I see no reason for your comment. It seemed to be one made purely to ‘troll’ Joe. Anal sex is not necessarily an unsafe practice as long as you take care not to damage your anal cavity in any way. It is only unsafe when having unclean and/or sex with someone who has a STD.

The facts that we know about the PPH patient is that he is a white male, age 45, and has a history with history of chronic reducible hemorrhoidal disease. We do not know his height, weight, sexual orientation, or anything else. And, even if the man was gay, it is clear that this was not caused by having anal sex. This was caused by not having treated hemorrhoidal disease, straining, constipation, diarrhea, or prolonged sitting, Without actually either getting our hands on his case file or asking him, we will never find out.

On a different note; this treatment seems like a suitable one depending on person and/or how bad the prolapse is. However, Tham, an above commentor, seems to have had the procedure and met with unsatisfactory results. I am not certain as to why, I’m actually a Cardiologist and researcher, and have never dealt with patients who have hemorroidal disease. Though, as I said, it seems to differentiate from person to person. However, I would say this article would be very helpful to scaring someone into taking better care of their body, that’s for sure! And, of course, taking better care of their hemorroids. But it’s also helpful if one were to be researching options to deal with their own or to find out if they themselves have prolapse.

4.5 stars from me.

i am not a doctor yet though. :) long way to go.

It also resulted in fecal impaction two times over a period of
about two months, which has also been reported in Medline
with this stapled method.

It seems one of them, which I think was the biggest one
which had to be excised with diathermy, has recurred
just after two years as Stage 2.

The diathermy procedure was accompanied be heavy
postoperative blood loss and extreme pain. Pethidine
relieved the pain for barely an hour the first night.

I should have chosed the harmonic scalpel, as noted in
Medline studies, which found no advantage of the PPH
method over it. The PPH device wasn’t cheap either, costing
some M$1,500.

If I had selected the harmonic scalpel, I wouldn’t have
experienced blood loss from the one hemorrhoid which
could not be pulled up by the PPH and had to be cut off
by diathermy. Postoperative pain would also have be
very likely much reduced.

I’ll make sure I choose the harmonic scalpel, or at least
the laser, if I need surgery again.

Non treated hemorrhoidal disease, straining, constipation, diarrhea, prolonged sitting and pregnancy, are the causes of hemorrhoidal prolapse.

It is very common in people to have hemorrhoidal disease, but frequently it is succesfull treated with conservative measures; when people choose not to treat the condition perpetuates and complicates.

Thank you for your comment.

I’ll try to explain this diseases from clinical cases.

Thanks for your comment. I hope to see you around here more often.