Stapled Hemorrhoidopexy (PPH / MIPH)
Modern stapler-based technique that lifts and repositions prolapsed haemorrhoids while removing excess tissue — significantly less pain than conventional surgery and faster recovery.
What is Stapled Hemorrhoidopexy (PPH / MIPH)?
Stapled Hemorrhoidopexy, also known as PPH (Procedure for Prolapse and Hemorrhoids) or MIPH (Minimally Invasive Procedure for Hemorrhoids), is a modern surgical technique using a circular stapler to lift prolapsed haemorrhoids back into their normal position while removing a ring of excess tissue. Because the staple line is placed above the dentate line where there is no pain sensation, recovery is significantly more comfortable than conventional hemorrhoidectomy. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs MIPH at Lux Hospitals, Hyderabad, offering quick recovery and discreet, dignified care.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or general anaesthesia. The patient is positioned in lithotomy position.
Circular Anal Dilator Insertion
A specialised anal dilator is inserted to clearly visualise the prolapsed haemorrhoidal tissue.
Purse-String Suture
A circular purse-string suture is placed in the rectal mucosa about 4 cm above the dentate line.
Stapler Application
A circular stapler is used to remove a ring of mucosa and submucosa, lifting the haemorrhoids back into their normal position and creating a stapled anastomosis.
Recovery & Discharge
Patients are usually discharged within 24 hours with clear post-operative advice, structured pain management, and dietary guidance.
Outcomes
Who Needs This Treatment?
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Significantly less pain than conventional hemorrhoidectomy
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Lifts and repositions prolapsed haemorrhoids effectively
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Quick recovery — return to work in 5–7 days
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No external wounds in the anal area
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Excellent option for circumferential prolapse
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Discreet, sensitive care by a female proctologist
Stapled hemorrhoidopexy is a thoughtful operation — instead of cutting away the prolapsed tissue, we lift it back where it belongs. For the right grade 3 or grade 4 piles, especially with circumferential prolapse, the recovery experience is in a different league from conventional surgery.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Stapled Hemorrhoidopexy (PPH / MIPH) Cost in Hyderabad
The cost of stapled hemorrhoidopexy (PPH / MIPH) in Hyderabad depends on the grade and severity of piles, extent of prolapse, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring stapled hemorrhoidopexy for suitable prolapsing haemorrhoids, the approximate cost ranges between ₹70,000 and ₹1,30,000.
| Procedure | Approximate Cost Range |
|---|---|
| Stapled Hemorrhoidopexy (PPH / MIPH) | ₹70,000 – ₹1,30,000 |
The final cost may vary depending on your individual condition, findings during evaluation, stapling device used, and whether any additional procedures are required.
Factors That Influence Stapled Hemorrhoidopexy Cost
The overall cost may depend on:
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Grade and severity of piles: The extent of hemorrhoidal prolapse, number of affected hemorrhoids, and severity of symptoms may influence treatment planning.
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Pre-operative evaluation: Required clinical examination, investigations, blood tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as hemorrhoidectomy, rubber band ligation, or other proctology interventions are required along with stapled hemorrhoidopexy, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, and follow-up requirements may influence the final estimate.
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, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, the 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. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether stapled hemorrhoidopexy is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.