Comparing Laser, Energy-Based, and Conventional Surgery for Treating Grade III Internal Hemorrhoids A Multicenter Study to Evaluate Pain and Recovery After Different Surgical Options

What this Trial Is About

Researchers are comparing three surgical treatments for patients with symptomatic Goligher Grade III internal hemorrhoids Laser Hemorrhoidoplasty LHP, Hemorrhoid Energy Therapy HET, and conventional closed hemorrhoidectomy using the Ferguson technique. This prospective, multicenter study uses a preference-based design where patients choose their treatment after counseling. The goal is to see if minimally invasive energy-based therapies provide better pain relief and faster recovery than conventional surgery. Participants select one of the three treatment options LHP using 1470nm or 980nm diode laser ablation, HET using bipolar radiofrequency coagulation with the HET system, or conventional excisional hemorrhoidectomy. The study uses statistical methods to reduce bias from patient choice. Treatments are performed once, and patients are followed up to assess outcomes. During the study, participants will be monitored for post-operative pain from Day 1 to Day 14 and time to functional recovery up to one month. Secondary outcomes include hemorrhoid recurrence at 12 months, symptom severity, quality of life, and complications. Assessments include standardized symptom scores and photo documentation before surgery. Safety and recovery progress are tracked throughout the follow-up period, which lasts up to 12 months.

HELO Trial: Energy-Based Therapies vs. Conventional Hemorrhoidectomy for Grade III Hemorrhoids