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Old 08-25-2011, 03:01 PM   #1
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Laser Hemorrhoidectomy Experience

I had a laser hemorrhoidectomy on Tuesday, August 23, 2011. First let me tell you.....I found out I needed this surgery at the beginning of May and seen about 6 surgeons. After reading this message board and other I was truly scared out of my mind. I have a 1 year old and the thought of being in too much pain to care for him and not being able to pick him up was insane. So I did some research, too much research. I live in Maryland and decided I was going to travel. Florida or Arizona.......I seen Dr. Peter Thomas at the laser hemorrhoid center in Phoenix. The trip cost me $900 for two people including hotel, airfare, and car. My insurance deductable was $500 and insurance paid 85% of the rest. My total trip and surgery cost was $1520. This is what it would have cost here with all of the hospital fees, nurses, assisting doctors, etc.

Anyway, the people there were fabulous and told me the first couple days after surgery would be rough. I had on extremely large external/internal hemorrhoid, a couple smaller external/internal hemorrhoids and a couple skin tags.

Day 1 - Surgery - 11:30 and back at hotel by 1:00pm with percoset, valium, and neosporin - I ate and slept on and off until 4:30am with only a mild burning. I took about 3 percosets through the night - used ice intermittently

Day 2 - Took a bath and applied neosporin, began Ibuprofen, I got dressed, went to breakfast, went to the casino, went to lunch, to the airport and a 5 hour flight home 2 percosets all day - used ice intermittently

Day 3 - Woke up, took a bath, played with baby, had come company in case I needed help (I didn't). It is now 6:00pm and I have only taken 1 ibuprofen all day - used a frozen hot dog in between my cheeks once, (per doctor suggestion), one more bath and now ready for dinner

I haven't done much but lay around and play with the baby but NO restrictions, I have picked him up and had minimal discomfort. I have eaten mostly salads, lots of water, some juice, crackers, cookies, etc. (I did eat two pieces of pizza today) I will keep you updated if interested since I haven't had a BM movement yet. I was given 3 weeks off of work with short term disability but right now I am not sure I need it.

 
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Old 08-27-2011, 05:13 AM   #2
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Re: Laser Hemorrhoidectomy Experience

Quote:
Originally Posted by randadawn View Post
I had a laser hemorrhoidectomy on Tuesday, August 23, 2011. First let me tell you.....I found out I needed this surgery at the beginning of May and seen about 6 surgeons. After reading this message board and other I was truly scared out of my mind. I have a 1 year old and the thought of being in too much pain to care for him and not being able to pick him up was insane. So I did some research, too much research. I live in Maryland and decided I was going to travel. Florida or Arizona.......I seen Dr. Peter Thomas at the laser hemorrhoid center in Phoenix. The trip cost me $900 for two people including hotel, airfare, and car. My insurance deductable was $500 and insurance paid 85% of the rest. My total trip and surgery cost was $1520. This is what it would have cost here with all of the hospital fees, nurses, assisting doctors, etc.

Anyway, the people there were fabulous and told me the first couple days after surgery would be rough. I had on extremely large external/internal hemorrhoid, a couple smaller external/internal hemorrhoids and a couple skin tags.

Day 1 - Surgery - 11:30 and back at hotel by 1:00pm with percoset, valium, and neosporin - I ate and slept on and off until 4:30am with only a mild burning. I took about 3 percosets through the night - used ice intermittently

Day 2 - Took a bath and applied neosporin, began Ibuprofen, I got dressed, went to breakfast, went to the casino, went to lunch, to the airport and a 5 hour flight home 2 percosets all day - used ice intermittently

Day 3 - Woke up, took a bath, played with baby, had come company in case I needed help (I didn't). It is now 6:00pm and I have only taken 1 ibuprofen all day - used a frozen hot dog in between my cheeks once, (per doctor suggestion), one more bath and now ready for dinner

I haven't done much but lay around and play with the baby but NO restrictions, I have picked him up and had minimal discomfort. I have eaten mostly salads, lots of water, some juice, crackers, cookies, etc. (I did eat two pieces of pizza today) I will keep you updated if interested since I haven't had a BM movement yet. I was given 3 weeks off of work with short term disability but right now I am not sure I need it.

Day 4 - I had my first bowel movement last night and it was soft but it really burned even after I got in the bathtub. Lasted for about 20 minutes. So, today I took 1 pain pill....I had some errands to run and think I over did it a little. Had another bowel movement this morning in the sitz bath this time.....much better.

Day 5 - I hurt a little this morning......I think it is just the healing process but so far so good

 
Old 08-28-2011, 04:52 AM   #3
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Re: Laser Hemorrhoidectomy Experience

Day 5 continued - I decided to get out of the house and go to the local mall with my baby. It is about 5 minutes away. Well, bowel movements come when they want and now I understand the reason people were scared to leave their house. I had no choice. I got into the bathroom and grabbed some paper towels and wet them. I managed to get me and the baby in stroller into the handicap stall. OMG - this was soft but a lot, no wipes to use, no ointment and the paper towels were harsh. I decided to try to walk this pain off.......well, this was my worst day with pain. I got home and had to get into a bath, use some ointment, and lay on the couch. I took a ibuprofen and a percoset. The pain finally started to go away in about 5 hours.

