Sarcouncil Journal of Medicine and Surgery

Abstract: Background and Aim: Anorectal are some of the common ailments that greatly hamper the quality of life of patients. Methods: Data were collected from 92 patients with anorectal diseases who underwent video-assisted anoscopy (VAAS) from several different hospitals in Iraq during the follow-up period from 2024 to 2025. Clinical outcomes were recorded, determining complication rates and pain rates during hospital stay and until discharge. The SF-36 General Health Questionnaire (GHS) was administered to assess patients' quality of life after VAAS. Results: The findings of our study indicated the clinical outcomes of a cohort of 92 patients, with the majority falling within the age range of 31 to 40 years (36.96%). The preponderance of male subjects (71.74%) is consistent with the predominance of male patients in anorectal surgical interventions, where male patients have constituted a substantial proportion of the patient population. The VAA outcomes exhibited for hospital duration (2.5 days) included patient satisfaction, which was one of our findings, documented subsequently at an impressive 84.78% in postoperative states. The findings of the study indicated a significant decrease in pain scores, with a notable reduction from an initial score of 3.5 at one-day post-operative discharge to 0.9. The incidence of postoperative complications was 10.87%. The quality of health-related life scores has been assessed using the SF-36 questionnaire, which has demonstrated the benefits of surgery. Consequently, the study documented optimal physical (84.6) and psychological function (80.1). Conclusion: The study's findings demonstrate that patient satisfaction, coupled with treatment outcomes for anorectal diseases, is predominantly enhanced through the implementation of video-assisted anoscopy.