Operation

• External hemorrhoids if the pain can not be controlled with medication.
• Recurrent thrombosis of the same external hemorrhoid.
• Persistent swelling due to external hemorrhoids (at patient’s request).

External hemorrhoid resection involves removing the entire external hemorrhoid, the clogged up blood vessels and the skin covering them. This procedure is usually performed under general anesthesia.

When only removing the blood clot, the external hemorrhoid is incised at the level of the swelling, as much clot as possible is pushed out of the blood vessel by gently squeezing the swollen vessel

The procedure can be performed under local or general anesthesia depending on the severity of the pathology.

• Operation time: +/- 20 min.
• For resection of a hemorrhoid, the healing time is : 2 to 4 weeks.

Bleeding

• Incidence : 0,3%

Abscess / fistula

• Incidence : 2,1%

Recurrence of external hemorrhoids

• Incidence : 6,5% after +/- 24 months 

(Jongen J Excision of thromboses external hemorrhoid une local anesthesia: a retrospective évaluation  of 340 patients Dis Colon Rectum 2003; 46:1226 – 1231

Normal symptoms

• Anal pain is normal but should subside over time.
• A pressure in the anus and a false urge to defecate during the first days.
• Seepage of serous (yellowish) anal fluid.
• Fluid loss may be bloody but should subside over time.

Abnormal symptoms

Contact your surgeon or GP, or go to the emergency room:

• If pain increases over time.
• If fever does not subside over time.
• If pus volume increases or foul smelling viscous fluid increases.
• If blood loss persists.

If symptoms seem abnormal to you, contact your GP (general practician).

If this is not possible, contact your surgeon.

If you are unable to contact your GP (general practician) or surgeon, go  to the St Elisabeth hospital emergency department.

No incontinence.

No impact on sexual function