Sarcouncil Journal of Medicine and Surgery

Abstract: BACKGROUND and AIM: Hemorrhoids are a pervasive condition that essentially influences the personal satisfaction (QoL) of impacted patients. This study seeks to evaluate general health quality of life at patients following stapled hemorrhoidopexy and hemorrhoidectomy procedures. METHODS: In the period between March 2023 and October 2024, 93 patients aged between 24 and 56 years underwent hemorrhoidectomy and stapled hemorrhoidopexy. The demographic and surgical data of the patients were recorded, as well as the outcomes before, during, and after surgery. A set of questionnaires was conducted in order to assess disease severity, symptoms, and quality of life. RESULTS: The present study revealed that the 35–45 age group constituted the majority of participants, accounting for 43.01% of the total sample. The male demographic constituted 64.52% of the sample, while the female demographic constituted 35.48%. Hypertension was identified as the predominant health concern, affecting 41.94% of the sample. Hypertension was the most prevalent condition, affecting 36.56% of patients. The most common symptoms were pain, bleeding, itching, and irritation, and 41.94% of patients had previously undergone treatment for haemorrhoids. The surgical outcomes demonstrated an overall success rate of 98.92% and 96.77% for haemorrhoidectomy and stapled hemorrhoidopexy, respectively. Postoperative complications occurred in 8.6% of patients following haemorrhoidectomy surgery and 12.90% following stapled hemorrhoidopexy. In terms of general health-related quality of life, physical disorders were present in 55.76% of patients prior to surgery, while 12.10% and 14.39% of patients experienced these after haemorrhoidectomy and stapled hemorrhoidopexy surgery, respectively. Defecation difficulties were recorded in 48.24% of patients before surgery, while 4.60% and 6.04% of patients experienced these after haemorrhoidectomy and stapled hemorrhoidopexy surgery, respectively. CONCLUSION: Our study summarized that both hemorrhoid surgeries show high and strong efficacy in improving patients’ quality of life in terms of physical, sexual, and defecation aspects as well compared to preoperatively.