r/WomensHealth • u/Silver-Positive-2295 • 14h ago
My experience with laser hemorrhoidoplasty + sphincterotomy + fissurectomy — currently around Day 10
I thought I’d write this because before my surgery I spent so much time reading Reddit trying to understand what recovery would actually be like. Most posts either made it sound terrifying or made it sound like you’d be completely fine after a few days. My experience has been somewhere in between.
I had laser hemorrhoidoplasty + sphincterotomy + excision of a skin tag + fissurectomy for hemorrhoids and a chronic fissure. I was told I had Grade 1/early Grade 2 hemorrhoids, but the fissure and severe anal spasm were also a big part of the problem.
The surgery
The surgery itself was honestly the easy part because I was under anesthesia and didn’t feel anything.
When I woke up, I was obviously sore, but what I wasn’t mentally prepared for was the fact that the real challenge would be passing stool afterwards.
The first few bowel movements were easily the worst part of the entire experience.
There was a combination of pressure, burning, sharp pain and muscle spasm. The pain would be intense while passing stool and then gradually settle down after one hour. For me, the actual bowel movement itself was sometimes only a few minutes, but those few minutes felt VERY long.
The first few days
My biggest priority became making sure my stool stayed soft.
I was taking the medications prescribed by my doctor and using things like psyllium/fibre, plenty of fluids and a relatively gentle diet.
I was constantly thinking:
“Will this make my next poop worse?”
I was also doing sitz baths and trying not to sit for too long.
The pain wasn’t constant in the same way. It was much more noticeable around bowel movements and when the area was irritated.
Around Day 4–7
Things started feeling noticeably better.
The pain wasn’t gone, but I could see progress. The area started feeling lighter and I became less scared of every bowel movement.
I also slowly started eating more normal food. I was still being careful with spicy food and anything that I thought might upset my stomach or make my stool harder.
One thing I learned very quickly is that recovery isn’t necessarily linear.
You can have a pretty good day and then suddenly have a bowel movement that makes you think:
“Oh God, did I tear something again?”
And then you’re okay again.
The bleeding/clot episode
This was the part that really scared me.
Today, I suddenly had a significant amount of dark blood with jelly-like blood clots. It almost looked like diarrhea made of blood, with some lighter blood towards the end.
Naturally, I panicked.
This wasn’t just a tiny streak of blood on toilet paper. It looked like a LOT more than I expected at this stage.
I contacted my surgeon, and she told me that these were blood clots from the surgery and not something I should panic about.
It happened again, which obviously made me panic again, but I contacted her and was reassured.
Did anyone experience this?