Hemorrhoids are among the most common colorectal conditions affecting adults in the United States. But many endure in silence for months, even years, before seeking treatment. Dr. Rizwan Chaudhry at Advanced Houston Surgical offers minimally invasive hemorrhoid surgery in Houston, TX, for lasting relief.
Hemorrhoids are swollen, inflamed veins in your lower rectum or anus. They are caused by pressure in the lower rectum, stretching the tissues and blood vessels. Hemorrhoids generally fall into two categories.
Internal hemorrhoids develop inside the anal canal and are usually painless. They may bleed during bowel movements or prolapse outside the anal opening (bulge outside the anal opening).
External hemorrhoids lie beneath the skin around the anus. They can become swollen and painful, particularly when a blood clot forms inside them (thrombosed hemorrhoid).
Causes of Hemorrhoids Hemorrhoids don’t develop overnight. They are most often caused by long-term pressure on the veins in the lower rectum and anal canal. The main causes are:
Risk increases with age because the supporting tissues in the rectum and anus weaken over time. Hemorrhoids are more likely to develop or worsen in adults over age 45.
Not all hemorrhoids require surgical treatment. Many can be managed successfully with lifestyle changes and office procedures. Surgery is usually considered in the following situations:
Dr. Chaudhry will perform a physical exam and diagnostic imaging as needed to decide the right treatment plan for your needs.
Dr. Chaudhry performs Transanal Hemorrhoidal Dearterialization (THD), a minimally invasive surgical technique for hemorrhoids. THD is a minimally invasive alternative to traditional excisional hemorrhoidectomy.
Dr. Chaudhry uses a Doppler ultrasound probe to identify the arterial blood vessels carrying blood to the hemorrhoidal tissue. Once identified, these blood vessels are tied off to prevent the blood flow, resulting in the natural reduction of the size of hemorrhoids.
For prolapsing hemorrhoids, the tissue is repositioned internally using a lifting suture technique. Because no cutting or removal of tissue occurs, the THD procedure results in much less pain compared to other surgical procedures, such as hemorrhoidectomy. The following are some benefits associated with this surgical technique:
THD is performed under anesthesia in an outpatient setting. The procedure is precise and effective, and patients usually go home the same day. Recovery is notably more comfortable than with traditional hemorrhoid surgery.
Most patients resume normal activity and return to work within four days. Dr. Chaudhry and his team provide comprehensive post-operative guidance and follow-up care throughout recovery.
It is important to choose a surgical team that has the experience and credentials to perform such a delicate, personal procedure as hemorrhoid surgery. Dr. Chaudhry is board-certified by the American Board of Surgery and completed his general surgery residency at the Mayo Clinic and his advanced fellowship training at the Cleveland Clinic.
As the Medical Director of an accredited Weight Loss and Metabolic Center, Dr. Chaudhry applies the same institutional commitment to quality, safety, and outcomes to every procedure he performs, including hemorrhoid surgery.
Above all, our patients describe Dr. Chaudhry as knowledgeable, approachable, and genuinely invested in their outcomes. We understand that colorectal concerns can be difficult to discuss, and our entire team is committed to care that is discreet and judgment-free from your very first visit.
Most patients are able to return to work within 4 days of their THD procedure. Recovery timelines vary with the nature of your work and your individual healing, and Dr. Chaudhry will give you specific advice at your follow-up visits.
THD offers good symptom control for many patients, particularly for internal hemorrhoids, though recurrence can still occur over time. During your consultation and recovery, Dr. Chaudhry’s team will walk you through the dietary and lifestyle adjustments that give you the best chance of lasting relief.
You will want to eat a high fiber diet after your THD to keep your stools soft and avoid straining with bowel movements. Good foods to eat are fruits, vegetables, whole grains, and legumes. Also, be sure you are drinking enough fluids. Your care team will give you specific dietary instructions after your surgery to help you recover.
THD may be a good option for patients with Grade II, III, or IV internal hemorrhoids, including prolapsed hemorrhoids, and for patients who want a less invasive procedure with a faster recovery.
Are you suffering from painful, bleeding hemorrhoids that aren’t getting better with conservative treatment? We provide minimally invasive hemorrhoid surgery in Houston, TX. Call us today at (713) 263 3900 to schedule your appointment.
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