Surgery for Haemorrhoids

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Surgery for Haemorrhoids

Dealing with haemorrhoids can be a challenging and often uncomfortable experience. These swollen veins in the anus can lead to pain, itching, and bleeding, significantly impacting your quality of life. While many individuals find relief through lifestyle changes and non-surgical haemorrhoids treatments, some may require surgical intervention for lasting comfort. Surgery can be difficult to think about but by understanding what it entails, you can make an informed decision about your health.

surgery for haemorrhoids

What is Haemorrhoid Surgery?

Haemorrhoid surgery refers to procedures used to remove or reduce symptomatic haemorrhoids. The goal of surgery is to relieve symptoms such as pain, bleeding, and prolapse that haven’t responded to conservative treatments like creams, diet changes or office-based procedures.

What are the types of Haemorrhoid Surgery?

There are several surgical techniques available. Your doctor will have to review your situation to recommend a suitable one.

Rubber Band Ligation

This office-based procedure involves placing a small rubber band at the base of an internal haemorrhoid, cutting off its blood supply. The haemorrhoid shrivels and falls off within a few days. This technique is suitable only for small haemorrhoids (grades 1 & 2 haemorrhoids).

Sclerotherapy

A chemical solution is injected into the haemorrhoid, causing it to shrink and harden. The tissue will eventually reduce in size. This technique is suitable only for small haemorrhoids (grades 1 & 2 haemorrhoids).

Infrared Coagulation (IRC)

Heat from infrared light is applied to internal haemorrhoids to cause scarring and reduce blood flow, making the haemorrhoid shrink.

Conventional Haemorrhoidectomy

This is a surgical removal of external or large internal haemorrhoids. It’s the most effective treatment for severe haemorrhoids but comes with a longer recovery period.

Stapled Haemorrhoidopexy

A circular stapling device is used to reposition and secure the haemorrhoidal tissue back inside the rectum. At the same time, the blood supply to the haemorrhoids is also removed. This procedure typically results in less pain than a traditional haemorrhoidectomy and a faster recovery.

When is surgery for Haemorrhoids recommended?

Surgery is usually recommended if:

  • You have grade 3 or 4 haemorrhoids (prolapsed and cannot be pushed back)

  • You experience repeated bleeding or severe discomfort

  • You have external haemorrhoids with thrombosis (clot formation)

  • Previous non-surgical treatments have failed

  • Haemorrhoids are interfering with daily life or bowel movements

Procedure for Haemorrhoid Surgery

Before Surgery

  • Consultation and Evaluation: Your surgeon will assess your condition, discuss your symptoms, and may perform a physical examination, including a proctoscopy.
  • Preparation: You may be asked to fast for several hours before surgery and take bowel cleansing medication.
  • Medical Clearance: Routine blood tests and anaesthetic evaluations may be required, especially if general anaesthesia is planned.

During Surgery

The procedure type will determine the setting and anaesthesia:

  • Outpatient procedures like banding or sclerotherapy are done in the clinic or endoscopy center with minimal discomfort.
  • Conventional or stapled haemorrhoidectomy is done under general or spinal anaesthesia in a surgical facility. The surgeon will remove or reposition the haemorrhoidal tissue. The procedure usually takes between 30–60 minutes.

After Surgery

  • Recovery Room: You’ll be monitored for a few hours before being discharged (same day or next day).
  • Pain Management: Pain and discomfort are expected but manageable with prescribed medication.
  • Hygiene and Wound Care: You may be advised to take Sitz baths to promote wound healing. The nurses will teach you how to do a Sitz bath.
  • Return to Activities: Most patients resume normal activities in 1–2 weeks, depending on the procedure.
  • Follow-Up: You’ll return for post-operative reviews to ensure proper healing.

Risk Factors for Haemorrhoids

While anyone can develop haemorrhoids, certain factors increase your risk:

  • Chronic constipation or straining during bowel movements
  • Prolonged sitting, especially on the toilet
  • Obesity
  • Pregnancy
  • Low-fibre diet
  • Family history of haemorrhoids

Cost of Haemorrhoid Surgery

The cost of haemorrhoid surgery in Singapore varies based on the type of procedure required and other individual factors. Quoting from the Ministry of Health Doctors Fee Benchmark, the doctors’ professional fees are as follows:

For haemorrhoidectomy (surgical removal of haemorrhoids)

Surgeons’ fees generally range from $3,000 to $3,800 (excluding GST).

For stapled haemorrhoidopexy

Surgeons’ fees typically range from from $3,400 to $4,200 (excluding GST).

These figures reflect only the surgical fees. The final hospital bill will also depend on:

  • Your choice of hospital
  • Length of hospital stay and recovery needs
  • Charges for anaesthesia, diagnostic tests, or other services
  • Your insurance plan’s co-payment, deductible coverage, and claims limits

All procedures are Medisave-claimable, which can help you cover part of the cost. Additional support may be available through your integrated shield plan or private insurance. For a cost estimate tailored to your situation, please consult with your hospital’s financial counsellor or care team.

Haemorrhoid Surgery FAQs

Some wound pain is expected, especially with traditional haemorrhoidectomy. However, pain management techniques and minimally invasive options like stapling can help reduce pain.

Recovery can take a few days to 2 weeks, depending on the procedure. You may resume light activities within a few days, but full healing may take longer.

A high-fibre diet with plenty of fluids is recommended to prevent straining. Avoid spicy and hard foods that could irritate the rectal area.

Yes, if risk factors like constipation and poor dietary habits persist. Lifestyle changes, such as regular exercises, and follow-up care can reduce recurrence.

Yes. In early stages, haemorrhoids can be managed with fibre supplements, creams, lifestyle adjustments, and non-invasive procedures. Surgery is reserved for more advanced or persistent cases.

Most patients take about a week off for recovery, but this varies. Your surgeon will provide personalised advice based on your job type and procedure.

You can take daily sitz baths, gently clean your wound area and avoid straining during bowel movements. You can also use any pain relief medications and stool softeners your doctor prescribes.

Consult Our Haemorroids Surgeons

If you’re struggling with the discomfort and challenges of haemorrhoids, know that you’re not alone, and there are effective solutions available. At Nexus Surgical, we prioritise your well-being and our surgeons are dedicated to providing personalised care and evidence-based treatments to address your specific symptoms and concerns.

Consult Our Doctors

colorectal cancer specialists

Dr Jane Tan Jye Yng

Colorectal & General Surgeon

Lim Khong Hee

Dr Lim Khong Hee

Upper Gastrointestinal, Bariatric & General Surgeon

Cost & Financing

Nexus Surgical provides comprehensive financial services to ensure a seamless and pleasant experience. 

Contact Us

Mount Alvernia Hospital Medical Centre A

(65) 6353 4855

Mount Elizabeth Medical Centre

(65) 6235 8633

Mount Elizabeth Novena Specialist Centre

(65) 6570 2720

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Notice on Clinic Relocation

Our clinic at Mt Alvernia Medical Centre A will be relocating from #06-05 to #03-03 (within the same building) on Friday, 26 Sep afternoon.

Our telephone line 6353 4855 will be temporarily unavailable from 12:00pm – 6:00pm on 26 September. During this period, you may reach out to our other clinics for assistance:

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Nexus Surgical clinics at Mt Elizabeth Novena Specialist Centre, Gleneagles Medical Centre, Parkway East Medical Centre and Mt Alvernia Medical Centre will be closed on 28 January 2025 for Lunar New Year celebrations, while our clinic at Mt Elizabeth Orchard Medical Centre remains open from 0900-1300 hours on 28 January 2025.

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