Hemorrhoidal Disease, Internal Hemorrhoids
Conditions
Keywords
Laser hemorrhoidoplasty, Hemorrhoidal disease, Patient satisfaction, Visual Analog Scale
Brief summary
This single-center prospective observational study aims to evaluate clinical outcomes, postoperative pain scores, complications, and patient satisfaction in adults undergoing laser hemorrhoidoplasty for symptomatic internal hemorrhoidal disease. Additional objectives are to assess the relationship between hemorrhoid stage, dominant presenting symptoms, operative technical details, and postoperative outcomes. No study-specific intervention beyond routine clinical care and follow-up will be performed.
Detailed description
Hemorrhoidal disease is a common benign anorectal condition that can significantly impair quality of life. Conventional excisional techniques may be associated with postoperative pain, bleeding, prolonged recovery, and lower patient satisfaction. Laser hemorrhoidoplasty is a minimally invasive technique based on coagulation and shrinkage of hemorrhoidal tissue without excision. This prospective observational study will be conducted at the General Surgery Clinic of Sanliurfa Education and Research Hospital. Adult patients with symptomatic internal hemorrhoidal disease who are scheduled to undergo laser hemorrhoidoplasty will be enrolled. Preoperative symptoms, hemorrhoid stage, and physical examination findings will be recorded. Intraoperative data will include laser wavelength, total delivered energy, number of hemorrhoidal packages treated, and any additional surgical procedures. Postoperative pain will be assessed at predefined time points using the Visual Analog Scale. Analgesic requirement and duration, length of hospital stay, time to return to daily activities, early complications within 30 days, late complications, symptom status, and recurrence at 6 months will be documented. The study is designed to clarify the clinical role of laser hemorrhoidoplasty and help define appropriate patient selection criteria.
Interventions
PROCEDURELaser Hemorrhoidoplasty
Laser-based minimally invasive treatment of internal hemorrhoidal disease performed as part of routine clinical care.
Sponsors
Sanliurfa Education and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 years or older * Symptomatic internal hemorrhoidal disease * Scheduled to undergo laser hemorrhoidoplasty * Willingness to participate and provision of informed consent
Exclusion criteria
* Grade IV hemorrhoidal disease * Acute thrombosed hemorrhoids * Additional anorectal pathology such as anal fissure, fistula, or perianal abscess * History of inflammatory bowel disease or colorectal malignancy * Previous major anal surgery'
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain score | At 6 hours, 24 hours, and 1 week after surgery | Postoperative pain assessed using a 0 to 10 Visual Analog Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain; higher scores indicate worse pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of postoperative analgesic use | From the day of surgery through 30 days after surgery | Duration of postoperative analgesic use, measured in days. |
| Length of hospital stay | From the day of surgery to hospital discharge, up to 7 days | Postoperative hospital stay, measured in days from the date of surgery to the date of discharge. |
| Incidence of predefined early postoperative complications | Within 30 days after surgery | Number and proportion of patients who develop any predefined early postoperative complication within 30 days after laser hemorrhoidoplasty. Predefined complications include postoperative bleeding, urinary retention, anal thrombosis, infection, severe pain, and anal stenosis. Patients without any of these events will be classified as having no complication. |
| Time to return to daily activities | Up to 30 days after surgery | Time required to return to usual daily activities, measured in days. |
| Patient satisfaction | Up to 3 months after surgery | Patient-reported satisfaction after laser hemorrhoidoplasty. |
Countries
Turkey (Türkiye)
Contacts
CONTACTVedat Kaplan, MD
PRINCIPAL_INVESTIGATORVedat Kaplan
Sanliurfa Education and Research Hospital
Outcome results
None listed