Effective treatment of external haemorrhoids in men

External haemorrhoids are pathological enlargements of the veins in the venous plexus located in the anal area. The main cause is blood stagnation in the pelvis. According to statistical data, 15-30% of the world’s population suffers from this disease, with a male-to-female ratio of 4:1 (80% and 20%, respectively). Age – 30-60 years, actively working young people.

Patients complain of itching and painful sensations in the perineum and rectum, which worsen after physical exertion, prolonged sitting, or defecation. Traces of blood are found on feces and toilet paper, indicating bleeding.

The diagnosis is made based on medical history, complaints, visual examination, laboratory, and instrumental diagnostic methods – anoscopy and sigmoidoscopy. Treatment involves either surgery or conservative therapy aimed at relieving acute symptoms and pain. Medications only postpone the timing of surgical treatment, which allows the patient to return to normal life without discomfort.

Causes of external haemorrhoids in men

Trigger factors:

• issues with bowel movements (prolonged constipation, frequent diarrhea);
• lack of physical activity;
• sedentary lifestyle or work (programmers, taxi drivers, long-distance drivers);
• excessive physical activity (work conditions, professional sports, horseback riding);
• diet (insufficient fiber intake from foods);
• excess body weight;
• harmful habits (alcohol abuse, tobacco smoking);
• spicy, fried, salty food, coffee;
• family history (cases of the disease in close relatives, parents);
• inflammatory and infectious processes in the pelvis, rectum;
• benign and malignant tumors of the gastrointestinal tract;
• comorbid pathology of the digestive organs (gastritis, peptic ulcer of the stomach or duodenum, colitis, enteritis).

The main cause is impaired blood outflow from the haemorrhoidal venous plexus, caused by congenital or acquired weakness of the vascular wall.

Symptoms of external haemorrhoids in men

Clinical picture of the disease:

• Pain syndrome. Discomfort, itching, unpleasant sensations in the anus, feeling of a “foreign body” in the rectum.  They are provoked by excessive physical activity, drinking alcohol or spicy foods, prolonged sitting (in the toilet or at work), coughing or sneezing. Vascular thrombosis causes an acute attack of severe pain, which is relieved by baths with antiseptic solutions, non-steroidal anti-inflammatory drugs, and topical treatments (suppositories).
• Bleeding. Occurs rarely. Patients find traces of blood on toilet paper or stool. Untimely treatment leads to anemia – a decrease in hemoglobin and red blood cells, which is accompanied by general weakness, loss of strength, difficulties with thinking and remembering new information, pallor of the skin and mucous membranes, shortness of breath with minimal exertion.

Palpation determines formations – up to 2 centimeters.

Diagnostics

The diagnosis is established based on the patient’s complaints, medical history, visual examination, anoxopia and sigmoidoscopy. Complications are clarified by a general blood and urine test, a biochemical test of blood and stool, and an ultrasound of the rectum.

Research in our clinic is carried out by men: we care about the comfortable stay of our clients.

Treatment of external haemorrhoids in men

Management tactics depend on the severity and extent of pathological changes and concomitant diseases.

Conservative therapy

List of medications:

• Ginkor Fort. Venotonic, strengthens the walls of blood vessels, relieves acute symptoms, relieves pain.
• Antrasennin. Laxative, prescribed for prolonged constipation. Use with caution: it causes electrolyte disturbances, addiction (the intestines cannot cope on their own, constipation becomes more severe).
• Detralex. Venotonic. Eliminates blood congestion in the pelvic area.
• Heparin. Thins the blood, relieves acute symptoms caused by thrombosis of the nodes.
• Baths with antiseptic solutions. A method of local treatment that alleviates inflammation.

Conservative therapy delays the timing of surgery, as it does not eliminate the cause of the disease. The action of medications is aimed at treating acute symptoms, relieving pain, and unpleasant sensations.

Surgical treatment

In our clinic, we use the following surgical techniques for external haemorrhoids in men:

• Laser treatment of internal haemorrhoids is discussed according to individual indications, taking into account the degree of prolapse, symptoms and external component. The specific technique, number of treated areas and duration depend on the scope of the intervention. Pain, bleeding, and recurring symptoms may occur; No scarring or complications are guaranteed. Conditions of observation, discharge and recovery are determined after assessing the patient’s condition.
• The Longo operation affects internal haemorrhoidal prolapse and is not a treatment for isolated external nodes. For external or combined haemorrhoids, the doctor compares other approaches, including excision if indicated. Stapled haemorrhoidopexy is not routinely recommended as a first surgical option; recurrence of loss, pain, bleeding and rare serious complications are possible. Alternatives, pain management, expected care and recovery are discussed before choosing a method.
• Milligan-Morgan haemorrhoidectomy. We use the LigaSure device. The “gold standard” for removing haemorrhoids. Indications – stage III-IV of the disease. Advantages – low risk of postoperative complications, availability, treatment of severe and advanced forms. Disadvantages – hospital stay, long recovery period.

Pain relief – local or spinal-epidural anesthesia, general anesthesia. We prefer regional techniques: administering drugs into the spinal canal to achieve a rapid effect, maintaining sensory block by titrating medications in the epidural space. Advantages: simplicity, prevention of intra- and postoperative complications (stagnant pneumonia, thromboembolism), maintaining contact with the patient (“participation in the surgery”), early mobilization.

In our clinic, operations are performed by men. This will allow clients not to worry about the sensitivity of the problem.

Delay in seeking medical help leads to complications: thrombosis and inflammation of haemorrhoids, bleeding. They are accompanied by intense pain in the anal area, increased body temperature, decreased appetite, and general weakness.

Tactics for external haemorrhoids depend on the symptoms and the presence of thrombosis. In some cases conservative measures are sufficient, in others intervention is discussed. Surgery is not necessary for every patient and does not exclude recurrence of symptoms. During the consultation, you can discuss indications, pain relief, recovery time and cost; Registration is available by phone and through the website.