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Piles (Haemorrhoids) Treatment

Piles or Haemorrhoids

Wide Range of Piles Treatments

There are many ways of treating piles—ranging from conservative methods to surgical treatments—and they all depend on the location and severity of the piles.

Lifestyle & Dietary Changes

Medications & Creams

Rubber Band Ligation

Injections

Conservative methods work in many cases, and our clinic is well-equipped to facilitate them.

However, should the piles (haemorrhoids) be deemed too serious (generally 3rd or 4th degree piles) or are not responding well to conservative methods, then surgical piles removal will be recommended.

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When Will Piles (Haemorrhoids) Surgery be Considered?

While lifestyle changes and minimally invasive treatments often manage hemorrhoids, persistent symptoms or complications may necessitate surgery. Hemorrhoidectomy, a common procedure in Singapore, is typically recommended for large or severe hemorrhoids unresponsive to other treatments. Surgery for piles is often considered in cases of:

Prolapsed Haemorrhoids

Thrombosed Haemorrhoids

Strangulated Haemorrhoids

Severe and Persistent Symptoms of Haemorrhoids

Recurring Haemorrhoids

How Do You Prepare for Piles

Proper preparation is essential for a smooth haemorrhoid surgery and recovery. Patients are typically advised to make dietary adjustments, manage medications, and follow pre-operative care guidelines.

Medication may need to be paused to reduce the risk of excessive bleeding. Additionally, patients with conditions such as hypertension or diabetes may require modified medication regimens based on their doctor's advice.

Piles Surgery

Conventional Haemorrhoidectomy

Closed-Wound Haemorrhoidectomy

Stapled Haemorrhoidectomy

LigaSure Haemorrhoidectomy

Transanal Haemorrhoidal Dearterialisation (THD)

What Are the Possible Risks of Piles (Haemorrhoids) Surgery?

If patients experience excessive bleeding, difficulty urinating or defecating, or any signs of infection after a haemorrhoidectomy, they should contact their doctor immediately.
  • General Surgical Risks: These include bleeding and reactions to anaesthesia.
  • Infection: Though rare, signs of infection like fever, chills, nausea, vomiting, increasing pain, redness, swelling, severe discharge or bleeding should be reported to your doctor immediately.
  • Post-Operative Urinary Issues: Swelling or muscle spasms may cause temporary difficulty urinating (urinary retention).
  • Anal Complications: There is a risk of anal stricture (narrowing) due to scar tissue, and in rare cases, damage to the anal sphincter can lead to faecal incontinence (loss of bowel control).
  • Bowel Movement Issues: Constipation lasting over three days, even with laxatives, should also be reported.
If patients experience excessive bleeding, difficulty urinating or defecating, or any signs of infection after a haemorrhoidectomy, they should contact their doctor immediately.
Our colorectal surgeons are experienced in the field of minimally invasive piles surgery that will reduce post-operative pain, risks and recovery time for our patients.
To find out what treatment will be most suitable for you, please arrange an assessment with us.
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Caring for Yourself After Piles Surgery

Recovery time greatly depends on the severity of the piles (haemorrhoids) and the surgical method used. Regardless, here are some tips you can follow to facilitate better and faster healing:
  • 1. Keep bowel movements soft or slightly loose
  • 2. Take your pain medications as prescribed
  • 3. Apply your topical creams as prescribed
  • 4. Soak in a sitz bath to reduce pain and inflammation
  • 5. Avoid physical activities that may increase pain
Should you experience heavy bleeding or signs of infection (e.g. fever and pus), seek medical attention from your piles surgeon immediately.
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FAQs

How long will a haemorrhoid surgery take?

What happens if haemorrhoids are left untreated?

Can piles recur even after receiving treatment?

Is laser treatment for piles effective?

Our Surgeons

Piles Surgeon - Dr Dennis Koh

Dr Dennis Koh

Medical Director & Senior Consultant Surgeon

B Med Sci (Nottingham), MBBS (Nottingham),
MMed (Surgery), FRCS (Edinburgh), FAMS

Dr Dennis Koh is an MOH-accredited and experienced colorectal surgeon who specialises in piles treatment and is currently the Medical Director at Colorectal Practice.

Dr Koh strives to provide a customized treatment plan for each patient, which allows for better outcomes. He also honed his skills in proctology abroad in Geneva, bringing a more diverse touch to his practice.

Piles Surgeon - Dr Sharon Koh Zhiling

Dr Sharon Koh Zhiling

Senior Consultant Surgeon

MBBS (Singapore), MMed (Surgery),
FRCS (Edinburgh), FAMS

Dr Sharon Koh is an experienced colorectal surgeon and the former Director of Endoscopy at Alexandra Health.

Dr Koh completed her fellowship at Cedars-Sinai Medical Centre in the US after being awarded the Academic Medicine Development Award by the National University Hospital.

Piles Surgeon - Dr Pauleon Tan Enjiu

Dr Pauleon Tan Enjiu

Senior Consultant Surgeon

MBBS (Singapore), MMed (Surgery),
FRCS (Edinburgh), FACS

Dr Pauleon Tan has served in public hospitals for over 15 years and is experienced in minimally invasive surgery and endoscopy.

Dr Tan undertook advanced colorectal surgical training at Japan’s Saitama International Medical Center after being awarded the Ministry of Health – Health Manpower Development Plan (HMDP) Award.

Piles is a Distressing but Highly Treatable Condition
Contact Colorectal Practice for Personalised, Prompt and Effective Treatments for all Types of Piles
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