Can I have haemorrhoid surgery if my episiotomy wound hasn't recovered?

It is very uncommon for a lady to need haemorrhoid surgery while recovering from childbirth and episiotomy. I usually recommend conservative treatments that allay the symptoms from haemorrhoids during the early post-childbirth period as the pelvic floor tends to be swollen.

When the pelvic floor is swollen, the haemorrhoids arppear larger than usual. With the conservative treatment, most ladies will notice the haemorrhoids recover spontaneously and many do not require surgery at all. In the rare case that the haemorrhoids requires surgery, it can be performed safely if the surgeon is experienced in dealing with swollen pelvic and haemorrhoid tissue.

This would really depend on the colorectal surgeon's assessment with regards to the severity of your hemorrhoids and your symptoms (as in how it affects your lifestyle).

If the episiotomy wound is away from the location of the hemorrhoids then it should not be a problem. the only caveat is that you need to make sure that you keep the wound clean to prevent secondary infections of the episiotomy wound following your hemorrhoid surgery.

In an ideal world though, it would be best if the episiotomy completely healed then you can go ahead with the hemorrhoid surgery.

Haemorrhoidal disease is common during pregnancy. Most would resolve after delivery but some can remain persistent and refractory to medication.

If the haemorrhoids are symptomatic and distressful, surgical excision may be carried out with no compromise to the integrity of the episiotomy wound. If the hemorrhoids are prolapsed, then stapled hemorrhoidectomy is the ideal solution.

This can be done as a day procedure and patients are frequently relieved after the operation.