Hemorrhoid PPH stands for Procedure for Prolapse and Hemorrhoids. This is a technique for removal of the advanced grade 2,3 and 4 hemorrhoids. It is a surgical procedure that uses circular titanium staples that are inserted inside the rectum reducing the prolapse, of the tissue by repositioning (lifting up) of the rectal canal tissue causing a reduced blood flow to the hemorrhoids. The result is they eventually shrink and die.

In comparison to the conventional surgical procedure, hemorrhoidectomy, PPH is much less intrusive; it is associated with less pain and faster recovery normally between 2 to 8 weeks.

Although, Hemorrhoid PPH is effective and comparatively less painful there are some serious potential Risks and Complications to be considered prior to undergoing the surgery:

1. Potential Inflammation and Infection of the rectal wall - this may be caused by muscle tissue being dragged into the device used to install the circular staples

2. Potential damaging of the internal muscle of the sphincter - this would result in long or short-term dysfunction and cause severe pain or involuntary urination or defecation

On the other hand it can provide permanent relief from hemorrhoid suffering.

In case you are considering taking the option of Hemorrhoid PPH, here are few questions to ask your doctor:

- Has he performed this procedure before?

- How many patients has he treated with it?

- Will you be required to spend time in the hospital and how long?

- Will you need to undertake any long term work changes and physical activities?

- Why is he recommending this particular procedure over the others?

- How long will the recovery process be?

- How long does it take for the surgery to be completed?

- How long before you can go back to "normal" diet and activities?

- What are all of the potential risks and complications of Hemorrhoid PPH surgery?

Let me be straight with you. I have researched the experiences of number of people undertaken the Hemorrhoid PPH surgery. What I found is that most likely you will be in more pain than you would imagine. Some people have had unbearable pain for up to 4 even 6 weeks after the surgery. One common advice: make sure you have tons of mineral oil, Miralax and other products to keep the stools soft and a bucket load of pain medication. My understanding is that you do not want to run out of any of those until you have fully recovered.

Ok, I am going to stop here as I don't want to influence any extra fears in your mind. In any case if you must have it done the doctors say everything will be just fine.

In conclusion: Everyone of us knows that with any surgical procedure there are benefits as well as risks that we need to carefully consider. My all time personal philosophy is that no matter what, surgical procedure of any kind is the last treatment I will ever consider. First, I would exhaust every possible natural way or remedy that others have used and found safe and helpful. If all of the options have failed to produce sustainable result only than will I consider a surgery.