A Randomized Prospective Clinical Trial Comparing the Surgical Outcomes of Traditional Ferguson Hemorrhoidectomy Versus Stapled Hemorrhoidopexy With Anoplasty for Patients With Grade III/IV Hemorrhoids

What this Trial Is About

Researchers are comparing two surgical methods for treating patients with severe (grade III or IV) hemorrhoids: stapled hemorrhoidopexy combined with anoplasty, and the traditional Ferguson hemorrhoidectomy. Hemorrhoidal disease affects about 5% of people, and surgery is often needed for advanced cases. While the Ferguson method is common, it may leave behind hemorrhoid tissue causing symptoms. Stapled hemorrhoidopexy with anoplasty aims to address some limitations of previous techniques but has its own risks. Participants will be randomly assigned to receive either the Ferguson hemorrhoidectomy or the stapled hemorrhoidopexy with anoplasty procedure. Both are surgical treatments performed to remove or reduce hemorrhoidal tissue. The study carefully compares short-term and long-term outcomes for these two approaches, focusing on aspects like pain and recovery after surgery. During the study, participants will be monitored for various outcomes including post-operative pain, time to return to normal life or work, anal bleeding, wound healing issues, itching, urinary retention, and any damage to the anal sphincter. These measures will be tracked for up to six months after surgery to understand differences between the treatments. The total participation period includes surgery and follow-up assessments to evaluate recovery and complications.

Traditional Ferguson Hemorrhoidectomy vs Stapled Hemorrhoidopexy