Stapled Haemorrhoidopexy (PPH / MIPH)
A circular stapling device repositions and fixes prolapsed haemorrhoidal tissue - correcting Grade III prolapsing haemorrhoids with significantly less post-operative pain than conventional haemorrhoidectomy. Available at the best piles hospital in Hyderabad.
What is Stapled Haemorrhoidopexy (PPH / MIPH)?
Stapled Haemorrhoidopexy - also known as PPH (Procedure for Prolapse and Haemorrhoids) or MIPH (Minimally Invasive Procedure for Haemorrhoids) - uses a circular stapling device to excise a ring of mucosa above the haemorrhoidal tissue, simultaneously interrupting blood supply and repositioning prolapsed haemorrhoids back to their correct anatomical position inside the anal canal.
The staple line is placed in the insensate rectal mucosa above the dentate line - accounting for significantly reduced post-operative pain compared to conventional haemorrhoidectomy. Dr. Samhitha Reddy, a leading piles specialist in Hyderabad, performs PPH/MIPH at Lux Hospitals for selected Grade III circumferentially prolapsing haemorrhoids.
Primarily indicated for Grade III circumferential prolapsing internal haemorrhoids. Dr. Samhitha evaluates each patient to determine whether PPH/MIPH, laser, or haemorrhoidectomy is optimal.
How the Procedure Works
Anaesthesia
Spinal or general anaesthesia. Patient positioned in lithotomy.
Dilator & Anoscope Insertion
A circular anal dilator is inserted and sutured to the perianal skin. The Purse-String Anoscope is introduced to the supraanal level.
Purse-String Suture
A purse-string suture is placed circumferentially 4–5 cm proximal to the dentate line - the critical step determining the adequacy of tissue excision.
Stapler Firing
The PPH-03 circular stapler is introduced, the purse string tied, and the stapler fired - excising a ring of mucosa and simultaneously stapling the edges.
Haemostasis & Discharge
Staple line inspected and any bleeding points suture-ligated. Hospital stay typically overnight. Discharge next morning with dietary and activity instructions.
Outcomes
Who Needs This Treatment?
- →Significantly less post-operative pain compared to conventional haemorrhoidectomy
- →Shorter hospital stay - typically overnight vs 2 days for haemorrhoidectomy
- →Faster return to work - light duties in 1–2 weeks
- →Addresses circumferential prolapse in a single procedure
- →Preserves normal anal cushions - less risk of mucus leakage post-surgery
- →Covered by most major health insurance providers at Lux Hospitals, Hyderabad
PPH is an elegant solution for circumferential prolapsing haemorrhoids. Because the staple line is placed above the pain-sensitive zone, patients are genuinely surprised by how much more comfortable their recovery is compared to their expectations.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Stapled Hemorrhoidopexy Cost in Hyderabad
The cost of stapled hemorrhoidopexy (PPH / MIPH) in Hyderabad depends on the grade of piles, extent of hemorrhoidal prolapse, surgical technique, investigations required, and the care needed before and after surgery.
For advanced piles conditions such as Grade III and circumferential haemorrhoids, where stapled hemorrhoidopexy may be considered, the approximate cost ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Stapled Hemorrhoidopexy (PPH / MIPH) Grade III, Circumferential Hemorrhoids | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, severity of prolapse, findings during evaluation, and whether any additional procedures or post-operative care are required.
Factors That Influence Stapled Hemorrhoidopexy Cost
The overall cost may depend on:
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Grade and extent of hemorrhoids: The severity of piles, degree of prolapse, and involvement of multiple hemorrhoidal cushions can influence the complexity of the procedure.
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Pre-operative evaluation: Required investigations, blood tests, scans, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If treatment for associated anorectal conditions such as anal fissure, anal skin tags, or other abnormalities is required along with hemorrhoidopexy, the cost may vary.
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Surgical technique and hospital care: The cost may depend on the stapling device used, duration of admission, medicines, follow-up visits, and post-operative recovery support.
Is Stapled Hemorrhoidopexy Covered by Insurance?
Stapled hemorrhoidopexy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, waiting periods, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Surgeon in Hyderabad, will evaluate your symptoms, piles grade, medical history, and examination findings to determine whether stapled hemorrhoidopexy is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.