Day 6 - Okay, I have seen some posts about bumps after hemorrhoid surgery. It feels like I have a bunch of small pea sized hemorrhoids. I am sure this is normal but they are hard like little hemorrhoids.

 
Old 09-01-2011, 11:17 AM   #4
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Re: Laser Hemorrhoidectomy Experience

Day 7-9 I am doing pretty good. Some minor burning after BM still. I have so much itching!!! And, the bumps are scaring me....they do feel like hemorrhoids!

All in all........I am going back to work on day 14. I think if I had to going back to work on Day 2 or 3 wouldn't have been a problem as long as I didn't have a BM so just in case I am taking a few more days.
I am doing great.....I recommend laser to anyone.....finding a place that does it will be the hardest part.

I plan on writing more but is anyone actually reading this or am I wasting my time?

 
Old 09-01-2011, 03:46 PM   #5
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Re: Laser Hemorrhoidectomy Experience

Your post helped me find the courage to go hrough with mine! Here is my experience:
I am a 28 year old female who has sufferd with hemorrhoids since my first pregnancy 8 years ago. Well 2 pregnancies and loads of bowel problems later, my MD decided that surgery was the only solution left. AFter living with the contstant sensation of barbed wire in my rectum and frequesnt anemia from bleeding I "bit the bullet" and had the Laser Hemorrhoidectomy yesterday at the Laser Surgery Center in Phoenix. Dr Stuart perfromed the procedure and it was fairly easy...once they knocked mt unconcious. The prep for the surgery went smoothly and everyone was very accomodating and pleasant.
Here is my post-op experience thus far:
Day 1: THe local anesthetic lasted about 6 hours, so I was feeling ok. I took my Percocet and Valium every 4 hours on a schedule to head off any pain. I am an RN and I know that it is easier to prevent pain, then to make it go away. I started with a light lnch after surgery and made sure to have light snacks with each dose of medication to prevent nausea, as the pressure in my bottom would tear me in half if I vomited! I also had an endomitrial ablation while under anesthesia, so I have to limit my time in sitz baths, but 15 minutes in the salt water bath, followed by 15 minutes of icing the area does wonders. ( Tip: always follow heat with ice so that you minimize the inflammatory response to the area and minimize pain and swelling). It was suggested that I continue with my normal bowel care medications ( Sennkot, glycerine and miralax) but I always make sure to take 2 sennakot with each dose of Percocet, as it is very constipating. I was unable to stomach the mineral oil so I ordered Castor oil capsules, and take those instead so I dont get nauseated eating that nasty oil! I had no problems urinating and so far the swelling has been minimal due to the heat/ice combination and ibuprofen every 6 hours.
Day 2: it is now mid-day of day 2 and I felt like I need to have a BM> My dr told me a liquid glycerine suppositiry was ok as long as the applicator is very well lubricated, so I took one dose this am and prepared myself for horror. I sat in a hot sitz bath, had a bucket handy for vomiting, a cold water bottle and a cool rag. After 25 minutes, all that passed was a few blood clots, so no actual BM yet. The worst part so far is the paper cut feeling when passing gas. I have been minimizing the gas with beano everytime I've eaten for the last week leading up to surgery, so it has helped. Nothing terribly awful thus far.
My advice for anyone preparing for this procedure is to start softening up the stool well in advance of surgery, reduce any gas buildup starting a few days prior and prepare for the worst. Hopefully, noe of the horror stories I've read here will come to pass, but I"m still nervous. Also, take you meds on a schedule for the first few days, no sense in letting the pain overwhelm you. I have delivered 3 children vaginally and this is certainly no worse than recovering from that, so far. My doc said to be prepared to be pretty much down for 4-5 days, 75% back at about 2 weeks and full recovery in 6 weeks. I will keep you posted. At this point I wuld highly recommend the Laser Surgery Center in Phoenix and the laser hemorrhoidectomy over traditional scalpel or banding procedures. please feel free to contact me with any questions. I was terrified of this procedure, and now I think it is the best thing I have ever done!

 
Old 09-02-2011, 11:44 PM   #6
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Re: Laser Hemorrhoidectomy Experience

It is now the end of day 3 and I must admit today ahs been the worst so far. Hot salty sitz baths and ice packs have been minimally effective and I have started taking benadryl to get sleep as it is the only time I am actually comfortable. Passing gas feels like hundreds of paper cuts, not to mention the pressure leading up to a BM. Luckily my BMs are very soft thanks to all the bowle meds ( miralax, docusate, castor oil and senna) so the actaul passing of stool is ok. Just the burning sensation afterward is very uncomfortable. I have started mixing nupracaine ( an over the counter hemorrhoid numbing cream) in with the bag balm to help lessen the pain and keep the area from chafing.
I can comfortably lift my 9 week old son (10lbs) and sit up to nurse him, but I am unable to lift and carry my 2 year old (27lbs) yet. I can manage about 30 minutes sitting in a chair at a time, and I am expected back to work in 4 days, so I'm praying this improves.
Bleeding has been minimal, even with BMs. so I am grateful for that. Otherwise it does feel like it improves in the afternoon, after a terrible morning, so I have just gone bacl tp pain medication with Stool softener and Sennakot every 4 hours on schedule and Valium every 6 hours to stay as comfortable as possible.
How does this compare tp other's experiences? Most of the other posts seems to relate to traditional surgery and this seems like a cake walk comparitively. Anyone else have Laser surgery, and how are you feeling 4 days, 1 week and 2 weeks out?

