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Old 12-11-2007, 12:17 PM   #1
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Anyone had the staple hemorrhoid removal surgery / PPH ???

Hi all... I am scheduled to have the staple hemorrhoid removal surgery (PPH) in just about a week for an internal hemorrhoid.

Has anyone had it already, and what is your experience with the recovery? I've heard that this type of procedure can get infected pretty easily. I'm really getting nervous.

I can use any help I can get at this point!
Thanks!!

 
Old 12-15-2007, 11:55 AM   #2
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

OK... another question -- I am having this staple surgery this Wednesday (the 19th). I am hoping to be recovered enough to attend a family Christmas Eve party on the 24th (5 days post-op). I chose this method of surgery because I wanted an easier recovery time than surgery. Does anyone have any experience with this PPH procedure? Thanks SO much once again!

 
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Old 12-18-2007, 07:21 PM   #3
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hi, I had this surgery done in July 2005. Exactly 6 months after the op all my old symptoms reappeared. So I don't consider my experience a success. I had internal and external hemms. Although my recovery period was not as excrutiatingly painful as some others have mentioned on this board, it did take me about 8 weeks to recover completely. One of my symptoms, post op, is an urgent need to go. Two and a half years after the op, I still need to get to the toilet in a hurry. I cannot hold it in and apparently my spincther muscle was NOT damaged in the op. Extreme urgency has been noted in some people after PPH surgery.

 
Old 12-19-2007, 06:10 AM   #4
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Wow, sounds like you wish you would not have even had this particular procedure. Thanks for your input.

I am going in (in exactly 30 minutes) for the PPH, and I've made up my mind to go through with this. Does any one have any success stories or other experiences they'd like to share? I would appreciate it!! Thanks again Mizzbee.

 
Old 12-20-2007, 09:29 AM   #5
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hello Flygirl, Well the surgery is now over and you should be well on the road to recovery. If you need to discuss anything, I am happy to advise you of my experiences. Isn't it strange how one forgets the pain after so many months. I actually don't remember having that much pain, although I do remember panicking when I thought I had run out of painkillers (Myprodol)

 
Old 12-20-2007, 12:35 PM   #6
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Yes!! Yay.... The surgery is over. Today is Day 1 post-op, and I've been feeling pretty good. I do have soreness and pressure on my bottom, but with the help of my painkillers and lots of sleep, it hasn't been so bad.

I have been searching for advice/experiences on this PPH procedure, and not a whole lot has been discussed about it. Mostly people are discussing the traditional cautery knife surgery, and that is what I was originally signed up to do. However, after reading all of the horror stories, I opted for the easier recovery time.

I haven't had a bm yet, but the nurse said that was normal. I am eating all the right foods, and with the help of this message board and the amazing Recovery Guide by TacamaGuy, I am in high spirits that everything will be OK.

Mizzbee -- I am so sorry that you are experiencing all of the same symptoms. Are you actually considering surgery now? Also, I had heard that a small percentage of PPH patients experienced "an urgency to go" -- wow. That is something you have to live with now. How bad is it, if you don't mind me asking? What kind of pain/experiences did you have in those 8 weeks of recovery? (I know it's easy to forget the pain--which is good!) My doctor told me I could be back to work in 3 weeks, since I lift a little in my profession.

Thanks for your support, and it's nice to talk to someone who has actually gone through this. It's just a little embarrassing to talk about to my friends!

