Is PPH Right For ME?

Is PPH Right for Me?

If you have been diagnosed with Grade 2, 3, or 4 piles, and your GP has suggested surgery, you may be eligible for PPH, a NICE-recommended, minimally invasive procedure. PPH was first introduced to the UK in 1998 as a simple, safe, and effective alternative to traditional haemorrhoidectomy.

Like a haemorrhoidectomy, PPH is recommended for those with very serious cases of piles (those with Grades 2-4). When comparing PPH to conventional haemorrhoidectomy, the biggest difference may be the amount of pain involved in each procedure. While conventional haemorrhoidectomy is considered to be very painful, people who undergo PPH have reported less pain.¹

Comparing PPH and Conventional Haemhorroidectomy¹

Patient Consideration	PPH	Conventional Haemorrhoidectomy
Post-operative Pain	Less painful¹	More Painful
Recovery Time	Less Recovery Time²	More Recovery Time
Length of Procedure (Operating Time)	Less Operating Time³	More Operating Time
Length of Hospital Stay	Shorter Stay⁴	Longer
Complications from Surgery	Same⁵	Same
Patient Satisfaction	More satisfaction⁶	Less satisfaction

Conclusion

People who choose to undergo PPH have less postoperative pain, more satisfaction, and shorter hospital stay than those who have the conventional haemorrhoidectomy.¹

* Disclaimer:

Please note we are not in a position to diagnose or prescribe for specific medical conditions on our Helpline. Should you have any queries relating to your particular condition we recommend that you consult your GP.

Reference

Nice Guidance – Stapled haemorrhoidopexy for the treatment of haemorrhoids – Studies show significantly less pain 24 hours postoperatively, and 10-15 days post operatively
Nice Guidance – Stapled haemorrhoidopexy for the treatment of haemorrhoids – Studies have shown shorter wound healing times, with significantly less bleeding at 14 days post operatively
A number of studies have demonstrated shorter operating times, one showed an average of less than 14 minutes
Modern stapled Longo procedure vs. conventional Milligan-Morgan haemorrhoidectomy: a randomized controlled trial; International Journal of Colorectal Disease, Springer Berlin / Heidelberg, Volume 17, Number 1 / January, 2002, 1432-1262.
Nice Guidance – Stapled haemorrhoidopexy for the treatment of haemorrhoids –No statistically significant difference I complications such as itching, or skin tag removal
Nice Guidance – Stapled haemorrhoidopexy for the treatment of haemorrhoids – five studies reported greater patient satisfaction with stapled haemorrhoidopexy within the first year after the procedure was carried out.

How Serious Are Your Piles?

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Talk to Your Doctor

Asking these questions may help when speaking to your GP or surgeon.

Call the PPH Helpline

0800 028 2231

Speak to a trained nurse about your PPH questions in complete confidence.*

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