Hemorrhoid Surgery in Seomyeon, Busan
Hemorrhoid surgery removes or repositions large, prolapsing or persistently bleeding hemorrhoids that have not responded to simpler treatments (치질 수술). In Seomyeon, Busan, colorectal clinics usually perform it in about 20–45 minutes under spinal or local anesthesia with sedation, often as same-day or one-night surgery, with return to desk work in about one to two weeks.
Independent patient guide · Medically informative, not a substitute for a doctor's advice · Last reviewed:
What is hemorrhoid surgery?
Surgery is the most definitive treatment for advanced hemorrhoids. Excisional hemorrhoidectomy cuts away the enlarged hemorrhoid tissue and is the most effective long-term option, especially for large external components. Stapled hemorrhoidopexy lifts prolapsed tissue back into place with a circular stapler and is usually less painful but has higher recurrence. Doppler-guided hemorrhoidal artery ligation (HAL or THD) ties off feeding arteries and stitches up prolapse without removing tissue.
Who is it for?
- Hemorrhoids that prolapse and need pushing back, or stay out permanently
- Repeated bleeding causing anemia despite treatment
- Large combined internal and external hemorrhoids
- People in whom banding or other office procedures have failed
Surgery is postponed during pregnancy where possible, and conditions such as inflammatory bowel disease need special consideration.
What happens at the clinic
- Assessment: examination and anoscopy; colonoscopy may be advised first if bleeding needs investigation, particularly over about 40.
- Pre-op tests: blood tests, ECG and chest X-ray depending on age and health.
- Preparation: fasting as instructed and sometimes an enema.
- Surgery: under anesthesia, typically in a prone or lithotomy position.
- Recovery room: pain control, then discharge the same day or after a night's stay once you can urinate.
Recovery and aftercare
Pain is greatest in the first few days, particularly during bowel movements, and is controlled with scheduled painkillers. Stool softeners, fibre and fluids are essential; warm sitz baths after bowel movements soothe the wound. Light bleeding and discharge are normal for a couple of weeks. Avoid heavy lifting and prolonged sitting early on. Most people return to desk work in one to two weeks.
Risks and side effects
Possible complications include urinary retention, delayed bleeding (often around one to two weeks), infection, anal stricture and, rarely, minor continence changes. Seek urgent care for heavy bleeding, fever or inability to urinate.
Choosing a clinic for hemorrhoid surgery in Seomyeon
- Ask which technique the surgeon recommends for your hemorrhoids and why.
- Ask about the pain-control plan, including any long-acting local anesthetic.
- Ask whether the clinic offers inpatient beds and overnight nursing if needed.
- Clarify follow-up visits and how to reach the clinic out of hours.
- Confirm the surgeon is a board-certified surgeon with colorectal specialisation.
For visitors
Allow roughly a week in Busan to cover surgery and the first wound check. Seomyeon, where Lines 1 and 2 meet, is convenient for short follow-up trips.
Key facts
- For: grade III–IV internal hemorrhoids, mixed hemorrhoids, failed office treatment
- Techniques: excisional hemorrhoidectomy, stapled hemorrhoidopexy, artery ligation (HAL/THD)
- Procedure time: about 20–45 minutes
- Anesthesia: spinal, or local with sedation; sometimes general
- Hospital stay: same day to 1–2 nights
- Downtime: desk work in about 1–2 weeks; full healing around 4–6 weeks
- Follow-up: wound check at about 1 week and later
Frequently asked questions
How painful is hemorrhoid surgery recovery?
Pain is usually worst in the first several days, especially with bowel movements. Regular painkillers, stool softeners and sitz baths make it manageable. Stapled and artery-ligation methods tend to be less painful.
How long does it take to recover from hemorrhoid surgery?
Most people return to desk work in one to two weeks. Complete wound healing usually takes about four to six weeks.
Will hemorrhoids come back after surgery?
Excisional hemorrhoidectomy has the lowest recurrence. Stapled and artery-ligation methods recur more often. Preventing constipation and straining reduces the risk of new hemorrhoids.
Do I need a colonoscopy before hemorrhoid surgery?
Often yes if you have bleeding and are over about 40, have a family history of colorectal cancer or other warning signs, to make sure bleeding is not from another cause.
Can I fly home after hemorrhoid surgery?
Most surgeons prefer you to stay until the first check, about a week. Long periods of sitting can be uncomfortable; use a cushion and stand up regularly.
Medical disclaimer: Seomyeon.Clinic is an independent information directory. Content is for general education and does not replace a consultation with a licensed physician. Suitability, risks, results and costs vary by person and clinic. In an emergency in Korea, call 119.