Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.

Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).
Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was done on day care basis following a uniform perioperative ‘fast tract module’ regimen. Yoga exercises (Mool Bandh) aimed at rectal squeeze, pull and pelvis floor were taught to YE group and continued postoperatively. Analgesic used was Paracetamol. Diclofenac (NSAID) was used only if Paracetamol failed. Data were prospectively collected at the end of 1st week (W1), 2nd week (W2) and 3rd week (W3). The end points were urinary retention (UR), pain requiring NSAID, anal irritation/burning/ pruritus (AIBP), painful defecation (PD), failure to discriminate between flatus or feces (FTD), perianal soiling (PS) at W3 and mean days to resume normal activity (RNA).
Postoperative bleeding and squamocolumnar junction seen on pathology (of resected tissue) were exclusion criteria. Analysis of prospectively controlled data is presented.
Results-72 (56 males, 16 females) patients, 45 years of mean age (17-87 years) were operated. There were two exclusions due to postoperative bleeding. UR & PS (2 & 20 cases respectively) in the control group only.In the Yoga (study) group there was no urinary retention, demand for NSAID & W3 perianal soiling. Rest of results are as shown in the table.

Conclusion-Perioperative Yogic exercises for anorectum improve the outcome in PPH significantly & should be combined in PPH as part of treatment.

Session: Podium Presentation

Program Number: S098

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