Haemorrhoid Surgery

What are haemorrhoids?

Haemorrhoids or 'piles' are very common. They are lumps that occur inside and around the anal passage (back passage). They consist of engorged blood vessels covered by the lining of anal canal.

What are the symptoms of haemorrhoids?

Bright red blood on the toilet paper or in the toilet when you have a bowel motion (poo). There may be some itchiness, discomfort or pain around the anus. Sometimes there can be a noticeable lump that sticks out of the anus. Haemorrhoids are classified into 4 different types based on their size and how severe they are:

  • First degree haemorrhoids often bleed a little bit when you pass a bowel motion, but stay inside the anus and are not usually very painful
  • Second degree haemorrhoids bleed and stick out of the anus when you pass a bowel motion
  • Once the bowel motion is over, they disappear back inside the anus by themselves
  • Third degree haemorrhoids must be physically pushed back inside the anus after passing a bowel motion
  • They may be painful if they are large
  • Fourth degree haemorrhoids are larger lumps that stick out of the anus permanently and cannot be placed back inside. The blood inside these haemorrhoids may clot and the lumps can become very painful.

What causes haemorrhoids?

Haemorrhoids are usually caused by chronic constipation (having hard bowel motions that are difficult to pass). Constipation causes you to strain when you go to the toilet. This puts pressure on the blood vessels in the anus, making them swell. Other things can increase the chance you will get haemorrhoids:

  • ageing
  • being overweight
  • having diarrhoea
  • spending long periods of time on the toilet
  • regularly lifting heavy objects

Haemorrhoids are particularly common during pregnancy. This is because constipation is quite common in pregnancy, but also:

  • the growing baby places pressure on the abdomen
  • there is more blood flowing through the body
  • Progesterone hormone produced during pregnancy enlarges the blood vessels

These haemorrhoids often disappear after pregnancy and might not need treatment. Haemorrhoids may also be more common in some families than in others.

How are haemorrhoids diagnosed?

Diagnosis of haemorrhoids usually involves an examination of the anal passage to look for any swollen blood vessels. Your doctor may conduct one of the following tests.

  • Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
  • Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope (a hollow tube with a tiny light at the end) to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.
  • How are haemorrhoids treated?


    Ointments provide symptomatic relief. They don't cure haemorrhoids. Early first-degree haemorrhoids can be treated with lifestyle changes like decreasing weight, avoiding constipation, avoiding sitting on the toilet for too long.


    1. Rubber band ligation, where a very tight elastic band is placed around the haemorrhoid to cut off its blood supply. This causes the haemorrhoid to fall off and be passed out of the body within 7 to 10 days.
    2. Haemorrhoidectomy, is the gold standard procedure for treating third degree and fourth degree haemorrhoids. It has the highest success rate in treating haemorrhoids
    3. Doppler guided ligation of haemorrhoidal artery is a new procedure that has the advantage of less postoperative pain compared to haemorrhoidectomy

    Contact Us

    To make an initial consultation booking, please contact our office on 02 8599 9819.

    Main Clinic Address:

    Madison Building
    Suite 7, 25-29 Hunter St,
    Hornsby NSW 2077

    Phone: (02) 8599 9819

    Fax: (02) 9012 0976
    Email: info@drgolani.com.au
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    Our Horsnby clinic is located conviniently next to Hornsby Westfield & Hornsby Station
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    What do I bring to my appointment?

    • Referral letter
    • X-Rays/Scans
    • Test results relating to referral
    • Health fund card
    • Medicare card


    Dr Golani performs a variety of General Surgical and Colorectal Surgical Procedures. They treat a variety of symptoms, diseases and conditions.

    Bowel Cancer

    Dr Golani has a high success rate of performing all the cancer resections including bowel cancers laparoscopically.

    Hernia repair

    Dr Golani routinely does general surgical operations like laparoscopic inguinal, femoral and umbilical hernia surgery.

    Gall Bladder Surgery

    Laparoscopic Cholecystectomy for Gall Stones, Dr Golani has performed more than 500 gall bladder procedures.


    He has been trained in advanced endoscopic skills and can remove large polyps endoscopically.

    Rectal Surgery

    Dr Golani's is highly skilled in performing Laparoscopic ventral mesh rectopexy for rectal prolapse.

    Anal Fistulas & Fissures

    Dr Golani can help with the treatment of the issue of painful anal fistulas & fissures.


    Dr Golani has extensive experience with both elective and emergency presentations of Haemorrhoids.

    Gastroscopy & Endoscopy

    He is accredited by the Gastroenterological Society of Australia (GESA).