What Is the Cost of Stapled Haemorrhoidectomy in Germany?
The cost of stapled haemorrhoidectomy in Germany typically ranges from $7,000 to $17,000 USD, depending on the hospital, city, and type of procedure.
Stapled haemorrhoidectomy (stapled haemorrhoidopexy) uses a circular stapling device to lift haemorrhoids back into place and cut off their blood supply, rather than cutting them out. In Germany, the total depends on:
- Grade of haemorrhoids: and whether other treatments have been tried.
- Stapling device: a single-use stapler.
- Anaesthesia: general or spinal.
- Day case or overnight: depending on recovery.
Stapled Compared With Traditional Surgery
The eTHoS trial, summarised by NIHR Evidence, found that stapled haemorrhoidectomy was less painful than traditional excision for the first 3 weeks, with similar pain by 6 weeks.
However, haemorrhoids came back about three times as often after stapling, in 32% compared with 14% at 12 months and 42% compared with 25% at 24 months.
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The trial concluded that traditional excision was better value for money overall.
The surgeon will discuss the trade-off between early pain and the chance of recurrence.
Haemorrhoid Surgery in Germany
International patients are usually treated in Germany as self-paying patients: the hospital reviews the medical reports, sends a cost estimate and asks for an advance payment before admission, then settles the final bill after discharge.
Inpatient hospital care in Germany is billed under the German DRG system, which depends on the main diagnosis, other diagnoses and the procedures carried out, so the final amount is known only after the stay.
Patients insured in another EU country need an S2 form from their own insurer for planned treatment in Germany, as the EHIC is intended for unplanned care.
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Frequently Asked Questions Related to Stapled Haemorrhoidectomy (Piles) Cost in Germany
Stapled haemorrhoidectomy uses a circular stapler to lift haemorrhoids back into place and reduce their blood supply. It does not cut them out like traditional surgery.
The eTHoS trial found it was less painful than traditional surgery for the first 3 weeks. Pain was similar by 6 weeks.
The eTHoS trial found recurrence in 32% at 12 months and 42% at 24 months after stapling. This was higher than after traditional excision.
Traditional excision had lower recurrence, 14% at 12 months and 25% at 24 months, but more early pain. The trial found it better value overall.
It is often done as a day case or with one night in hospital. The surgeon advises based on recovery.
Stapled haemorrhoidectomy is done under general anaesthetic or a spinal anaesthetic. The anaesthetist discusses which suits you.
The cost of stapled haemorrhoidectomy in Germany typically ranges from $7,000 to $17,000 USD, depending on the hospital, city, and type of procedure.
It is usually considered for larger haemorrhoids when other treatments have not worked. The surgeon assesses the grade of haemorrhoids.
Many people return to normal activities within a couple of weeks, often sooner than after traditional surgery. Softening the stools helps.
Yes, patients insured in another EU country can apply for an S2 form for planned treatment in Germany. The EHIC is intended for unplanned care.
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