The surgeon provides detailed patient instructions for adequate healing post-hemorrhoidectomy. Patients may also receive a special fiber-rich diet as well as pain medication and numbing agents to aid with post-hemorrhoidectomy bowel movements. Antibiotics and stool softeners are often prescribed after the procedure to facilitate the healing. Patients should also be willing to change diet and bowel habits as recommended.
Although a hemorrhoidectomy is typically successful long-term, it may involve significant risks. Complications of this procedure include short-term pain, bleeding, difficulty emptying the bladder, and urinary tract infections. These complications usually resolve in the weeks following surgery. However, greater complications can occur including hematoma, incontinence, infection, fecal impaction, rectal prolapse, narrowing of the anal canal and reoccurrence of hemorrhoids. The speed of healing and magnitude of complications post-hemorrhoidectomy vary. Each patient’s aftercare plan and level of compliance with aftercare instructions is a determining factor in overall success. An estimated 95 of 100 hemorrhoidectomy patients experience elimination of hemorrhoids without reoccurrence.