I have both internal and external hemorrhoids but no pain or itching yet One doctor recommended surgery for a permanent fix Should I get surgery right away and if so which method is best hemorrhoidectomy stapled hemorrhoidectomy PPH rubber band ligation or lateral internal sphincterotomy Or should I stick with meds for now

Dr Kamran Mohammed

General Practitioner

• MBBS
• FIDM
• 5+ Yrs

Consult Now

While having both internal and external hemorrhoids can be a concern, the presence of pain and/or itching may not always necessitate immediate surgery. A doctor's recommendation for surgery, especially a permanent fix, should be discussed thoroughly considering the severity of symptoms and the potential benefits and risks of different surgical options. If you are experiencing no pain or itching, and hemorrhoids are relatively small, non-surgical treatments like rubber band ligation or sclerotherapy may be considered first. Surgical options like hemorrhoidectomy, stapled hemorrhoidectomy (PPH), or lateral internal sphincterotomy are usually reserved for more severe cases or when other treatments have failed

Answered 14/08/2025