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Comparative study between rubber band ligation and laser hemorrhoidoplasty in patient presenting with hemorrhoids for resolution of symptoms associated with hemorrhoids (grade II and III)

Rubber Band Ligation Versus Laser Haemorrhoidoplasty : A Randomised Controlled Trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/01/100150
Enrollment
64
Registered
2026-01-01
Start date
Unknown
Completion date
Unknown
Last updated
2026-01-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K641- Second degree hemorrhoids Health Condition 2: K642- Third degree hemorrhoids

Interventions

Intervention1: Rubber band ligation: Rubber band ligation of grade II and III haemorrhoids using rubber band applicator Control Intervention1: Laser Hemorrhoidoplasty: Laser application to grade II an

Sponsors

Dept of Surgical Disciplines
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion criteria 1. Adult patients aged 18 to 70 years 2. Grade II and III internal haemorrhoids

Exclusion criteria

Exclusion criteria: Exclusion criteria 1. Circumferential haemorrhoids or haemorrhoids in all 3, 7 and 11 o clock positions 2. Patients on anticoagulant and antiplatelet agents 3. Patients developing haemorrhoids secondary to portal hypertension 4. Patients who have undergone previous procedure for haemorrhoids 5. Presence of other associated perianal pathology including anal stenosis, anal fissure, fistula or anorectal tumors. 6. Patients on opioids or any substance abuse 7. Immunocompromised patients - Known HIV/ AIDS, patients on immunosuppressive drugs including steroids 8. Previous surgical anastomosis less than 3 cm from dentate line 9. Patients with inflammatory bowel disease 10. Fecal incontinence 11. Obstructed defecation syndrome 12. Irritable bowel syndrome with severe constipation or diarrhoea symptoms

Design outcomes

Primary

MeasureTime frame
Resolution of symptoms (rectal bleeding, discomfort, itching, mucous discharge), determined by direct or telephonic interview of patients at three months after RBL or LH Timepoint: 24 hours, 1 week, 2 weeks, 3 months

Secondary

MeasureTime frame
1. Incidence of pain at 24 hours, 1 week, 2 weeks and 3 months, measured by Numerical Pain Rating Scale, on a scale of 0 to 10, where 0 is no pain and 10 is maximum possible pain 2. Procedure time, measured in minutes 3. Incidence of post procedure complications - Oedema, abscess, urinary retention, anal ulcer, acute thrombosis, unplanned hospital visits, hospital admissions at 30 days 4. Incidence of downgrading rates of hemorrhoidal disease by 1 grade or more, determined by direct examination by a trained surgeon during 3-montyh follow up visit. Timepoint: 24 hours, 1 week, 2 weeks, 3 months

Countries

India

Contacts

Public ContactDr Uttam Kumar Thakur

AIIMS New Delhi

ukt005@gmail.com7087009909

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026