~Flygirl

 
Old 12-23-2007, 06:26 AM   #7
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hello Flygirl. Sorry about not replying sooner, but I don’t have 24 hour internet access. I hope you are now feeling well enough to attend your family Christmas Eve party on the 24th. No ways, was I ready to go out so early after the op. I had my 1st BM on day 2 after the op. Sorry, I did not mention that I also had a colonoscopy. The all clear was given although apparently the photo images received were not too clear????. My specialist surgeon thought that it was a bit soon to have a BM especially as the meds for the colonoscopy clears out everything from your colon. To my knowledge I have never been constipated. I have never had any bleeding from haemerrhoids, so did not even know that I even had them. Let me make a small correction to my 1st mail. I had thrombosed internal hamerrhoids and three external skin tags.
I don’t recall being in too much pain after the op. The Myprodol definitely helped. That is all that I was given. Absolutely nothing else. No stool softners, no advice, no nothing. I only discovered this board much later which has been a godsend.
I do remember however, the awful internal itch which lasted for about 20 minutes after every BM. If I could have reached inside I would have ripped out those staples. Are they still there???. I don’t know, but the itch has gone. As I mentioned before, it took about 8 weeks for full recovery and a further 4 months of bliss before the hell broke loose again. But that is another story. Have a great Christmas and let me know how your recovery is going. Be good.

 
Old 12-23-2007, 07:36 AM   #8
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Good morning! Today is Day 4 post-op, and tomorrow is Christmas Eve. I think yesterday I was so hungry (and so tired of eating bran cereal, fruit, and plum juice) that I maybe overdid it a little. I had a chopped up chicken sandwich on whole wheat bread and even some chocolate. I know now that was probably a bad idea because I have to have a bm so bad, but I don't want to strain down there, for fear of losing a staple or two.

Anyway, it's going to be all bran cereal, stool softeners and apples/pears today for me. Maybe by tonight I'll feel like Eric Carle's Hungry Caterpillar (do you know that children's book in South Africa?) -- all healthy again.

I think I will be just fine going to the family party tomorrow night (that will be Day 5 post-op). I am SO glad that I opted for this procedure. I've been at home (on either the prescribed pain killers or Ibuprofen) and I'm doing light housework, hobbies, I can sit on my bottom, and it really isn't that bad! The recovery time for the traditional surgery would have been much more invasive compared to this!

Mizzbee -- as for the staples, my doctor told me that it is OK if some staples come out. I dread having symptoms of itching or like you said "an urgency to go". I feel bad for you -- and I pray that you get 100% back to normal. Your words of experience are really comforting. Happy Holidays to you!

Merry Christmas / Happy Holidays everyone!!!
~Flygirl

 
Old 12-24-2007, 09:57 AM   #9
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Happy Christmas Eve!!! Today is Day 5 post-op and I feel fabulous.

I ate lots of good fiber-rich foods yesterday, including fresh veggies on pizza! I woke up this morning and had my first good bowel movement. This whole week I've been basically cleansing out my system from the liquid laxatives to prep my body for the surgery.

I am officially not taking any more of my painkillers (don't need them) but I am taking the Ibuprofen just in case.

I am going out this evening to the big family party -- and I cannot wait. Being cooped up in this house is making me stir-crazy!! I also officially made plans to see the Nutcracker ballet this week, since I know that I will be just fine sitting on my bottom that long.

I have got to hand it to you people out there that did go ahead with the traditional knife surgery -- Wow. I cannot imagine what you've gone through.
In the long run, I'm sure that is a good choice--because those hemorrhoids will be forever gone. If the recovery time weren't so horrible, I would have chosen that method. Still, I feel confident that I made the right choice with the PPH staple procedure, for my particular situation. I had one small internal hem that is out of the way now, and will not impede on my health anymore.

I just pray that my long-term results from this will be worth it.... Does anyone else out there have a success story from PPH? Please share!

To my friend Mizzbee -- Have a magical Christmas!!

~Flygirl

 
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Old 12-24-2007, 03:05 PM   #10
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hi Flygirl,

I had my surgery the same day you had yours. I had the PPH surgery and a skin tag removed. The skin tag was a daily cause of discomfort for me as it made cleaning after a BM difficult and would get irritated rather easily during activities. I had to put preperation-H around the area after every bowel movement to prevent irritation and sometimes more often than that. I also had an internal hem that would occasionally prolapse without much pain and then recede in a couple of days. I dealt with this for about 5 years because I had heard horror stories about the traditional Morgan-Milligan surgery. I then heard about the PPH surgery and talked with a Colorectal surgeon and he said I was a good candidate for the procedure.

