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Old 03-11-2005, 05:57 PM   #1
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Question Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Hi. Not sure where to begin. First of all, thanks to everyone who has shared their often very painful stories of their rectal problems. It has been sort of reassuring to know that others suffer in silence for long times before dealing with them. Super embarrassing subject for me to deal with, but have had hemorrhoids for years. Now a constant "stage 3," in that they almost always prolapse outside the anus and have to be pushed back in after going. Bleed fairly frequently, but some of the naturopathic oils and ointments do help with that. Just can't seem to get them down below the size of a couple of grapes sticking out. Other than that, no real intestinal problems. I eat really well (fiber, vegetables and fruits, fish, some deer and elk, not a lot beef). No heartburn, virtually no indigestion. Had a colonoscopy in Dec. '03 and it came out totally clean (my dad died of colon cancer at 47, and I'm now 44, so watching the ol' pipes more closely). I'm fairly fit otherwise (bike, ski, snowboard, raft, kayak regularly as well as just general exercise). I grew up on a farm, worked 5 years in the oilfield (super-strenuous lifting, etc) and 12 years running river raft trips and doing construction (again, lots of off-balance grunt-lifting, etc). These damn things are a constant nuisance and source of worry, discomfort, and extreme embarrassment.
With all that said, reading all the threads about people's experiences with hemorrhoidectomies has me REALLY reluctant to see any doctor about getting them cut out. Is there anyone out there who has had the newer "PPH" stapling procedure done that can give me the long-term feedback on it? There is one person out there who keeps saying "don't do it" in their threads because their mother had such a bad time with it. That's not first-hand enough for me. Other threads I've read seem to be too recent to be able to give feedback from, say, a year or more post-operative. I am absolutely terrified of ending up with the wrong doctor that wants to just go in and cut them out after reading everybody's stories of complications, loss of bowel control, and severe pain even months later. It makes me think mine aren't so bad after all, but I know it can't be good for me to constantly have them popping out and getting shoved back in once or twice a day (it sucks, especially the cleanliness issues). I am just at a loss as to how to proceed. For one thing, the closest city that lists a doctor who does the PPH procdure is 260 miles from where I live. I am just trying to find some people who have truly had positive results, either way, and there don't seem to be too many on the board here. Any responses welcome, and thanks for taking the time to read this. I know it's a little long, but have been hesitating a long time to get this off my chest.

 
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Old 03-11-2005, 08:37 PM   #2
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Hey there worriedathelete,

I think that I can help you out with your question about the PPH procedure. I had the procedure done a little over a year ago. I initially went in for my external hemorrhoids and the surgean told me that if I had external, I probably had internal as well and suggested the PPH to clear everything up. First, I;ll tell you about the procedure. Yes, it actually was painless. I didn't believe it at first so I was pretty fearfull going into it but it was no big deal at all. I only took a pain pill that first day because of the pressure sensation in the rectal area. That is the only thing that you will feel. For the first 72 hours, you will feel a lot of pressure in the anal canal, but no pain. Now, if you can keep your BMs nice and soft, you should have no problems with recovery. BMs were not painful at all. You should actually feel great in about a week.

Now, I have serious problems with constipation and got TERRIBLE post op instructions from my surgean, so my healing process took a little bit longer. I could not have a soft BM to save my life, so consequently, I had a bit more pain and bleeding than the usual PPH patient (so my surgean told me). My externals are better, but they are not gone and still give me problems. This procedure was really meant for internal hemorrhoids like yours anyway.

If I were you, I would DEFINITELY give this a try first. You have stage 3 internals so you should be a good candidate for it. Just remember, and I can't stress this point enough, keep your BMs soft during recovery AND for the rest of your life so you do not have a recurrannce and have to go through the MAJOR surgery.

If you have ANY questions, please do not hesitate to ask.

GOOD LUCK

Dana

 
Old 03-11-2005, 10:21 PM   #3
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Smile Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Thanks for taking time to reply, Dana. This is encouraging. At least a year down the road you can give an honest evaluation. I have read too many of the other threads that describe all of the negative post-op experiences, and the idea of pain wasn't nearly as discouraging as the continued bleeding and loss of bowel control. Hope everything else finally works out for the best for you. I will have to start researching a doc in Salt Lake City now (closest place to my location). Much appreciated. W.A.

