding, I personally do not recommend performing a surgical excision, as it may not be very meaningful.
If one wishes to have it excised in an outpatient setting under local anesthesia, I know that some physicians are willing to perform this procedure.
Postoperative pain is unavoidable, but it is less severe compared to traditional hemorrhoidectomy.
Wound recovery may take 2 to 4 weeks, depending on the size of the wound.

Reply Date: 2021/07/14

More Info

Yes, you can have an external hemorrhoid removed under local anesthesia. This procedure is typically performed in an outpatient setting, meaning you can go home the same day. The removal of an external hemorrhoid, especially after the thrombosis has resolved, is a common procedure and is generally well-tolerated by patients.

Procedure Overview
During the procedure, a local anesthetic will be administered to numb the area around the hemorrhoid. This means you will be awake and aware during the procedure, but you should not feel any pain in the area being treated. The surgeon will then excise the hemorrhoid, which is a relatively quick process, often taking only a few minutes.

Pain Management
In terms of pain, most patients report that the discomfort associated with the removal of an external hemorrhoid under local anesthesia is minimal. The local anesthetic will help manage pain during the procedure, and afterward, you may experience some soreness or discomfort, which can usually be managed with over-the-counter pain medications such as ibuprofen or acetaminophen.

Recovery Time
Recovery time after the removal of an external hemorrhoid is generally quick. Many patients can return to their normal activities within a day or two, although it is advisable to avoid strenuous activities or heavy lifting for a short period to allow the area to heal properly. In contrast, recovery from more extensive hemorrhoid surgeries, such as those involving internal hemorrhoids or more complicated procedures, may take longer and involve more significant discomfort.

Comparison to Hemorrhoid Surgery
When comparing the removal of an external hemorrhoid to more extensive hemorrhoid surgeries, the latter often involves more pain, a longer recovery period, and a higher risk of complications. External hemorrhoid removal is considered a minor procedure, while surgeries for internal hemorrhoids can be more invasive and may require general anesthesia.

Considerations
Before proceeding, it is essential to discuss your specific situation with your healthcare provider. They will evaluate your overall health, the size and condition of the hemorrhoid, and any other factors that may influence the procedure. If you have any underlying health conditions or concerns, be sure to communicate these with your doctor.

Conclusion
In summary, removing an external hemorrhoid under local anesthesia is a safe and effective option for many patients. The procedure is quick, with minimal pain and a relatively short recovery time compared to more extensive hemorrhoid surgeries. If you have any fears or concerns, discussing them with your doctor can help alleviate anxiety and provide you with the information you need to feel comfortable proceeding with the treatment.

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