Home Hemorrhoids Hemorrhoid Surgery Complications: 9 Short & Long-Term Effects [Total]

Hemorrhoid Surgery Complications: 9 Short & Long-Term Effects [Total]

Surgical complications associated with hemorrhoids: short- and long-term effects
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Hemorrhoid surgery complications can cause a patient’s great pain and disability. These may include fecal incontinence, anal stenosis, and bowel obstruction, which can result from factors such as infections or nerve damage. Comprehensively comprehending and effectively managing these complications is crucial to mitigate any further harm inflicted upon the patient.

Closed hemorrhoidectomy has a 95% success rate, but there are potential risks. After surgery, complications may include pain, bleeding, urinary retention, infection, and more. Hemorrhoidectomy is the surgical intervention for hemorrhoids.

The treatment of hemorrhoids ranges from simple outpatient procedures without anesthesia to more complex inpatient procedures. Symptom severity and associated complications determine treatment options.

In this blog post, we will discuss potential side effects associated with short-term and long-term hemorrhoid surgery, as well as other acute complications that may arise.

Key Takeaways

  • Hemorrhoid surgery can provide relief from discomfort, but long-term complications are possible.
  • Short-term complications of the surgery include pain, bleeding, infection, and urinary retention.
  • Long-term complications can include anal stenosis, fecal incontinence, pelvic floor dysfunction, ectropion, and chronic pain.
  • Hemorrhoid surgery may also lead to severe risks such as allergic reactions, anesthesia-related complications, cardiac or pulmonary complications, bleeding, and microbial infection.
  • The procedure can result in side effects like urinary incontinence, fecal impaction, hematoma, pain, and anal fissure.
  • The topical numbing cream Dr. Numb® 5% can be used to manage postoperative pain.
  • Kegel exercises can help in the recovery process post-surgery.

Hemorrhoid Surgery Complications: Short-Term Effects

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Hemorrhoid surgery, or hemorrhoidectomy, is a medical procedure for removing swollen lymphatic vessels. Although it can provide relief from hemorrhoid discomfort, including pain, bleeding, and itching, it is not without potential complications.

Here are some of the short-term complications of hemorrhoid surgery you should know:

Pain and Discomfort

Hemorrhoids often cause pain and discomfort in the anal region after surgery. It may be necessary to take acetaminophen or ibuprofen daily to manage this for several days. Some patients may also have difficulties sitting, walking, or moving around.

In the first few days after a hemorrhoidectomy, pooping may be painful. You will get used to it as you heal. You can improve your pain levels and healing time by preventing constipation and straining.


Another complication of hemorrhoid surgery is bleeding. It may occur during surgery or afterward when the patient passes stools.

It is expected to experience some bleeding, but excessive bleeding may show complications, such as infection or tissue damage.

Secondary hemorrhage after hemorrhoidectomy is a troublesome complication that occurs in 0.2 to 4% of cases. The bleeding is diarrhea, which is comprised of blood clots and dark blood.


Infection can occur during any surgical procedure, and piles surgery is no exception. Infection symptoms may include fever, chills, redness, swelling, discharge, and foul odor from the surgical site.

When infection is severe, it can lead to sepsis, a life-threatening condition that needs immediate medical attention.

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Urinary Retention

Urinary retention is when patients have difficulty passing urine after surgery. It can be caused by the swelling and inflammation in the pelvic area and the anesthesia used during the surgery.

Without treatment, urinary retention can cause complications, such as infection and kidney damage.

Complications of Hemorrhoid Surgery: 5 Long-Term Effects

Hemorrhoid surgery is a widely performed procedure to help relieve the painful symptoms of hemorrhoids. While it is considered a safe procedure, potential complications can arise in the short and long term. This blog post will focus on the long-term complications of hemorrhoid surgery.

Anal stenosis

Anal stenosis is a condition in which the anal opening becomes narrowed, making bowel movements difficult. It can occur because of scar tissue formation from hemorrhoid surgery. Some facts to note about anal stenosis include:

  • Approximately 20% of piles patients develop anal stenosis.
  • Anal stenosis is characterized by difficulty passing stool, painful bowel movements, and a feeling of incomplete evacuation.
  • Dilation or surgery may stretch the anal opening in anal stenosis.