 
Old 05-11-2005, 02:47 PM   #4
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Question Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Thanks again to everyone on the boards who is posting their experiences with the "PPH" procedure. It is helping with the anxiety over doing something about my situation. Have been contacting specialists within driving distance, and plan to see one in the next few weeks. FireWoman, or anyone else who feels like responding: How did you pick the surgeon who performed the procedure? I feel like I ought to be interviewing them before letting them deal with such a critical area. Very concerned about post-op bowel control and some of the other complications I have read about on others' posts. Sounds like if the surgeon accidentally gets a hold of even a little bit of muscle tissue it can wreck bladder control, bowel control, sexual response, lots of things near and dear to my ol' heart to have good control over It is taking longer and longer for that swollen, "over full" feeling to subside from my bowels after a dump. Figure things are getting gradually worse. Need to find a qualified surgeon who has done a fair number of these things pretty quickly. If anyone has had this PPH procedure done in the Salt Lake City, UT area with good results, please don't hesitate to recommend their surgeon. Thanks. W.A.

 
Old 05-11-2005, 05:41 PM   #5
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Hey there,

Well, I had my surgery done by a general surgean, Frankly. I would choose a colo-rectal surgean because that is their specialty - the butt! My general practitioner really could not give me concrete answers when I asked him detailed questions about "butt" stuff because that is not his sole area of expertise. Sure, he could perform the procedure, but when I had to know detailed things about my constipation issues and recovery - just general post op stuff, he really couldn't give me the answers I needed. I had to find out from these boards.

In a nutshell, when it comes to that "area" you want the best of the best ya know. Colo-rectal surgean is the way to go and I know I can be backed up by many people on this board. There was even a previous discussion about this and everyone agreed to the colo-rectal surgean over the general practitioner.

Hope that helped

Dana

Oh yes, and I can definitely empathize with the fullness feeling after BMs. Now I only experience that when I am dealing with constipation.

 
Old 05-12-2005, 08:15 AM   #6
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Hey again. Thanks for responding. Yep, I agree that it's worth seeking out the colo-rectal specialist, and now preferably one who is well-experienced in the PPH procedure. I think I've read and re-read nearly every post on hemorrhoids and fissures on this board, with the exception of maybe all 180+ pages of Tammynoska's ongoing story (wow, that was one that had me really apprehensive about doing anything at all). Most folks seem satisfied with their choices to get SOMETHING done, though, regardless of which procedure. Now I just have to sort through the 9 colo-rectal surgeons that do PPH that I have located in the SLC area. Have to do my "interviewing" by phone first, and most of them want their staff to handle all of that. They are all over 4hrs drive from me, which makes office visits a real pain in the butt, no pun intended. So, I'm guessing from your username that you may be a firefighter. Are you back to 100% fit for duty, and how long did that take? I have a desk job, but am concerned about how long it could be before I could get back to biking, hiking, etc. Would hate to miss several months of anything, not getting any younger

 
Old 05-12-2005, 10:36 AM   #7
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Actually, my username is my favorite song by "The Cult" - Firewoman. Do you also have a fissure? You had mentioned fissures in your last past. I have one right now and I swear this thing will NEVER heal!! Don't worry about the procedure. It really is a piece of cake. I mean, you will feel a lot of pressure, but no real pain. And BMs are nothing - as long as you keep them nice and soft.

Keep me posted

 
Old 05-14-2005, 07:46 PM   #8
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

I had PPH last December. I had internal prolapse, almost completely blocked the anus. So my surgeon recommended PPH. As it turned out, there was also a hemorrhoid inside. My surgeon specializes in PPH surgery.

The preparation of the surgery was quite unpleasant for me. I had to swallow a lot of pills to clear all bowels at regular intervals of the day. In addition, I had to take high dosage of antibiotics in the evening. By the time I went to bed, I was exhausted.

At the hospital, I was given something in the IV to calm my nerve. I asked for that. Then I felt much better. Since I have acid reflux, I was given an awful tasting antacid (liquid) to take prior to surgery. It took only 45 mins. for the procedure. Recovery was painless. I stayed at the recovery room for a couple hours to finish the IV fluid. The nurse said that there's antibiotics in it. I asked her why so much antibiotics. She said that it's because of the type of operation and antibiotics is needed to kill off the bacteria. She also mentioned the other reason is that I have heart palpitation from my thyroid condition.

