Surgical :
Heamorrhoidectomy: is done for chronic symptosm
and 3 & 4 degree heamorrhoids
Various techniques are advocated including the Milligan morgan ligation and excision technique, Ferguson type closed heamorrhoidectomy,
Laser (contact Nd-YAG), ANA-UNA DARE transfixation and ligation only and the Lords manual dilatation.
Post operative problems include bleeding, pain and urinary retention
