Indications for Pexy of Hemorrhoidal Nodes:
- Internal hemorrhoids of stages 3-4: when hemorrhoidal nodes become significantly enlarged and prolapse from the rectum.
- Chronic hemorrhoids that do not respond to conservative treatment.
- Recurrence of hemorrhoids after previous surgeries.
Pexy Procedure:
- Preparation for Surgery: The procedure is performed under local anesthesia or general anesthesia, depending on the severity of the condition and the patient's status.
- Pexy Procedure: The surgeon uses special instruments to lift the hemorrhoidal nodes to their normal anatomical level and fix them. The surgery may involve using sutures or other methods to secure the nodes.
- Completion of Surgery: After the pexy is performed, the patient can begin the recovery period as the procedure does not require large incisions.
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Pexy (fixation) of hemorrhoids is a minimally invasive surgical procedure in which the enlarged nodes are returned to their normal anatomical position and secured in place. Unlike hemorrhoidectomy, in which the nodes are removed, pexy preserves the anatomy of the anal canal — this reduces the risk of recurrence and speeds up recovery.
A conventional hemorrhoid removal procedure involves excising the nodes. Pexy, however, allows the problem to be resolved without resecting tissue. The procedure is performed under local or general anesthesia depending on the stage of the disease and the patient's condition. At Helios Medical Center, pexy is performed using modern surgical techniques, ensuring precision and minimal trauma to healthy tissue.
Recovery after pexy is significantly easier than after a traditional hemorrhoid removal procedure. Most patients return to their usual activity within a few days of the procedure. During the recovery period, a gentle diet is recommended to normalize bowel movements, along with limiting physical activity for several weeks. It is also necessary to attend scheduled follow-up visits so the physician can monitor healing.
The cost of hemorrhoid removal by the pexy method can be clarified during a consultation at Helios Medical Center. The price depends on the extent of the surgical procedure and the chosen method of anesthesia.
Hemorrhoid pexy is most effective for internal hemorrhoids of stages 3–4, when the nodes are significantly enlarged and prolapse from the rectum. The procedure is also indicated for chronic hemorrhoids that do not respond to conservative treatment, and for recurrences after previous surgeries. In the early stages, minimally invasive methods — ligation, sclerotherapy, or laser vaporization — are usually sufficient. The specific indications will be determined by a proctologist at Helios Medical Center based on examination and diagnostic findings.
