Hi Abubin,

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?

Yup..LHP helped to reduce the hemorrhoids. Recover is like only 1 week. Super easy and no that painful during recovery.

Right now, I have another Prolapsed Hemorrhoid. I have to push it back every time after passing motion. It is still manageable now so I am holding out to getting it fixed.

Hi Canelle,

At the end of the day, I actually went to KPJ Specialist Klang and seek Dr. Manohar.
https://www.facebook.com/kpjklang/posts/kno...52634071761072/

This is because he convinced me that he is able to perform the laser on the prolapse hemorrhoid as well.
He mentioned that, he will be cutting a small 'hole' on the prolapsed hemorrhoid and then use the laser to burn the hemorrhoid.

I am in 1 month post recovery, I think most of the pain has gone by now, I am able to do my daily routine pretty much.

However, do take note that, even though it is laser,
my experience with the first week post surgery is horrendous.
(I am not sure whether is it due to the external prolapsed hemorrhoid that is healing or the internal one,
but it wasn't as painless like what other users have experience it)

The first week of the recovery was really terrible,
I remember clearly the first bowel movement almost took my life...... if i recall it, the pain...... ohhhhh....

Gentle reminder: do take soft diet, more fiber, stool softener on 2nd or 3rd day if you do not have bowel movement,
and try to take lesser food to reduce the pain.
(Till today, i am still wondering why the hospital serve me rice, curry chicken, grilled chicken.......)

However, on the second week, when i though everything was almost 'okay',
something terrible happen, I am unsure is it due to the harden stool (I ate a little bit of junk food and etc, that caused the stool a little bit hard).

During bowel movement, i am unsure whether the stitch snapped or bacteria infection (Doctor mentioned this),
I had tremendous bleeding (only blood) coming out from my bowel movement from 11pm to morning 9am (around 8~10 times).

Therefore, I went to the ER at around 4am,
and the bleeding automatically stopped around 11am,
and the recovery process starts again..... (antibiotic, painkiller, daflon) - another 3 days staying in the hospital just to make sure everything is okay.
--> If the bleeding didn't stop, I may actually required to go to the OT again to stitch out the wound..... luckily the bleeding stop.....
--> It is actually quite common for this to happen, delayed hemorrhage, (on my 10 day post-op)

Fast forward (today), around 30 days post operation,
I think the pain has pretty much gone away,
I am able to sit and do my work,
bowel movement is okay, just need to maintain diet and etc, (lost 5kg with my current diet)
although occasionally, the itch is still there....

Advice: Remember to pat dry your thigh / groins / butt before applying any cream or etc.
(I actually gotten a yeast/fungal infection near my groins, might be probably caused by the sitz bath,
I pat dry my butt but didn't pat dry my thigh.... hahahahaha)
Total cost for the procedure including 3 days hospitalization and procedure is around 21k..... (take note that the laser equipment already cost around 6~7k)
* I didn't go for Dr. Chong because i wanted a full laser procedure, as laser procedure reduced most of the post surgery complication,
based on the some online review and etc, i think 30 days after post surgery with 1 large grade3-4 prolapse hemorrhoid removed,
the recovery process is already considered very very fast.
--> https://patient.info/forums/discuss/6-month...rough-it-657398
--> most people still have some issues on the 3~6 month post operation
General advise from the public community, take longer leave if you are going to remove a larger hemorrhoid.
Take a minimum of 2 weeks leave.
I think it really depends on the equipment being used.
The surgeon fee is around 2k++ for the operation.

But when i look through the receipt,
the laser equipment itself cost around 6~7k. (KPJ Klang - Dr Manohar)

Well, i guess everything is covered by the insurance..... hehe.....
hopefully, I do not need to admit to the hospital again....