Fecal Incontinence

what does hemorrhoid surgery look like Fecal incontinence after hemorrhoid surgery complications

Involuntary leakage of stool results in involuntary leakage of stool. Hemorrhoid surgery can cause this as a complication caused by nerve or muscle damage in the anal region. The following are some crucial facts about fecal incontinence:

  • Fecal incontinence can occur in up to 10% of piles surgery patients.
  • There are a variety of symptoms associated with fecal incontinence, such as sudden urges to poop, inability to hold stool, and leakage of stool.
  • Medication, dietary changes, or surgery may treat fecal incontinence.

Dysfunctional Pelvic Floor

The condition is characterized by weak muscles and tissues in the pelvic area. Anus and rectum anatomy can be altered by hemorrhoids, causing dysfunction of the pelvic floor. Pelvic floor dysfunction may be caused by the following factors:

  • Incontinence, pelvic pain, and pain during sex are all symptoms of pelvic floor dysfunction.
  • Approximately 14% of patients who undergo piles surgery experience pelvic floor dysfunction.
  • Pelvic floor dysfunction may be treated with pelvic floor physical therapy, medications, or surgery in severe cases.


Ectropion occurs when the inner lining of the anal canal turns outward and protrudes through the rectum following piles surgery. This can cause discomfort, bleeding, and bowel problems. Here is some information for managing ectropion after hemorrhoid surgery:

  • Working with a doctor to determine the treatment may include medication, surgery, or other interventions.
  • You Should Use stool softeners or laxatives to prevent straining during bowel movements.
  • An exercise regimen and a high-fiber diet can prevent constipation.
  • Seeking follow-up care to monitor the condition and address any new symptoms.

Chronic Pain

Hemorrhoid surgery is a standard procedure for people experiencing painful hemorrhoids. While the surgery can provide relief, there are risks associated with the technique, including the development of chronic pain. An individual with regular pain experiences pain for over 3 months, which can significantly affect a person's quality of life. Here are some Causes of Chronic Pain After Hemorrhoid Surgery:

  • Nerve injury during surgery.
  • Scar tissue formation.
  • Muscle spasms.
  • Inadequate pain management post-surgery.
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Hemorrhoidectomy Surgery: 5 Serious Risks

You should know the potential complications of piles surgery. Hemorrhoidectomy surgery can cause acute complications that require immediate medical attention. Acute complications include allergic reactions, anesthesia-related complications, cardiac complications, and bacterial infections.

The potential for allergic reactions

Some allergic reactions occur following acute complications following hemorrhoidectomy surgery. During surgery, allergic reactions can occur because of various factors, such as anesthesia, medication, or latex. Allergies can cause symptoms ranging from minor irritations to life-threatening anaphylaxis.

Anesthesia-Related Complications

During hemorrhoidectomy surgery, anesthesia is used for pain relief. Anesthesia-related complications can occur and should be closely monitored. Complications include:

  • Nausea and vomiting.
  • Headaches.
  • Difficulty breathing.
  • Low blood pressure.

Cardiac or Pulmonary Complications

hemorrhoidectomy surgery can also cause cardiac or pulmonary complications. Patients with a history of heart or lung disease. The following are some of the standard cardiac or pulmonary complications:

  • Heart attack.
  • Stroke.
  • Blood clots.
  • Pulmonary embolism.


Other Acute Complications of Hemorrhoidectomy Surgery Hemorrhage

Bleeding can occur after hemorrhoidectomy surgery. Small amounts of bleeding are average, but excessive bleeding requires medical attention. The following signs and symptoms characterize excessive bleeding:

  • Blood on the stool.
  • Dizziness and lightheadedness.
  • Nausea and vomiting.
  • Abdominal pain.
  • Rapid heart rate.

Microbial Infection

Infections caused by bacteria can also occur after hemorrhoidectomy surgery. Medical attention should be sought immediately if the surgical site becomes infected. Infections can cause the following symptoms:

  • Redness and swelling around the surgical site.
  • Fever.
  • Pus is draining from the wound.
  • Pain or tenderness at the surgical site.