I was sent home then. No hospital stay. Our home is about a half hour from the hospital. Half way through I asked my husband to stop at any gas station. With all that IV fluid in me, I was ready to explode. That was unpleasant.

I was fine after that. I followed doctor's instruction carefully. I took stool softener daily and I ate soft food and lots of liquid. I was told NOT to push my bowels. No lifting or reaching for something high, such as kitchen cabinets. I did not experience any bleeding. No pain, just some discomfort when I passed my bowels. My advice to you is to pay attention to the post surgery instructions that the doctor gives you. It's important that the bowels are soft enough to go pass the surgical area. Do not be in a hurry to eat a steak dinner. You will know when the time is right to return to normal eating habits.

I went back for checkup after one month. My surgeon was very pleased with the recovery. She said, "Good, all your staples are still there." She asked me if I still had bleeding. I told her I never had any bleeding.

Here's a good article explaining the procedure.
[url]http://www.hemorrhoid.net/procedure_prolapse.php[/url]

Based on my experience, I would definitely recommend it. If you have any questions, feel free to ask me.

Blessing,
Linda

 
Old 05-16-2005, 12:31 PM   #9
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Smile Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

Hi Linda. Thanks very much for the detailed response. Thanks for the link to hemmorhoid.net, too, as that was a site I hadn't seen. Between you and FireWoman, and also reading BigBuddha's ever-lengthening story, I am gaining confidence to see this thing through. You mentioned that your surgeon said it was good that all your staples were still there. Are they permanent? I thought I had read on someone else's message that they do fall out/dissolve over time. I had also read on a message that someone had a steel "ring" up there somewhere. That didn't sound too pleasant. Luckily for me, I don't seem to have any other attendant digestive problems yet: no IBS, no Crohn's, no acid reflux (my Mom has that, bad), no other major problems. It is encouraging to see people returning to pretty much "normal" activity fairly soon after the PPH procedure, as opposed to the weeks and weeks of discomfort and incactivity for more invasive surgeries. Hopefully, I will be able to find a doc in SLC that I have confidence in. Thanks again. WA

 
Old 05-16-2005, 12:55 PM   #10
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Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

As far as I know, it's permanent. It's a titanium ring which will prevent future prolapse from developing. Try to find a surgeon who has experience in this type of procedure. It's a fairly new procedure, probably 3 or 4 years old.

Blessings,
Linda

 
Old 09-05-2006, 08:08 PM   #11
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Wink Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

I had a PPH done and I'm back where I started after two years. I had it done by a general surgon. Anywho I've made an appointment to see a hinny doctor and hopefully take care of the pain in my rear for good.

I wish anyone the best if they have the PPH, but as for me, is wasn't worth $8,000 charged by the physician and hospital. I didn't get the care I needed nor the support from my family.

This time I'm placing my trust in the God I know and the faith in Him to do what I can not do alone. I pray that He will get me to the right physician and have the correct procedure done that will end the pain that I constantly have. I can't keep taking pain killers, they don't work anymore and I have become addicted to them and they are killing me.

Sorry for the sad news, but the good news is that I have a better understanding of what I need to do. I wish anyone the best on whatever decsision they choose. May God bless you and give you the right Doctor's and care givers.

 
Old 08-10-2007, 01:52 AM   #12
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PPH help please HB User
Re: Anyone had the "PPH" procedure for Hemorrhoids, and your results?

I had the stapled hemmorrhoidectomy or PPH on 8/6/07 in the afternoon and went home that evening...I am not as sore anymore but I think I ahve the UTI since I'm leaking on my bed! To top it off, I havne't been able to go to the bathroom and feeling quite backed up...I need help. I feel uncomfortable. I've tried the warm water thing, still on collace, eating and drinking my fluids...please help me. what should i expect? the procedure i did was called PPH. i am terrified after reading all the threads and scared to death of having a bm but really wanting to have one...i just keep passing gas every few minutes...i need help. i feel lost, alone, embarassed, uncomfortable and have to go back to work on monday (i'm an hourly employee). on that note, does anyone know if i can claim some sort of disability through the state? i have no disability benefits being an hourly employee...please help me...thanks.

 
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