Treatment of Piles
Stapled haemorrhoidopexy (MIPH / PPH) lifts prolapsing internal haemorrhoidal tissue back into the anal canal and reduces its blood supply using a circular surgical stapler — without conventional excision. It is most suitable for circumferential Grade III–IV internal prolapse confirmed by examination.
Treatment Pathway
How Stapler Surgery Works
Removes a ring of mucosa above the haemorrhoidal tissue
Who Is Suitable for Stapler Surgery
Circumferential Grade III–IV internal haemorrhoidal prolapse
Recovery & Follow-up After Stapler Surgery
Hospital stay typically 1 day or day-care depending on grading
Stapled haemorrhoidopexy (MIPH / PPH) lifts prolapsing internal haemorrhoidal tissue back into the anal canal and reduces its blood supply using a circular surgical stapler — without conventional excision. It is most suitable for circumferential Grade III–IV internal prolapse confirmed by examination.
A circular stapler is introduced and fired to remove a ring of excess rectal mucosa above the haemorrhoidal tissue. This lifts the prolapsed tissue back into position and cuts off its excess blood supply, reducing bleeding and swelling.
MIPH is most effective for patients with circumferential or recurrent Grade III–IV internal prolapse. Dominant external piles, thrombosis or infection require separate assessment or a different approach.
Most patients experience less post-operative pain than after conventional haemorrhoidectomy and return to routine activities sooner. Bowel control, follow-up and stool softening remain important.
Related Reading
Continue learning about piles — each linked topic adds important clinical context to help you prepare for your consultation.
FAQ
No. Stapler surgery (MIPH/PPH) mechanically repositions prolapsing internal piles tissue using a circular surgical stapler. Laser haemorrhoidoplasty uses laser energy to cauterise and shrink piles tissue. The right option depends on grade, anatomy and examination findings.
MIPH is generally less painful than conventional haemorrhoidectomy because the stapler line is placed above the pain-sensitive dentate line. Most patients manage with oral pain medicines after surgery.
Recurrence is possible, particularly if the procedure is performed for unsuitable anatomy or if constipation and straining continue. Following dietary and lifestyle recommendations after surgery reduces risk.
Patients with dominant external piles, anorectal infection, suspected inflammatory bowel disease or unclear bleeding source require thorough evaluation before stapler surgery is considered.
RectoRelief Hospital
Our team reviews symptoms, examination findings, patient comfort and recovery goals before recommending treatment. Sensitive conditions are handled confidentially.
Care Notes
Medical references used for this guide
This page is educational and does not replace a clinician's examination. References reviewed include ASCRS hemorrhoids patient information, NIDDK hemorrhoids overview, and Mayo Clinic hemorrhoids symptoms and causes.