Side Effects of Hemorrhoidectomy Surgery

Though hemorrhoidectomy surgery can treat severe hemorrhoids, it might lead to a wide range of side effects. While hemorrhoids can be relieved with this procedure, it is essential to understand the potential risks. Here are some of the common side effects that may occur post-hemorrhoidectomy:

Urinary Incontinence

One side effect of hemorrhoidectomy surgery is urinary incontinence. This condition involves the involuntary leakage of urine, which can be temporary or, in rare cases, long-lasting. Patients may experience difficulties controlling their bladder function immediately following the surgery, but this typically improves as the body heals.

Fecal Impaction

Fecal impaction, the accumulation of hardened stool in the rectum or colon, can occur after hemorrhoidectomy surgery. This condition can cause severe constipation, bloating, abdominal pain, and difficulty passing stool. Staying hydrated, consuming a high-fiber diet, and following the healthcare provider's guidance on post-operative care can help prevent fecal impaction.


Hematoma refers to blood collection outside blood vessels, leading to swelling and bruising. This can occur in the anal region post-hemorrhoidectomy and may cause discomfort or pressure. Most hematomas resolve independently, but larger ones may require medical attention to prevent complications.

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Pain and discomfort are expected after hemorrhoidectomy surgery. The intensity of pain varies among people, with some experiencing mild discomfort while others may require pain management medications. Following the prescribed pain relief regimen and using sitz baths can help ease post-operative pain. For postoperative pain control after hemorrhoidectomy, you can also try Dr. Numb® 5% Topical Numbing Cream.

Anal Fissure

Post-hemorrhoidectomy, patients may develop anal fissures, which are small tears in the lining of the anal canal. This can cause pain during bowel movements, bleeding, and discomfort. Proper hydration, dietary modifications, and topical treatments can aid in the healing of anal fissures.

Kegel exercises involve slowly contracting the muscles of the anus and holding them for five seconds. You can repeat this daily as many times as you like.


A hemorrhoid surgery can be an essential decision, and you should know potential complications before committing to the procedure. Before undergoing surgery, patients should consider the risks and discuss them with their healthcare provider.

Knowing what to expect can cause better outcomes and faster recovery times. You should always make an informed decision regarding any medical procedure.

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Matt Callard
I am a passionate traveler, as if traveling were my full-time job. I like to change my surroundings and environment, like changing desktop wallpaper. Nature increases the concentration in my writing, which helps brainstorming flow in my blood. I have a cat named Kitana. She is the most desperate about traveling, more than any other cat. How do I know? If I miss any tour in any week, she literally destroys my clothing with her wolverine nails.

I and my cat also participate in extreme activities like surfing, biking, hill tracking, paragliding, boating, etc. She was always there in my accidents, injuries, and stitches. She always sits on my lap when it hurts me most. The funniest part is that she has experienced all my tattoos. She sleeps on my blanket when I go through any painful experience.

My hobbies and lifestyle added many pain and injuries to my life. That is why I have a lot of experience in dealing with different levels of pain and burn. It influenced me to become a pain expert and share primary suggestions to handle any unwanted situations that hurt.


  • What Is The Recovery Timeline For Patients With Hemorrhoid Surgery Complications?

    This varies from person to person. Recovery can be difficult, and it can take between two and eight weeks. Your recovery time will depend on how much pain you have and how many other complications you have. Pain and slow healing are common complaints but decline as surgical techniques develop.

  • Is Anal Sex Possible After Hemorrhoid Surgery?

    To prevent this from happening, the patient should abstain from anal intercourse for at least a month and a half after the operation. The wounds must be healed properly before resuming intercourse so that the skin can regain its elasticity without the danger of the wound opening.

  • Can I Workout After Hemorrhoid Surgery?

    Don't engage in strenuous activities until your doctor says you can. This includes riding a bicycle, jogging, lifting weights, or doing aerobic exercise. Lifting anything that would strain you should be avoided for two to three weeks.

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