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Beverly Hills · 435 N. Bedford Dr., Suite 308Mon–Fri 9:00 am – 5:00 pmMost PPO insurance accepted
Allen KamravaMD · MBA · FACS · FASCRS

Procedure

Operative

Hemorrhoidectomy

The definitive operation for large or prolapsing hemorrhoids — it is the most effective option we have, and we'll be straight with you: the first two to four weeks of recovery are genuinely sore.

Request a consultationSurgery is arranged with a coordinator by phone.
Setting
Operative
Anesthesia
General or spinal anesthesia in the operating room, typically as a same-day procedure
Back to work
Most people take 1 to 2 weeks off work, and the area can ache for 2 to 4 weeks
Pain relief
A multimodal plan — warm sitz baths, stool softeners, anti-inflammatories, and topical medication — with narcotics kept to a minimum
Success rate
98%

What it is

Surgical excision of hemorrhoids under anesthesia; definitive but higher morbidity.

Am I a candidate?

Grade III–IV or recurrent hemorrhoids failing office therapy.

How it's done

  1. 1You're asleep or numbed from the waist down — general or spinal anesthesia in the operating room.
  2. 2The enlarged hemorrhoid cushions are carefully removed through the anus, preserving the sphincter muscle beneath and healthy bridges of tissue between excision sites.
  3. 3Each wound is either closed with dissolvable stitches (the 'closed' technique) or left open to heal on its own (the 'open' technique) — both are standard and effective.
  4. 4Home the same day for most people, with the pain plan and stool-softening regimen already started.

What to expect

  1. Same day

    Home once you're comfortable. Soreness builds as the anesthetic wears off — take the pain plan seriously from the first dose, not after it hurts.

  2. First week

    Honestly, the hardest stretch. Bowel movements will hurt. Warm sitz baths several times a day, stool softeners, fiber, and fluids make a real difference.

  3. 1–2 weeks

    Most people return to work — desk work sooner than physical work. A little bleeding with bowel movements is normal; heavier bleeding, which occasionally happens later in healing as tissue separates, needs a call to the office.

  4. 2–4 weeks

    The ache steadily fades and most normal activities are back. Deep healing continues quietly for several more weeks after that.

  5. Long term

    The payoff for the tough recovery: of all hemorrhoid treatments, this one is the least likely to need repeating.

Risks & considerations

Pain, bleeding, urinary retention, anal stenosis (rare).

How well it works

98%

guideline

Success

n = 300 · 2020–2025

Long-term cure for advanced hemorrhoids; recurrence <2%.

Sources

CallBook