I can definitely say my recovery has not been as good as yours, maybe it has to do with the fact that I also had a skin tag removed. I passed some blood the first night and had difficulty urinating for a couple of days as well as muscle spasms and urgency. I had no problem having BM's but I must of had 4 or 5 of them the first 4 days, too many for my liking. Today was a bit better as I have only had two BM's but the percoset made me mildly constipated and the BM's were uncomfortable, back to the milk of magnesia tonight. I do feel a bit better every day and the spasms and feelings of urgency are less frequent, I only hope that trend will continue. Good luck with your recovery and keep posting with updates.

 
Old 12-25-2007, 10:17 AM   #11
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Smile Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Merry Christmas/Happy Holidays everyone! Today is Day 6 post-op.

Hello there, Mountainbiker! I'm so happy that you joined my little discussion.

How are you doing today? I hope you're able to enjoy some holiday festivities. As for your recovery--I didn't have to have any tags removed, so no wonder you are experiencing symptoms of traditional surgery. You actually sound quite well for someone who's been through what you have! And again, you must be truly relieved that you got rid of that tag and all of it's "pain in the butt" maintenance. Woo-hoo for you!!! I also went to a colorectal specialist/surgeon. I've read some of the old posts that I found on this and other message boards about PPH. I noticed that quite a few of the people that were having problems went to a general physician for the procedure--not a specialist.

I feel right now that I just want to get through the next 3 weeks and get some more normalcy in my life. I am looking forward to working out at the gym again, being normal, and not having to worry about my bottom so much! I hope that the staples don't negatively interfere with my life later on. And again, my hat is off to the folks that went through with the traditional Morgan-Milligan surgery.

I am still taking that wonderful Milk of Magnesia (2TBLSP) every night along with 2 Colace stool softeners. I had another great bm this morning, and I feel great again. I'm staying far away from any red meat of any type, because of bad results from other posts. Last night I had a glass of red wine, and so far so good on the bowels! I have Percocet, but I am trying not to take it at all, because of the constipating effects. (Instead I take 3-4 Advil twice a day). I just ran out of Valium.

As for your muscle spasms -- I'm sure you've already read the godsend of a thread here... It's called Hemorrhoidectomy Recovery Guide by TacamaGuy. It truly is well-written and well-researched by a wonderful member who just went through the scapel hemorrhoidectomy surgery. He really did his homework! Check it out if you haven't seen it--there is a whole section on spasms and relief among everything else!

Mizzbee--I hope things are well for you in South Africa!

Well, I'm off to another get-together!
Take good care!
~Flygirl

 
Old 12-26-2007, 11:22 AM   #12
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Wink Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hey Flygirl,

I hope you had a great Christmas, it's good to hear you're out and about and that your recovery is going so well, also thanks for referring me to the recovery guide link as I had not yet read it. I wish I would have found this board before my operation as there is a lot of good stuff on here. I did research on the procedure but looked mostly at post op case studies and technical papers on the procedure itself. I should have known there was a forum like this with lots real people's experiences. It's also so much easier to discuss this with people who have been through a similar experience than it is to talk to family and friends.

Yesterday was a turning point for me as the spasms were almost gone and I was able to get up and walk around the house with very little discomfort and even had a small glass of wine with some Turkey, stuffing and mash potatoes for dinner.

I don't believe it was the removal of the skin tag that caused the spasms as it is a less invasive procedure than the PPH procedure and can be done in an office and not a hospital. I guess different people respond differently to the same procedure, anyway if I don't have to worry about my but on a daily basis anymore the pain and discomfort I've been through the last week will have been worth it.

