Dec 22 2020, 06:40 PM
QUOTE(abubin @ May 15 2017, 11:26 PM)
Tham, thanks for the suggestions. You are really the hemorrhoid local expert here.
So anyway, after doing my own research. Eventually, I went to sunway medical, um and ramsay parkcity.
For UM, seeing the specialist only would require an appointment of 2 months. So skipped here.
For ramsay parkcity, the doctor did advice me to do stapler because he said one of my roid is too big for laser. Cause after laser, the roid will swell and cause massive pain for few days. This hospital is EXPENSIVE! Consultations alone without medication cost me almost RM300.
For Sunway medical, the doctor is DR Chong who used to be in UM. He is now in sunway. He gave me choice of using Laser or Stapler. I double checked with him if my roids are too big to use laser but he said it is okay.
From the few consultations and reading online, here are my conclusions:
Stapler - best method with balance between effectiveness and least pain. Cause the stapler will fix the whole circumference of the inner anus. Recovery is still bad for some people and there is a very very little chance for some people of "feeling something there" for the rest of your life cause it leaves the titanium staplers in your anus..
Laser - most modern method, effective and least pain but only for small roids.
Band Ligation - fast and simple for small roids. But a bit of suffering post surgery. Cheap too as basically only need local anesthetic.
Hemorroidectomy (cutting it off) - most effective for removing large roids but the recovery is super pain in the ass (literally). Some people suffer for 2 months and still not recover. Basically this is the last line of defence when all else fail. Never go for this method unless all other methods does not work.
Anyway, I already had my laser surgery for 4 days now. I must say the pain is mild and much less than band ligation I had previously. The wound is still bleeding a little and I try not to move too much. Already had 3 BM and all is good so far. I do still feel like something is still there but I really hope it will go away after some time.
So to those who are still in early stage...please go for the laser. It will save yourself a lot of pain an agony of other methods.
Hi Abubin,So anyway, after doing my own research. Eventually, I went to sunway medical, um and ramsay parkcity.
For UM, seeing the specialist only would require an appointment of 2 months. So skipped here.
For ramsay parkcity, the doctor did advice me to do stapler because he said one of my roid is too big for laser. Cause after laser, the roid will swell and cause massive pain for few days. This hospital is EXPENSIVE! Consultations alone without medication cost me almost RM300.
For Sunway medical, the doctor is DR Chong who used to be in UM. He is now in sunway. He gave me choice of using Laser or Stapler. I double checked with him if my roids are too big to use laser but he said it is okay.
From the few consultations and reading online, here are my conclusions:
Stapler - best method with balance between effectiveness and least pain. Cause the stapler will fix the whole circumference of the inner anus. Recovery is still bad for some people and there is a very very little chance for some people of "feeling something there" for the rest of your life cause it leaves the titanium staplers in your anus..
Laser - most modern method, effective and least pain but only for small roids.
Band Ligation - fast and simple for small roids. But a bit of suffering post surgery. Cheap too as basically only need local anesthetic.
Hemorroidectomy (cutting it off) - most effective for removing large roids but the recovery is super pain in the ass (literally). Some people suffer for 2 months and still not recover. Basically this is the last line of defence when all else fail. Never go for this method unless all other methods does not work.
Anyway, I already had my laser surgery for 4 days now. I must say the pain is mild and much less than band ligation I had previously. The wound is still bleeding a little and I try not to move too much. Already had 3 BM and all is good so far. I do still feel like something is still there but I really hope it will go away after some time.
So to those who are still in early stage...please go for the laser. It will save yourself a lot of pain an agony of other methods.
I just went to Dr Chong Hoong Yin for hemorrhoid examination as well.
(*I initially wanted to look for Dr. Akhtar Qureshi as recommended by @Tham, however, most of the timeslot for Dr. Akhtar is fully booked.)
Anyway, Dr Chong have informed me, I have 3 internal - stage1/2 hemorrhoid, and 1 external hemorrhoid.
For the internal one, the Dr. suggested to use laser (probably cost around 8-9k).
However, for the external one, I am in dilemma choosing for the method,
Dr. told me that it is impossible to use laser, and the only choice is to go for hemorroidectomy.
He quoted "Any of the method is almost equally pain", and I am required to choose the method.
1. Ligasure bipolar diathermy
2. harmonic scalpel
3. conventional procedure (in terms of cost, he recommended this)
4. ...
He informed me that the harmonic scalpel is much more expensive compared to the other methods as the device is disposable.
The total estimated cost for laser + harmonic scalpel would cost around 15~18k.
After researching, it seems that harmonic scalpel and ligasure is both better compared to the conventional procedure.
Anyone have any suggestion/opinion on which method should I choose for the external hemorrhoid?
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