Hemorrhoidectomy With or Without Lateral Internal Sphincterotomy in Management of Patients With Hemorrhoids

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06884774

Enrollment

200

Registered

2025-03-19

Start date

2024-12-20

Completion date

2025-12-01

Last updated

2026-09-03

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

Conditions

Hemorrhoidectomy, Hemorrhoids, Lateral Internal Sphincterotomy

Brief summary

This study aims to compare the lateral internal sphincterotomy versus no lateral internal sphincterotomy during hemorrhoidectomy in the management of patients with hemorrhoids.

Detailed description

Hemorrhoidectomy is associated with postoperative pain, and no single surgical technique has been proven to reduce the pain significantly. However, there are many drawbacks to such techniques, such as postoperative pain and constipation. The cause of this postoperative pain is multifactorial. Spasm of the internal anal sphincter (IAS) is one of the factors which is exposed and impinged after EH. Therefore, Lateral internal sphincterotomy (LIS) is a widely used adjunct treatment after EH, which can abolish spasms of the IAS and subsequently relieve postoperative pain.

Interventions

PROCEDUREHemorrhoidectomy with lateral internal sphincterotomy

Patients undergoing Hemorrhoidectomy with lateral internal sphincterotomy.

PROCEDUREHemorrhoidectomy

Patients undergoing Hemorrhoidectomy without lateral internal sphincterotomy.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 70 Years

Healthy volunteers

Inclusion criteria

* Age above 18 years old. * Both sexes. * All patients indicated for surgical Hemorrhoidectomy (2nd, 3rd, and 4th degree piles).

Exclusion criteria

* Patients with 1st degree piles. * Patients with piles plus fissure. * Age above 70 years old * Unfit for surgery.

Design outcomes

Primary

Measure	Time frame	Description
Anal pain score	4 weeks postoperatively	The pain was measured by visual analog scoring (VAS) described as : 0-no pain, at score 1 to 3- mild pain, score 4 to 6-moderate pain, at score 7 to 10- severe pain. Post-operative pain was observed on subsequent visits after 48 hours, one week and 4 weeks postoperatively.

Secondary

Measure	Time frame	Description
Degree of incontinence	48 hours postoperatively.	Incontinence was assessed by Wexner's incontinence score for solid, liquid, and gas until 48 hours postoperatively

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 4, 2026