Comments on: Worst case of hemorrhoidal prolapse ever & PPH

By: jeffrey

jeffrey — Mon, 13 Aug 2007 03:28:38 +0000

thanks for the reply.

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

By: Entensity Fan

Entensity Fan — Wed, 30 May 2007 22:44:52 +0000

Where i’m from, we call that Goatse. You see, the man CLAIMED he had hemorrhoidal prolapse, but he just needs to keep his fist out of his butt. This is also comonly called a rose bud.

By: Shively

Shively — Mon, 28 May 2007 18:35:34 +0000

I would be interested in learning if this man was homosexual and if so, was this caused by homosexual behaviors over a peroid of say 6 months to a year>?

By: Goe tse, MD

Goe tse, MD — Mon, 28 May 2007 18:29:34 +0000

rectum? damn near killed him.

By: Marcos Hurvitz

Marcos Hurvitz — Wed, 23 May 2007 14:40:39 +0000

I would like to receive the video of PPH procedure.
Thanks
Best wishes

By: Tham (Malaysia)

Tham (Malaysia) — Mon, 12 Mar 2007 17:55:24 +0000

I had a combined stapled plus diatherm hemorrhoidectomy
three years ago. The stapled procedure resulted in fecal
urgency, at least 5 times a day, for about a month – just as
reported in several studies in Medline. The was also stenosis,
and muscle spasms, due to the suture tugging on the anoderm,
I believe. This lasted some two months, during which I was
in considerable discomfort.

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.

By: Thrombosed Hemorrhoid at Unbounded Medicine

Thrombosed Hemorrhoid at Unbounded Medicine — Fri, 04 Aug 2006 23:31:11 +0000

[...] Link to: Hemorrhoidal Prolapse [...]

By: JonMikel, M.D.

JonMikel, M.D. — Fri, 04 Aug 2006 22:57:26 +0000

hoping4more:

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.

By: hoping4more

hoping4more — Fri, 04 Aug 2006 21:04:05 +0000

wow…what could cause this severe case of hemorrhoidal prolapse? I am glad you know how to treat it! that looked excruciating, yikes! ugh, i can’t see how it got to this point (without treatment?) (but i’m not educated about it).

By: JonMikel, M.D.

JonMikel, M.D. — Wed, 26 Jul 2006 22:31:09 +0000

I agree with doctor Schwab. Hemorrhoidal disease and/or rectal diseases are hidden sciences for most primary care doctors and much more for lay people.

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

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

By: Sid Schwab

Sid Schwab — Wed, 26 Jul 2006 21:35:06 +0000

Nice post. I’ve always thought hemorrhoidal disease is among the most misunderstood by primary care docs. Some is just a matter of terminology (perianal hematoma vs thrombosed hemorrhoid, for example). Managing 4th degree prolapse can be a real mess, and this stapling technique seems to be becoming a very useful step forward.