FAQ


Is the THD method painful?

In the post-operative period pain is either mild or absent, because the THD method does not imply any tissue excision, and the entire procedure is performed above the dentate line, where no sensitive nerve endings are located.


When can I resume my normal activities?

After some discomfort in the first 24-48 hours after the surgery patients can normally resume their usual activities, since there are no open wounds and no dressings to change.


What should I expect after the surgery?

Mild, temporary pain and some discomfort may occur, especially in the first 24-48 hours. Patients will gradually notice that the symptoms associated with haemorrhoidal disease they complained of will be permanently resolved.


Can the surgery interfere with my sexual life?

Since the procedure is minimally invasive and leaves no open wounds, patients’ sexual activities are usually not interfered with. In any case seek advice from your surgeon for your specific needs.


Is a specific diet recommended?

Of course if you follow a high-fibre diet and drink plenty of liquids (at least two litres a day) you can prevent constipation and facilitate the elimination of soft stool, thus avoiding the trauma of expelling the faecal bolus from the anal duct.


Which treatments are recommended after the surgery?

No specific treatment is recommended after the surgery, unless otherwise prescribed by the proctologist. Any treatment that patients received before the surgery can be resumed.


Under what kind of anaesthetic is the procedure performed?

THD method can be performed under local anaesthetic or performed under general anaesthetic.


How long does the surgery take?

On the average this procedure takes about half an hour.


Does this method imply any anatomical alterations in the area where the procedure is performed?

The THD method does not cause any anatomical alterations in the area where the procedure is performed. In addition to that, this procedure is extremely physiological, since it repairs the prolapse and “lifts” the tissue back to its anatomical position.


How can I understand whether I need to undergo a surgery?

When you feel symptoms associated with haemorrhoidal disease, please see your family doctor. He/she will advise you to pay a visit to a proctologist, who in turn will decide whether you need a surgery.


Are there any contraindications?

Currently there are no contraindications. On the contrary, since this procedure is minimally invasive, it is recommended for the treatment of bleeding prolapses in the elderly or in people having poor health.


May relapses occur?

Even though the THD method is quite recent, we can say that 5 years after the surgery the relapse rate is very low.


Will I be able to ride a bicycle again?

Since the THD method does not excise either haemorrhoids or perianal skin tissue, not only can you ride a bicycle again after the surgery, but you can do that very soon.


Can I undergo this procedure even though I have already undergone another surgery?

Even though you have already undergone a surgery to treat haemorrhoids – irrespective of the surgical method adopted – you can be treated with the THD method. If necessary, the THD procedure can be performed again on patients who have already undergone a THD surgery. There are no contraindications for that.


When can I go to the toilet? If I feel the need to defecate, should I suppress this stimulus?

You can go to the toilet the day after the surgery, so you don’t need to suppress your need to defecate.