Has anyone had the Hal-Rar Surgery for grade 4 hemorrhoids / bleeding Piles?

hi annie, i live in Australia too . I have heard of hal rar before and was researching this procedure as well. Did you went for first referral to the specialist in the public system which then they put you in another 12 months waiting list for the traditional surgery?

So I had this surgery last week here in Melbourne here is my experience

Day of the surgery

Woke up after the operations and felt absolutely no pain. Just edgy from the anesthetic.

I went home that night - and threw up in the car... just the long trip home and the drugs i guess

Surgeon tells my wife the had to stitch a little lower to get all prolapse and that i may hurt. Warm bathes and Endone should help

Day 1 - 4am

I woke up - no pain - just a dull ache

I cant pee - that's weird. Numbness in genitals ! Trying not to freak out

7am - finally pee - phew

The dull ache of needing to go to the bathroom gets strong - but nothing there

Rest of the day is a dull ache - no real pain. Haven't even taken a pain killer - this going to be easy

Day 2 - 9am

First BM - OMG - i feel like im being ripped into 2

Pain off the charts... then its goes just as quickly

the Actilax (Stool Softener)has Lactose and Im Lactose intolerant ! - so you do the math. It freaken hurt and was explosive

12pm - need to take painkillers - clearly the local is wearing off. the numbness in genitals has passed.....

2pm - KILL me NOW the pain has started !

The Endone isnt doing Jack

The warm bath is the only relief i get

Taking Nuromol, Endone, praying!!! nothing is helping

Finally the wave of pain goes.

Day 3 - Wake up at 6am in pain

One Endone does nothing, take a second and Nuromol all at once - Nothing

Make an appointment with GP - prescribe panadeine Forte

I send an email to my surgeon

Take the Panadeine Forte and im out like a light

10am to 5pm

Speak to my surgeon who says i might need more Endone

Pick that up from the pharmacy (Sunday evening) and alternative non Lactose Stool Softener

Panadeine every 8 hours and Endone every 8 hours

The pain is strong - about 7/10 but under control

BM hurt alot and the urge to strain - but doing my best

Day 4 - Wake up with 5/10 pain

Take Panadeine Forte and Endone 4 hours apart

Pain has now slipped to 2/10

BM still hurts

Would I recommend the Surgery?

Too early to tell as i dont know the end results

I will say its not Pain free... im not a wuss! But if the surgeon operates in the zone with nerve endings it will hurt.

I think my surgeon was really good and the team that worked with him where really nice..

Ive had issues for 20 years so Im hoping this a a medium/long term solution

If you are reading this and are in pain, I genuinely feel for you.

Call your GP and see if there is an alternative pain relief for the operations

Banding hasnt worked for me in the past.

all Up I was $500 out of pocket

Hopefully Day 5 is even better !

Yes, I had the surgery halo halrar 3 months ago. It was all good, I had day surgery. I had a wonderful anesthesiologist who prepared me with prescriptions for pain meds. I took pain medication for 5 days. I couldn't sit down without pain so I was laying on my side or stood up for the most part of 2 weeks. After 2 weeks I felt fully recovered. Then after 3 weeks I had swelling and looked like the hems had fallen out again. The Dr said it's skin tags, no hems. So now it's been 3 months and was feeling really good. Then today I had spotting blood on the paper, I look swollen again. Bummer 😕

So I look on this website a see all the replies to my old question. Thank you everyone who has shared there experience with me. I didn't know anyone had I had replied.

Hi everyone!

Glad to be part of this forum.

So i have heard a combination both internal and external hemorrhoids in the last 15years and been managing it lately with a botox injection .

January 8th 2019 ,had a BM and usually would take a hot shower and push up my hemorrhoids but this time it failed and kept falling back.This stayed out for a week and got thromobosed which caused bleeding that led me to emergency on sunday morning 13th JAN.

BTW,i live in saskatchewan canada where health insurance is covered by government .

So with the pain and bleeding i was examined almost immediately and the general surgeon on call confirmed i would need to be operated same day.

Long story short ,no details of what will be done on me but at 6pm ,i was wheeled into the OR and placed under general Anesthatia which was all i remembered until around 8:30pm when i became active again.

