How Much Does Hemorrhoids Surgery Cost In Singapore: 2022 Full Cost, Options, MediSave Eligibility

Yannie Woon 08 November 2022

Do you tend to strain on the toilet bowl, and occasionally experience bleeding during bowel movements? You might have haemorrhoids or piles, a condition characterised by discomfort around your anus due to swollen blood vessels around the area.

Having piles may be embarrassing, but the earlier you seek haemorrhoid care, the better.

At the doctor’s, you will be asked about your health history as well as your symptoms. These together with the following tests will determine whether you require surgery:

• Physical examination. Your doctor will examine your anus and rectum for lumps, irritation, swelling or other issues.
• Digital rectal examination. Your doctor will put on gloves, lubricate the area, insert a finger into your rectum to feel for lumps, tenderness, and other issues and check muscle tone.

In the event you require surgery, your doctor will advise accordingly. Continue reading to learn about piles treatment, the cost of haemorrhoid surgery, and the available subsidies.

What Are Piles?

Hemorrhoids or piles are swollen blood vessels in the anus caused by increased pressure in the lower rectum due to:

• Pushing too hard during bowel movements
• Sitting too long on the toilet bowl
• Constipation

Hemorrhoids can be classified as internal or external depending on where it begins.

External Hemorrhoids

External hemorrhoids form on the anus’s outer surface. Typically, they cause a painful swelling when a blood clot forms inside.

External piles have a hard, sensitive lump-like feel to them. Bleeding only happens when the skin beneath ruptures.

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Internal Hemorrhoids

Internal hemorrhoids begin at the upper part of the anal canal. Like external hemorrhoids, internal hemorrhoids are a result of repetitive straining. However, with internal hemorrhoids, not only is the blood vessel wall stretched and thinned but its supporting ligaments are damaged as well.

When this happens, the blood vessel descends the anal canal and protrudes outside the anus. This is known as a prolapsed hemorrhoid.

To diagnose internal hemorrhoids or rule out other conditions, your doctor may conduct the following tests:

• Anoscopy. To examine your anal canal, your doctor will insert a short plastic tube known as an anoscope.
• Sigmoidoscopy. It is a flexible, lighted tube that your doctor uses to look into your lower colon. They also use it to collect tissue for testing.
• Colonoscopy. With the help of a long, flexible tube known as a colonoscope, your doctor examines your entire large intestine. Additionally, they can collect tissue samples or handle any other issues they find.

Hemorrhoids Or Piles Symptoms

In most cases, piles symptoms are minor and remediate on their own. Patients need to be aware of the following symptoms:

• Bleeding at times other than during bowel movements
• Despite defecation, the sensation of partial emptying persists
• Change in the quality and character of the faeces
• Bowel habits have shifted
• There is an apparent hard mass at the anus
• Unexplained appetite and weight loss

When Should I See A Doctor For Hemorrhoids Or Piles?

Hemorrhoids and piles are rarely dangerous, but it is critical to consult a physician if symptoms persist, particularly if they span over a week.

Even though they usually resolve independently, treatment is required if there is blood or the discomfort becomes intolerably severe.

Is Hemorrhoids Common In Singapore?

Although hemorrhoids can affect anyone, they tend to be more prominent in the following groups:

• Older individuals
• Pregnancy (hormones and baby’s pressure on the pelvic area)
• Overweight individuals
• Those with a family history of hemorrhoids
• Those with constipation

How Do They Treat And Remove Hemorrhoids In Singapore?

Your condition’s severity and type will determine the hemorrhoids or piles treatment you receive. Medication, dietary changes, a local procedure such as rubber-band ligation or HET, and surgery are all common methods. Your doctor will give you advice regarding the best approach.

Initial Phases

Dietary changes and medication may be sufficient. Some people believe that avoiding spicy or fast foods will make piles disappear. These are myths that lack solid scientific evidence. However, some lifestyle changes may be beneficial, such as:

• Regular physical activity
• Increasing fibre consumption (e.g. fruits and vegetables)
• Hydration is essential to preventing constipation

Smaller piles

Using local treatment options like rubber-band ligation or HET might be necessary.

