Treating Piles

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What is the treatment for piles?
The treatment of piles (haemorrhoids) is dependent on its grade.
GRADE
1 & 2
Grade 1 and 2 haemorrhoids can usually be treated by increasing intake of fibre and water, thereby improving constipation and decreasing the need to strain when defaecating.
GRADE
2
Grade 2 haemorrhoids that do not improve with these measures can be treated with rubber band ligation.
GRADE
3 & 4
Grade 3 and 4 haemorrhoids may require surgery.
Surgery will not be required if your piles improve over time. If medication and non-invasive procedures are not effective, or if your piles continue bleeding, surgical piles removal will be recommended.
To schedule a consultation, please call 6454 0054
Conventional Haemorrhoidectomy
Conventional
Haemorrhoidectomy
The piles are removed with an electrocautery knife, and wounds generally take about 4 to 6 weeks to heal completely. The wounds tend to be fairly painful as the lower anal canal and anal skin are very rich in nerve endings. As such, strong painkillers and stool softeners are usually prescribed post-operatively.
Transanal Haemorrhoidal
Dearterialisation
An ultrasonic doppler probe is used to locate the arteries supplying the haemorrhoids and a stitch is then used to suture the artery, cutting off the blood supply of the haemorrhoids which then leads to shrinkage.
Stapled
Haemorrhoidectomy
A purpose-built circular stapling device is used to remove a circumferential ring of haemorrhoid tissue. This method works by removal of a ring of haemorrhoids, disruption of the blood supply to the haemorrhoids as well as pulling up of the prolapsed haemorrhoids to their usual position.
Ligsasure/Harmonic
Haemorrhoidectomy
The removal of haemorrhoids is performed with a vascular sealing device (Ligasure) or ultrasonic device (Harmonic). Some studies have found that these methods result in significantly less immediate postoperative pain after haemorrhoidectomy.
Laser Haemorrhoidoplasty
A laser probe is used to coagulate or burn the haemorrhoids. With only small puncture wounds, there is markedly less post-operative pain.
Ligsasure/Harmonic Haemorrhoidectomy
What to expect
after Piles Surgery?
  • 1
    Some pain and bleeding are normal, particularly in the first week after surgery. Oral painkillers and application of numbing medications will help relieve pain.
  • 2
    Ice packs applied to the anal area may reduce swelling and pain.
  • 3
    Frequent soaks in warm water or sitz baths help relieve pain and muscle spasms.
  • 4
    Antibiotics may be recommended after surgery to prevent infection and reduce pain.
  • 5
    Depending on the severity of each condition and the extent of the surgery, recovery period varies for each individual, with most people able to return to work within 1 to 2 weeks.
What to expect after Piles Surgery?
Follow-up care is a key part of your treatment and safety. We will walk with you from consultation and treatment to aftercare and recovery.
To schedule a consultation with Dr Tan within the same working day, please contact us at 6454 0054 or click here to WhatsApp. Alternatively, please fill in the form below and we will be in touch with you shortly.
Surgical Associates
Our Clinic Location:
Mount Elizabeth Medical Centre
#08-07, 3 Mount Elizabeth, Singapore 228510
Tel : 6454 0054
WhatsApp : 9012 0054
Fax : 6764 0054
Email : ask@surgicalassociates.sg

Opening Hours:
Mon to Fri : 9am to 5pm
Sat : 9am to 1pm
Sun & PH : By Appointment Only
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