What this experience covers
This experience describes what people report about THD (transanal haemorrhoidal dearterialisation) for hemorrhoids — how the procedure works, what recovery looks like, and how it compares to traditional hemorrhoidectomy. It is a composite drawn from many anonymised accounts.
The pattern
What THD is
THD is a surgical procedure for hemorrhoids that works differently from traditional hemorrhoidectomy. Rather than cutting away the hemorrhoid tissue, THD uses ultrasound guidance to locate the arteries supplying blood to the hemorrhoids and stitches them off. When the blood supply is reduced, the hemorrhoids shrink.
Some THD procedures also include a mucopexy — stitching the prolapsing tissue back into its normal position.
Why people choose it
The main appeal people describe is the recovery. THD is generally associated with:
- Less post-operative pain than conventional hemorrhoidectomy
- Faster return to normal activities
- No open wound to heal
- Lower risk of complications related to wound healing
It is typically offered for grade two and three hemorrhoids. Severe grade four hemorrhoids may still require traditional hemorrhoidectomy.
The procedure
THD is usually done as a day case under general anaesthetic. People describe:
- A short procedure — typically thirty to forty-five minutes
- Waking up with some discomfort but often less than expected
- Going home the same day
- Pain that is present but manageable, usually with standard pain relief
Recovery
People describe recovery from THD as generally easier than they expected:
- Days 1 to 3: some pain and discomfort, especially during bowel movements. Less severe than conventional hemorrhoidectomy accounts describe.
- Week 1: gradual improvement. Most people are moving around and able to do light activities.
- Weeks 2 to 4: return to work and normal activities for most people. Some residual awareness of the area.
The most commonly reported post-operative experience: a feeling of pressure or fullness in the rectum that takes a few weeks to fully settle.
How it compares
People who had THD after researching conventional hemorrhoidectomy describe relief at the reduced pain. However, accounts also note:
- THD may have a higher recurrence rate than conventional hemorrhoidectomy for more severe hemorrhoids
- Not all surgeons offer it — availability varies
- It may not be suitable for all hemorrhoid grades or presentations
What people wish they had known
That recovery, while generally easier than hemorrhoidectomy, is still recovery. The first bowel movement is still anxiety-provoking. Some pain is still involved. Managing expectations — easier does not mean easy — is important.
When to contact your doctor
Seek medical attention if you experience:
- Heavy bleeding that does not stop
- Severe pain that is getting worse
- Fever or signs of infection
- Difficulty urinating
- Any symptoms that concern you