Long-term outcomes associated with stapled hemmorhoiectomy in women in a community-based setting

Florias A Morfesis, MD, FACS, Brian P Rose, BS

Owen Drive Surgical Clinic of Fayetteville

Introduction: The use of stapled hemorrhoidopexy or PPH for the treatment of Class III and IV internal hemorrhoids has become standard since its induction. Patients often show superior return to normal activities and are pain free more quickly than the traditional, more invasive open approach. This abstracts serves as long-term follow-up on a case series previously reported.

Methods: Women were selected to undergo stapling based upon prolapse presentation. A validated urologic score endorsed by the American College of Urology was used. Women were assessed both pre-operatively and at 1 month post-surgery. A retrospective chart review at 1 year since study initiation was conducted to assess for potential complications, frequency/duration of symptoms, and the need for additional surgery or therapy.

Results: Initial scores in urinary function ranged 0-18 with a maximum score of 20 pre-operatively. This same group reported a 1 month post-operative score ranging from 1 to 15. Patients who reported pre-op difficulty with frequency, sudden urges to urinate, and sleeplessness reported increases in such difficulties post-op. Decreases were seen in spillage of urine during daily routines. N=1 patient required further surgical management of prolapse.

Conclusions: Though hemorrhoid stapling is regarded as less invasive, results in regard to urinary complications post-surgery speculate as to the effectiveness of this treatment. Ultimately more research must be done in order to address this issue among women who present with prolapse.


Session: Poster Presentation

Program Number: P107

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