Ligation With Rubber Bands

Ligation of piles can be done in the clinic as an outpatient procedure without requiring anaesthesia. In this procedure, the blood supply to the piles is stopped by placing a tiny rubber band at their base.

Within 3 to 5 days, the piles will shrivel, die and fall off during regular bowel movements. The shedding of the shrivelled piles is typically invisible to the patient, though some mild bleeding during faeces in the first week may happen. Prolapse and bleeding will be stopped by the scarring that develops.

Sclerotherapy

This involves injecting a substance into a haemorrhoid to cause it to shrink over several weeks.

Electrotherapy

This involves applying a mild electric current to your piles to reduce their size.

Infrared Coagulation

This uses infrared light to diminish hemorrhoids by cutting off the blood supply.

Later Phases

Surgery might be necessary to treat the piles at this stage, particularly if they prolapse out of the anus and can’t be pushed back in. Stapler hemorrhoidectomy, Conventional hemorrhoidectomy, and Transanal Hemorrhoidal Dearterialization(THD) are examples of surgical procedures.

Open or Conventional Hemorrhoidectomy

In a hemorrhoidectomy, the piles are cut off or excised. This procedure is done with a variety of instruments. A great deal of care is taken to prevent bleeding and minimise tissue removal. Typically, the wound is left open to recover fully.

Stapler Haemorrhoidectomy

Hemorrhoids are pulled back into the anus with the aid of a special stapler, and their blood supply is decreased.

The hemorrhoids’ size will gradually decrease after their blood supply is reduced. Except in cases where anal skin tags are removed concurrently, the surgical wound is contained within the rectum, and there is no external wound.

Transanal Haemorrhoidal Dearterialization (THD)

In THD, the anus is surgically opened up with a specialised tool. The blood vessels supplying the hemorrhoids are located using an ultrasound probe and then tied off. If there is a lot of tissue, it may be stitched together, pulling the hemorrhoids back into the anal canal.

How Much Does It Cost To Have Hemorrhoids Surgically Removed?

The cost will vary patient to patient, depending on:

• Treatment modalities employed
• Whether hospitalisation is required
• If disposable tools like a stapling device are used

Public Hospitals/Centres (Subsidised)

Public Hospitals/Centres (Unsubsidised)

Private Hospitals/Clinics 

*These figures are based off MOH’s Historical Transacted Bill Sizes and Fee Benchmarks. 

The total pile removal surgery cost in Singapore may include hospitalisation fees and reimbursements from your insurance.

Speak with your insurer to learn more about your funding options and out-of-pocket expenses.

Can I Use MediSave For Piles Surgery?

Singapore residents who have piles surgery may be eligible for MediSave reimbursement. This is, however, subject to the CPF Board’s maximum claimable amount.

Is Hemorrhoids Treatment Covered Under Insurance?

Singaporeans can supplement Medishield Life’s private healthcare coverage with additional coverage through the Integrated Shield Plan. If your plan includes co-insurance and the deductible cost, you might qualify for cashless procedure eligibility.

Cashless procedure eligibility is a zero out-of-pocket payment option for your treatment and hospital stay. Your eligibility varies according to CPF Claimables, Insurance Policy, Medisave eligibility, and the procedure’s Table Code.

Don’t prolong your pain

Piles rarely pose a long-term health risk and can be self-managed. Surgery is typically an outpatient procedure for more severe piles with a quick recovery.

If you require a speedy credit for hemorrhoids surgery, Money Kinetics will assist you in determining the best personal loan to meet your demands. We can help you get a loan with flexible payback terms and reduced interest rates. Apply here to get a personal loan today.

Yannie Woon

Starting out as a freelance writer, Yannie quickly realised she had a gift for explaining money matters in a way that didn't make people want to tear their hair out. When she's not cracking jokes about compound interest, Yannie enjoys attending industry seminars, engaging with financial experts on social media, and volunteering her time and expertise to help those in need.