Prior to Procedure

You may have:

• A physical exam
• A rectal exam
• Anoscopy or sigmoidoscopy —a scope is used to see internal structures

Leading up to the procedure:

• Don't eat or drink anything after midnight.
• You will need to use a laxative to clean out the lower bowel.
• Arrange for a ride.
• Talk to your doctor about the medicines you take. You may be asked to stop taking some medicines up to 1 week in advance.

Anesthesia

This may be done with:

• Spinal anesthesia —You will be numb from the belly down.
• General anesthesia —You will be asleep.

Description of the Procedure

A cut will be made around each hemorrhoid. The swollen vein inside will be tied off so it doesn't bleed. The hemorrhoid will then be taken out. The wounds will either be stitched closed or left open to heal.

There are other ways this can be done. Your doctor will talk to you about which one will work best for you.

Immediately After Procedure

You will be monitored in a recovery area for a few hours.

How Long Will It Take?

About 1-2 hours

How Much Will It Hurt?

Anesthesia will keep you pain free. After the procedure, it can be controlled with medicines.

Post-procedure Care

During your stay, the healthcare staff will take steps to lower your chances of infection such as:

• Washing their hands
• Wearing gloves or masks
• Keeping your incisions covered

There are also steps you can take to lower your chances of infection such as:

• Washing your hands often and reminding visitors and healthcare staff to do the same
• Reminding your healthcare staff to wear gloves or masks
• Not allowing others to touch your incisions

To help you feel better faster:

• Don't strain, bear down, or hold your breath during a bowel movement.
• Don't sit on the toilet for long periods of time.