Prospective Evaluation of the Association Between Hemorrhoids and Lower Extremity Varicose Veins Using Doppler Ultrasound (HEMOVAR Study)

What this Trial Is About

Researchers are investigating the relationship between hemorrhoidal disease and varicose veins in the lower limbs in adult patients. This observational study at Aydın Adnan Menderes University Hospital includes 400 adults visiting the general surgery proctology clinic, divided into two groups: 200 with hemorrhoids and 200 with other non-hemorrhoidal benign proctologic conditions as controls. The study aims to understand the prevalence of venous insufficiency in those with hemorrhoids compared to controls. Participants will undergo routine clinical evaluation and demographic data collection. Cardiovascular surgeons will perform physical exams and Doppler ultrasound of the lower limbs to assess venous insufficiency and varicose veins. Doppler measures such as venous reflux, affected segments, reflux duration, venous diameter, and clinical classification will be recorded. There is no experimental treatment or invasive procedure involved, and no extra costs will be incurred by patients or the hospital. During a single visit, patients will provide written consent and undergo clinical assessments and ultrasound imaging. Hemoglobin levels will be measured as part of laboratory evaluation. The study will also explore the presence of other venous disorders like varicocele and pelvic congestion syndrome. Data collection follows ethical guidelines, and the main outcome is the correlation between hemorrhoids and venous insufficiency in the legs.

HEMOVAR Study on Hemorrhoids and Varicose Veins