PPH Surgery For Hemorrhoids

What PPH Surgery for Hemorrhoids means:

PPH stands for “Procedure for Prolapse and Hemorrhoids” and is a phrase that is also used to describe any of the following procedures:

Circumferential Mucosectomy

Stapled Hemorrhoidectomy

Stapled Hemorrhoidopexy

They all refer to the same thing.

Prolapse is a condition where the tissue referred to is literally falling out of place. This is what happens when hemorrhoidal tissue begins to lose its original firm shape lining the walls of the anal canal and droops toward the center of the canal.

The PPH Surgery for Hemorrhoids procedure takes the internal hemorrhoidal tissue that is prolapsing and restores it back to its original anatomical orientation through the use of a device that lifts the tissue up into place and then excises or cuts off the redundant portion of the drooping tissue all the way around the circumference of the anal canal. It then staples the remaining two sides of the incision back together all the way around the circumference of the canal.

Benefits and Risks of PPH Surgery
for Hemorrhoids


  1. Studies have noted that patients who have PPH Surgery for hemorrhoids experience a shorter inpatient stay than those that were treated with conventional surgical techniques.
  2. Patients report feeling less pain with this procedure compared to that of conventional surgical procedures for hemorrhoid surgery.
  3. The patient’s return to normal activities happens sooner with this procedure than with conventional procedures.


On the other hand there are some rare but none the less possible risks that can be had with this procedure.

  1. It is possible to damage the rectal wall if an excessive amount of muscle tissue is drawn into the device during the procedure.
  2. Because of the stretching of the internal sphincter muscles during the procedure it is possible to experience some short term or even long term loss of bowel control.
  3. There is always some risk of developing pelvic sepsis following any surgical treatment that involves the anal canal.
  4. When hemorrhoids are large and confluent, this procedure may not be possible.
  5. Excessive tissue can be too bulky to allow it to be drawn into the surgical device for proper excision.
  6. As with other hemorrhoid surgical procedures, a patient may experience some persistent pain and an urgency to go to the bathroom.
  7. A higher risk of recurrence of hemorrhoids and the prolapsing of tissue is associated with the use of the PPH Surgery for Hemorrhoids procedure.

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