Please click here to view the full Haemorrhoidectomy Commissioning Statement.
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Haemorrhoids are enlarged vascular cushions in the anal canal and may be external or internal. They are the commonest cause of rectal bleeding
Definition of degrees of haemorrhoids:
- First grade: the haemorrhoids remain inside at all times
- Second grade: the haemorrhoids extend out of the rectum during a bowel movement but return on their own
- Third grade: the haemorrhoids extend out during a bowel movement but can be pushed back inside
- Fourth grade: the haemorrhoid is always outside
Haemorrhoidectomy will be commissioned in the following circumstances:
- Grade I or II haemorrhoids with severe symptoms which include bleeding, faecal soiling, itching or pain which have failed to respond to conservative management for 6 months.
- Grade III or IV haemorrhoids (i.e. prolapsed)
All other circumstances require prior approval.