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When other forms of treatment have failed to resolve a severe hemorrhoid condition, surgical treatment may be that patient’s best chance at obtaining real and lasting relief.  Dr. Kotak at Florida Hospital North Pinellas Surgical Institute routinely receives patient referrals from leading primary care physicians whose patients are experiencing chronically large, painful and bleeding hemorrhoids. He performs hemorrhoidectomy surgeries as well as minimally invasive procedures including PPH (procedure for prolapse and hemorrhoids). He has considerable expertise in helping patients manage post-surgical hemorrhoidal pain, and has helped many hemorrhoid sufferers to be able to return to a more normal lifestyle following expert surgical treatment.

If you or a loved one suffer from chronically painful, bleeding hemorrhoids, do not hesitate to call us at 727.270.9927 and request a consultation with Dr. Kotak at Florida Hospital North Pinellas Surgical Institute. We value the opportunity to assist you!

Symptoms of Severe Hemorrhoids

  • Irritation and/or itching
  • Pain and fever
  • Significant bleeding
  • Inability to urinate or have a bowel movement

Causes and Risk Factors

  • Chronic diarrhea
  • Obesity
  • Old age
  • Poor diet (lacking adequate fiber)
  • Pregnancy


  • Physical exam
  • Visual inspection with an anoscope, proctoscope or sigmoidoscope
  • Colonoscopy

Surgical Treatments

  • Hermorrhoidectomy
  • PPH procedure
  • Stapled hemorrhoidectomy