What are the main causes of haemorrhoids?

By Mr Petr J Hanek
Surgery

Mr Petr J Hanek is a renowned consultant general, colorectal, and proctology surgeon based in London and Orpington. He has been a surgeon for over 33 years, having performed over 1500 operations throughout his professional trajectory. Mr Hanek’s main areas of expertise include:
• Repairs for inguinal, umbilical, incisional hernia (using mesh or without)
• Management of recurrent/chronic perianal sepsis
• Treatment for haemorrhoids, fissures, and rectal prolapse.

Mr Hanek first qualified from Charles’ University in Prague, Czech Republic in 1990 and undertook his postgraduate training in DGH. After completing compulsory military training, he was appointed at University Hospital Prague – Na Bulovce, where Mr Hanek accomplished general surgery training including abdominal surgery in 1998.

Mr Hanek later took up a substantive consultant colorectal surgeon position at University Hospital Prague – Motol. Here, Mr Hanek led a colorectal team that treated 130 patients a year, mainly providing surgical treatment for bowel cancer. In the busy high-profile university hospital practice, Mr Hanek also acquired proficiency in inguinal hernia repair, incisional hernia repair, chronic perianal sepsis management, haemorrhoids, fissures, fistulae, and rectal prolapse.

In 2004, Mr Hanek relocated to the UK, and was soon appointed as substantive general/colorectal surgeon at Dartford and Gravesham, providing treatment for colorectal cancer, as well as general surgery and proctology (rectum and anus).

Mr Hanek keeps abreast of any developments in his field by attending annual meetings of the Association of Coloproctology, the European Abdominal Wall Reconstruction Symposium, and UK and international meetings relevant to his professional interests.

On a personal level, Mr Hanek is the 3rd generation of surgeons in his family. His grandfather and father dedicated their lives to surgical practice before passing away from bowel cancer, and recently having become a skin cancer patient himself, Mr Hanek always does his utmost best to follow his family credo – "treating every patient as if they were his own mother."

Overall assessment of their patients