Specialties
Haemorrhoid Surgery
Haemorrhoid Surgery
Consultant Colorectal and General Surgeon in London
Haemorrhoids (piles) are swollen blood vessels inside or around the anus and lower rectum. They can cause bleeding, itching, discomfort, and prolapse. Haemorrhoid surgery is an advanced treatment option for grade 2–4 haemorrhoids that do not respond to non-surgical measures.
Mr Nikhil Pawa is a specialist in modern, minimally invasive haemorrhoid procedures, including banding, HALO (Doppler-guided haemorrhoidal artery ligation), THD, stapled haemorrhoidopexy, and traditional excisional surgery — tailoring the technique to your condition for optimal relief with minimal pain and rapid recovery.
Benefits of Haemorrhoid Surgery
01
Stops Bleeding Permanently
Surgery eliminates the source of bright red bleeding during bowel movements, preventing anaemia and recurrent spotting.
02
Resolves Prolapse
Procedures like stapled haemorrhoidopexy or excisional surgery pull back or remove prolapsing haemorrhoids, restoring normal anatomy.
03
Minimally Invasive Options
Banding, HALO/THD, and laser techniques offer less pain, faster recovery, and no incisions compared to traditional excisional surgery.
04
Shorter Recovery Time
Most patients return to light work within 3–7 days after minimally invasive procedures, compared to 2–3 weeks after excisional surgery.
05
Low Recurrence Rate
Modern haemorrhoid surgery (especially HALO/THD and stapled procedures) has recurrence rates below 5-10% at 2–5 years.
06
Day-Case Procedure
The vast majority of haemorrhoid surgeries are performed as day-case procedures, allowing you to go home the same day.
07
Eliminates Itching & Discomfort
Removal or reduction of haemorrhoidal tissue relieves perianal irritation, mucus discharge, and the sensation of incomplete evacuation.
08
Performed by a Global Expert
Mr. Nikhil Pawa, renowned for expertise in advanced proctology, brings over 20 years of experience in modern haemorrhoid surgery across London.
Our Process
Specialist Consultation
Your journey begins with a thorough consultation with Mr Nikhil Pawa, where your symptoms (bleeding, prolapse, pain), grade of haemorrhoids, and previous treatments are carefully reviewed. A digital rectal examination and proctoscopy are performed to confirm the diagnosis.
Sigmoidoscopy or Colonoscopy
If you have risk factors or concerning symptoms, we arrange a flexible sigmoidoscopy or colonoscopy to rule out other causes of rectal bleeding (e.g., polyps, colitis, or cancer). This ensures an accurate diagnosis.
Tailored Surgical Planning
If you are a candidate for surgery, we create a personalised plan — banding for grade 2–3, HALO/THD for grade 2–3 with minimal prolapse, stapled haemorrhoidopexy for grade 3–4 prolapse, or excisional haemorrhoidectomy for large, external, or recurrent haemorrhoids — tailored to your anatomy, grade, and recovery expectations.
Surgery & Recovery
The procedure is performed under general or local anaesthetic depending on the technique. Most patients go home the same day. Enhanced recovery protocols with pain management, stool softeners, and warm baths help minimise discomfort and speed up healing.
Locations
FAQs
Haemorrhoids are swollen veins in the anus and lower rectum. They are graded 1 to 4: grade 1 (bleed but don’t prolapse), grade 2 (prolapse but reduce spontaneously), grade 3 (prolapse and require manual reduction), grade 4 (permanently prolapsed).
Depending on the grade and type, surgery may involve rubber band ligation (cutting off blood supply), HALO/THD (tying off feeding arteries), stapled haemorrhoidopexy (reshaping prolapsed tissue), or excisional haemorrhoidectomy (surgical removal).
Haemorrhoid surgery treats grade 2–4 haemorrhoids that have failed medical or office-based treatments, as well as thrombosed or strangulated haemorrhoids.
Minimally invasive options (banding, HALO/THD, stapled) offer less post-operative pain, faster return to work (3–7 days vs 2–3 weeks), and no external wounds. Excisional surgery has the lowest recurrence rate but more pain and longer recovery.
You are a candidate if you have persistent bleeding, prolapse causing hygiene issues, pain from thrombosed haemorrhoids, or failed conservative/office treatments (fiber, creams, banding). A consultation with Mr Nikhil Pawa will confirm the best approach.
After banding or HALO/THD, most patients return to desk work in 2–5 days and full activity in 1–2 weeks. After stapled or excisional surgery, recovery takes 1–2 weeks for light work and 3–4 weeks for heavy lifting. Mr Pawa will give you personalised guidance.
Haemorrhoid Surgery in London
Modern, Minimally Invasive Piles Treatment for Lasting Relief.