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.
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.
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.
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.
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.