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.
