Stapled Hemorrhoidopexy

In brief: Stapled hemorrhoidopexy lifts prolapsing internal hemorrhoidal tissue by removing and stapling a ring of rectal mucosa above it.

Use in hemorrhoids

Under anesthesia, a circular stapling device creates a mucosal ring above the hemorrhoidal cushions, returning prolapse upward and interrupting part of its blood supply. Selection requires internal prolapse suitable for this geometry; external hemorrhoids are not excised. [1]

Recovery instructions cover pain, stool consistency, activity, expected bleeding, and follow-up. Bleeding, urinary retention, narrowing, persistent pain, recurrence, and uncommon serious rectal or pelvic injury are recognized complications.

Clinical detail

Early recovery may differ from excisional surgery, but longer-term prolapse and recurrence remain important. Cochrane evidence found more recurrent prolapse after stapled than conventional excisional surgery; this comparison does not establish a personalized choice because anatomy, priorities, and risks vary. [2]