 
Old 09-04-2011, 10:26 AM   #7
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Re: Laser Hemorrhoidectomy Experience

Hello! I agree that days 3-6 were the worst but only for a few hours after the morning bowel movement! They told me that about 95% of patients went back to work in two weeks. I am glad you had a good experience! I traveled 2000 miles to go the the Laser Center in Arizona. I just don't get it. All of the doctors here say laser is no better and it is a gimmick! Just as you say, cake walk compared to everyone else who had traditional surgery! You should have not problem going back to work. I was able to sit just fine for hours but you may have more done then I did. The problem I have now is that is still feels like there are hemorrhoids there. I did find a couple of place closer to me that do the laser too but not close enough to drive. Ice didn't seem to have any affect on me, the salt water baths were great. It will get better. I did see a very few people who had the laser surery done and they were all better then the other posts about conventional surgery. There is a book called: "Hemorrhoids: No Laughing Matter: written by the late Dr. Max Ali. He actually tried to show other doctors how to do the laser but they all disareed that is wasn't any better. I think they don't want to learn something new or pay $60K for a laser which would pay for itself. Dr. Ali made anywhere between $500K - $100M annually. I wrote a letter to the colorectal society telling them about my experience. Maybe when you feel better you could too. The laser hemorrhoid surgery is also very big in India! Please keep in touch and again if you have any questions please let me know. My surgery was the 23rd and I still have a little burning and itching but nothing crazy!

 
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Old 09-06-2011, 06:29 PM   #8
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Magic Pain Paste Recipe: AMAZING!!!!

Day 7: Best and Worst day by far! Had a BM this morning that was a million times worse than childbirth and I literally filled the sitz bath with blood.
Have heart, my friends, I have found the MAGIC FORMULA!!!

Take a gauze pad and cover with a dollop of Bendryl Itch Cream, Top that with a dollop of NupraCaine Hemorroidal Pain ointment and cover it all with ORAJEL TOOTHACHE PAIN PASTE. This is the magic ingredient. It is 20% benzocaine and combined with the hemorrhoid swelling reducing Nupracaine and the Benadryl itch cream, you can practically ride a horse you feel so much better!

Take the gauze with the pile of MAGIC PAIN PASTE and stick in right on the anus, the first few seconds might "*****le" a teeny bit, but after that it is anal comfort like you would not believe! I had to sit at my desk for 10 hours today for work, and it was like I never has a hemorrhoid in my LIFE!
Good luck my friends, I now believe I will survive this recovery and I know you will too!!!

 
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Old 09-07-2011, 03:29 PM   #9
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Re: Magic Pain Paste Recipe: AMAZING!!!!

I am so good you are doing better. It is amazing that the docs say the laser surgery is a gimmick. I don't think so! I plan on having more children so I may have issues again in the future but........I will travel! Thanks for the tip too.....I am writing that down! This is day 15 for me and although I believe I have caught a stomach but.....I am doing good. Just some burning and itching but I am so worried about the hemorrhoids coming back!

 
Old 11-01-2011, 06:25 PM   #10
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Re: Laser Hemorrhoidectomy Experience

Hi Randadawn,
My husband has to have a hemorroidectomy and after research we are seriously looking into laser surgery. Thank you very much for sharing all the details of your experience. It is so helpful to have a window into what we will be dealing with. I hope you have had a good recovery and that the surgery helped.
I have a question. I have looked at the place you used for the procedure in Arizona and it looks like a really good clinic, but we are also considering Florida. Did you actually find a good place in Florida? You mentioned that you had to choose between Arizona or Florida.
I haven't been able to find a good clinic yet.
Any info you can pass on would be greatly apprectiated.
Thanks so much!

 
Old 11-02-2011, 04:38 AM   #11
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Re: Laser Hemorrhoidectomy Experience

The laser colorectal center in florida is supposed to be great. They have been using the laser since 1986 and also have plenty of people come in from out of town. They have a website but I don't think I can put it on here. The good part about Arizona is that they do same day surgery. Florida will depending on how serious the case is. My surgery was a success but I do have issues on the other side of my rectum now. I only have external problems so I plan on going to Florida to have this taken care of. Hope this helps!

 
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Old 11-05-2011, 12:31 PM   #12
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Re: Laser Hemorrhoidectomy Experience

Hi,
I found the center in florida with the info you gave me. Thank you for that. I'm glad you recovered from your surgery. We are very hopefull for a brighter and more comfortable future in our family.

 
Old 11-07-2011, 04:27 AM   #13
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Re: Laser Hemorrhoidectomy Experience

The place in Florida was very friendly. My problems are only external and therefore can be treated right in the office. I wish you luck!

 
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