I awoke at about 4 am this morning to get rid of some of the 1/2 gallon of water I've been drinking on a daily basis, and felt almost normal for the fist time since the procedure , fell back to sleep and woke up at 11:00 feeling even better . The spasms are gone and the urgency feeling appears to be subsiding, on studies I've read post op urgency for up to two weeks was noted on about 25% of the patients. My BM this morning was also a lot more "normal" than any I've had thus far. Hopefully the progess will continue and I'll be able to get out on New Year's eve.

Thanks for all the info and support, I'll keep posting with my progress.

Mounainbiker1

 
Old 12-27-2007, 08:14 PM   #13
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Seasons greetings to all.
The post op urgency mentioned here has afflicted me for two and a half years now, and I guess I will just have to live with it. However it is not as bad as it was in the beginning. Initially, I had many accidents as I could not make the toilet in time and I only had 3 metres to make it to the bathroom. Today, for the most part, I can brush my teeth on waking and then have to quickly park on the loo. The urgency normally affects my 1st BM in the early morning but this also sometimes occurs, out of the blue, in the evenings. I consider this a change in bowel habit as I was always a once or twice a morning person, now it can be anything up to 5 or more times a day, once again, mostly in the mornings. I am planning to have another colonoscopy in 2008 to see if it is only the old hems playing up again.

 
Old 12-27-2007, 08:39 PM   #14
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

A quick question. How long was your PPH operation, ie anaesthetic time.

 
Old 12-28-2007, 02:26 PM   #15
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Re: Anyone had the staple hemorrhoid removal surgery / PPH ???

Hello everyone! Sorry I haven't posted lately... It's been a crazy--but fun--whirlwind around here, with three family gatherings (Dec. 24,25,26) and I've been playing toys w/ the kids for the last two days nonstop (I have a 5-yr old and 8-yr old).

Nice to hear from you guys. Mountainbiker--It's great to know that you were doing better the other day! Have the spasms stayed away, I hope? It's so good that you are drinking so much water... that is key to an easier recovery!! That is what everyone on the bowel surgery/recovery board mentions--Lots and lots of H2O. I am trying to be better about drinking more water--and I think of you sometimes when I'm making myself down more than I want--It helps! Do you have big New Year's plans? I think you'll be just fine to party at least by then!

Mizzbee--I've noticed lately a sense of urgency in the morning as well. For example, I'll use the bathroom first thing when I wake up, and sometimes there is no bowel movement even close to happening. Then, all of the sudden (about 8-10 minutes later) I will have to go a.s.a.p. I'm glad it happens in the morning though, when I'm home and not when I'm out and about. I can't imagine how you made it through the accidents--you poor dear. It doesn't seem so bad now for you, but I'm sure you are ready to visit the doctor and see what he/she has to say. As for your PPH question: I don't know if this is the answer you were looking for, but it was 12:30 p.m. when I last remember anything and it was 3:30 when I remember waking up with my husband by my side. The whole procedure only took less than 30 minutes, according to the nurse. Are you considering doing it again?

Today is Day 9 post-op for me. As for my progress, it's been about the same--really great, not what I expected pre-surgery at all. Of course, I am not driving (but I suppose I could, since I am still not needing the Percocet). Also, I am not lifting anything heavy at all. My husband got mad at me when I climbed on the cabinet and reached for something up high. Our family drove 2 hours and back on Christmas Day, and I did just fine sitting that long. I am not really in any pain whatsoever. In fact, I feel a bit guilty not going to work. My doc has me marked out until January 11th (approx. 3 weeks total). But as I mentioned before, my work requires a little light lifting, and that is not allowed. I am loving the time off around the holidays, though!

It does seem a bit odd, when you think about titanium staples down there. I remember reading a post from someone about the staples coming out during a normal bowel movement, how it got infected, and how he needed restructuring surgery. I think that his case was rare--at least I hope so. My doctor said it would be harmless if and when any staples fall out. It does scare me a little, and I have to admit, I will not push hard at all anymore, for fear of losing staples, and for getting another hemorrhoid. I pray that the results of this whole procedure will be ideal.

Take care, and have a nice Friday night!
~Flygirl

 
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