Health

Hemorrhoidectomy vs Ointment Treatment: Understanding the Principles, Detailed Procedure, and Side Effects

Many hemorrhoid patients consider undergoing a hemorrhoidectomy (surgical removal of hemorrhoids) or using ointment treatment to address their condition. But do you know the differences in principles, efficacy, and procedures between the two methods? And what are the respective side effects? The Bowtie Information Team has compiled relevant information to compare the differences between the two treatment options!

Author Bowtie Team

Date 2023-07-10

Updated on 2022-10-12

When is hemorrhoidectomy performed?Are there any other methods for treating hemorrhoids besides surgery?What are the differences between hemorrhoidectomy and ointment treatment?What precautions should be taken post-hemorrhoid surgery?Precautions when taking ointment treatment for hemorrhoid FAQ

When is hemorrhoidectomy performed?

Only less than 10% of hemorrhoid cases require surgery. Hemorrhoidectomy is usually necessary for external hemorrhoids or prolapsed hemorrhoids that are inflamed, painful, infected, or complicated.

Why do hemorrhoids occur?Learn about the causes, diagnosis, treatment, and prevention methods of hemorrhoids.

Are there any other methods for treating hemorrhoids besides surgery?

In most cases, if the patient experiences only mild discomfort, they can consider using ointments, suppositories, and medicated pads to alleviate symptoms, reduce itching and pain, and wait for the hemorrhoids to heal on their own.

What are the differences between hemorrhoidectomy and ointment treatment?

	Hemorrhoidectomy	Ointment Treatment
Principle	Removes internal or external hemorrhoids that are severe using different techniques	Removes internal or external hemorrhoids that are severe using different techniques
Efficacy	The most effective method for treating hemorrhoids.	Phenylephrine temporarily shrinks blood vessels, reducing swelling and discomfort, while pramoxine reduces pain and itching sensation.
Procedure	The doctor directly removes the hemorrhoids using sharp tools such as a surgical knife, scissors, electrocautery, or laser.	The ointment is applied to the affected area. Typically, patients are instructed to use the ointment 4 times a day (e.g., morning, bedtime, and after each bowel movement) or as directed by the doctor.
Pain Intensity	Patients receive anesthesia during the surgery and do not experience pain.	The ointment can alleviate the patient’s pain.
Suitable patients/conditions	Patients with severe hemorrhoid conditions	Suitable for most patients
Side Effects	Side Effects Common side effects: Pain Delayed bleeding Urinary tract infection Bowel obstruction Less common side effects: Infection Wound rupture Fecal incontinence Anal stenosis	Generally, ointment treatment does not cause significant side effects. Some patients may experience mild pain or stinging after using the ointment, and if the condition worsens, medical attention should be sought. If allergic reactions such as rash, itching, swelling, severe dizziness, or difficulty breathing occur, immediate medical attention should be sought.
Treatment Duration	Usually takes 30 minutes to 1 hour.	Usually takes about 7 days to take effect.
Chance of Relapse	Risk of Recurrence Approximately 5% of patients may experience relapse after surgery.	No relevant data available.

Click here to learn more about the latest fees and insurance claim instructions for hemorrhoidectomy.

What precautions should be taken post-hemorrhoid surgery?

Stay active, such as walking.
Avoid lifting heavy objects.
Keep the anal area dry.
Depending on your job type, you may need to rest for 1 to 2 weeks.
Consume high-fiber foods and drink enough water starting 2 to 3 days after the surgery.
If you are taking aspirin or other anticoagulant medications, consult your doctor about when to resume taking them.
If the doctor has prescribed pain medication, follow the doctor’s instructions. If no prescription pain medication has been provided, consult the doctor about whether you can take other over-the-counter pain relievers.
If the doctor has prescribed antibiotics, take the entire course as prescribed.

If there is no improvement in symptoms after using the ointment for 7 days, if there is persistent bleeding, pain, or worsening of the overall condition, seek medical attention as soon as possible.
Generally, hemorrhoid ointments should not be used for more than 7 days and should not be used repeatedly without proper medical guidance.

FAQ

How long is the recovery time after hemorrhoid surgery?

Patients typically require about 1 to 2 months for recovery after hemorrhoid surgery.

Can hemorrhoid surgery be performed during menstruation?

Yes, it can be performed during menstruation.

Is hospitalization required for hemorrhoid surgery?

It depends on the situation. Hemorrhoid surgery can be performed as an outpatient procedure, but in some cases, a hospital stay of 1 to 2 days may be necessary.

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Bowtie Team

The Bowtie Life Insurance Company Limited is an authorized life insurance company and Hong Kong’s very first virtual insurer approved. Through the use of modern technology and medical expertise, Bowtie offers an agent-free, commission-free and more convenient online platform for customers to quote, apply and claim for Voluntary Health Insurance Scheme (VHIS) anytime anywhere. Bowtie is ranked first in the direct channel sales throughout 2021.

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