SURGERY DAY: Was asked not to eat and didnt feel any pain until the anesthia wore off.

DAY 2: Around 9am,this crazy pain kicked in and my nurse stated to place me on hydromorphine with tynenol.

Part of the crew during the surgery came for a follow up and noticed their was a swellen which he wasnt sure if its another hemorrhoid prolasping.

I asked if they could take it off as well so i can go through this terrified experience once but he said no.

Day 3: Pains continue and discovered my hydromorphine was 1mg hence i increased it to 2 tabs as needed to help whilst using softner to make bowel movement easier.

BM happened on day 4 and wasnt bad .

its now day 6 and the prolasped stuff is presently a concern to me as i dont know if its hemorrhoid or just skin tag .Can someone please share their experience if it will shrink and how long will it take?

THANKS

Hello I am 36 years old and I had RAR surgery two and half weeks ago. I live in Paris so I had the surgery here. The pain 2 days after the surgery was pressure that felt like someone was pulling something inside my ass with an immense power. After the bowel movements in the mornings, I felt relief. But first 3 nights, I couldn't sleep right because of the gas and the pressure inside, real nightmare. One week later, after I went to toilet, I felt that the pain has gone away.

2 days later that bowel movement, I felt the hemorrhoid came back because of that spasm feeling, exactly like before when I had the hemorrhoids. After an examination with my finger, what seemed to be pushed inside with RAR surgery, came back and now it is exactly the same size before the surgery.

I have an appointment in 3 days with my doctor. Maybe it is me worrying over something that will go away in time or maybe the stitches inside couldn't hold the hemorrhoids. But I don't feel any better than before, I still can't sit without that throbbing sensation down there. I am starting to think if my stitches snapped or something, if that is even possible. I had no bleeding except the first BM.

thought i would share my experience for anyone suffering from grade 4 prolasped hemaroids. im now post op for hal rar, im a 47yo male and have experienced prolasped regularly on each BM which was pushed back in by hand. in recent times the hems would swell and come out on any physical exertion to a point where even when i was laying bed they would pop out.. however it was always manageable until now. i research treatments and found dr ahmul had performed successfully 1000 ops in perth.

prior to the surgery i had to get an all clear for a colonoscopy which i did to rule out any other issues as i was anemic from bleeding from time to time. at colonoscopy the doctor also performed a gastropy to investigate any stomach issues. i woukd recommend if you are doing the colonoscopy to also get this done since you are in the hospital anyway, and effort is another 10mins - luckily i came back with no issues so the hal rar surgery was scheudled.

op day

checked into hospital and was told it would be overnight stay, i recieved two enemas which made me clear my bowel but left me quite raw and swollen.

the op itself was quitr easy and when i woke up it was all done. the dr said i was quite extensive a grade 4 and if there was a banding above that i would be it. he had done 5 circumferential hems.

day 1 post op

couldnt wee

couldnt pass bm

had 6 bags of movical over a few hours

was told i had to wee and do bm before being able to check out.

i was able to wee about 12pm and finally did a bm at about 5pm where the insert was passed.

i was allowed to go home and given

tanpandental pain killers

oxicone strong pain killers

lactuose laxatives

celebrex anti inflame

metrogyl which is antibiotics

panamax

day 2

took 2 tabs of tanpandental every 6 hrs

had serious urinary retention

managed to have a small stream to avoid a cathater

at 10pm my bladder was bursting anf finally peed for along while

throughout the night continued to pee - i think my body was expelling the various meds

i seriously think the opiod made me urinary retentive so stopped this altogather. only pain was controlled by panamax

did about 3 bm which all were smooth due to a tablespoon twice a day of laculose

pain after each bm was a 5 - hurt like hell

stinging feeling which subsided after 5-15 mins

day 3

bm about 4 - pain still unbearable after bm resorted to taking one tapandentol to sleep

urinary retention on and off - nurse told me could be related to the severve pain which i beleive could be true howver opiods def dont help.

day 5

still recovering taking epsom dips now which help

i think will take me another good week or more to feel better.

hope this posts helps. overall i think i made tge correct choice in dr and procedure and hope to update at 12 weeks.