Hemorrhoids, also known as ”piles”, are natural cushions of tissue and veins located at the junction between rectum and anus. Along with the sphincters, hemorrhoids contribute to complete closure of the anus and prevent any leakage. During a bowel movement, these cushions become smaller to allow stool to pass through. Everyone has them, even newborns; problems only arise when they prolapse and become larger than they should. In fact, when Parks ligaments become loose for different reasons (pregnancies, childbirth, chronic constipation..), rectal prolapse occurs, then consequently hemorrhoids slide down to the anal verge, get enlarged, the overlying tissue becomes thinner and prone to bleed. For this reason is more correct to call the disease ‘hemorrhoidal prolapse’ or simply ‘prolapse’, since hemorrhoids are present in the normal anal canal.
Symptoms of rectal prolapse:
Symptoms of rectal prolapse can be related to
- hemorrhoidal prolapse like bleeding during bowel movements, swelling protruding from the anus, perianal skin irritation and itching
- obstruction caused by the prolapse like chronic constipation, prolonged and unsuccessful straining, feelings of incomplete evacuation, needing of a digital help to complete evacuation, laxative use and/or abuse
Hemorrhoids and rectal prolapse treatment:
As a general rule, most hemorrhoidal prolapses require only medication, lifestyle modifications and biofeedback, but some of them are best treated with surgery, especially when there is severe rectal prolapse, together with uterine and bladder prolapse.
Most of our surgical minimally invasive techniques are performed in a Day Surgery setting, guaranteeing a short, smooth and painless postoperative course and quick return to daily activities.
STARR (Stapled Transanal Rectal Resection) is a new surgical procedure that was introduced for such morphological anomaly. Longo proposed the use of two circular staplers: the first to reduce the intussusception and the bulging rectocele anteriorly, correcting the anterior wall muscle defect, the second to correct the intussusception posteriorly. In our center we are proud to offer even newer techniques, allowing us to use only one stapler with a bigger case (the so-called STARR-One procedure).
Don’t wait until your problems get more complicated, book your visit today!
*hemorrhoid surgery, same day hemorrhoid surgery