Five-Year Follow-up of the Double-Blinded Randomized Controlled Trial Comparing Laser Hemorrhoidoplasty With Sutured Mucopexy and Excisional Hemorrhoidectomy.
Gabija Makunaite, Arnoldas Grinys, Donatas Danys et al.
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In 30 seconds
This randomized controlled trial followed patients for five years after undergoing laser hemorrhoidoplasty, excisional hemorrhoidectomy, or sutured mucopexy for symptomatic second- or third-degree hemorrhoids. The study found 5-year symptom recurrence rates of 24% for excisional hemorrhoidectomy, 29% for laser hemorrhoidoplasty, and 44% for sutured mucopexy, with no statistically significant differences (log-rank p = 0.076).
Key findings
- 5-year symptom recurrence was 24% for excisional hemorrhoidectomy, 29% for laser hemorrhoidoplasty, and 44% for sutured mucopexy.
- Bleeding recurrences occurred in 18% (excisional), 31% (sutured), and 31% (laser) groups.
- Prolapse recurrences were reported in 12% (excisional), 23% (laser), and 34% (sutured) groups.
- General health evaluation scores were highest in the laser hemorrhoidoplasty group.
Why it matters
Understanding the long-term outcomes of different surgical techniques for hemorrhoids can guide clinicians in recommending the most effective treatment options, balancing symptom recurrence and postoperative recovery.
What to keep in mind
This is a single-center study with a relatively small sample size.