Sarcouncil Journal of Medical Sciences

Abstract: Background: Anal papillae can be associated with pain, bleeding, and itch. Endoscopic excision is a minimally invasive procedure, but the efficacy of local anesthesia (LA) and tolerance to it have not been exhaustively investigated in this procedure. Objective: This study validates the safety and effectiveness of LA in the treatment of Anal Papillae patients' treatment through endoscopic resection. Methodology: A cross-sectional study was conducted on 73 patients who were administered endoscopic resection under LA from June 2023 to June 2024 in different hospitals in Iraq. Demographic information, operative facts, pain score (VAS 0–10), success of anesthesia, complications, and quality of life (SF-36) were collected. Results: Our findings showed 57.5% males. The mean operation time was 25.4 min, recurrence was 4.1%, with slight bleeding (6.8%), and no mortality. Also, 89% of them were completely numb, post-procedure pain scores significantly reduced, 68.5% were pain-free, slight bleeding (11%) and urinary retention (4.1%) were rare. Also, SF-36 scores demonstrated excellent postoperative physical (85.2) and mental health (78.5) functioning. Conclusion: Endoscopic removal of anal papillae with LA is safe, effective, and well tolerated with excellent anesthesia success, minimal complications, and good postoperative recovery. LA may be incorporated as a standard management part of this condition.