Quality of life after stapled hemorrhoidopexy : A prospective observational study

Abstract

Background: Symptomatic haemorrhoids are a quality of life issue. The present study was
conducted to assess the quality of life of the patients after stapled hemorrhoidopexy (SH) for
haemorrhoids, with the help of WHO quality of life-BREF questionnaire and comparing it with
conventional excisional hemorrhoidectomy (CEH).
Methods: The study comprised of 40 patients who were diagnosed with grade 2, 3 or 4 internal
haemorrhoidal disease after evaluation by examination, rectosigmoidoscopy or other methods and
underwent stapled haemorrhoidectomy (SH) procedure. The patients were asked to complete(
WHOQOL-BREF questionnaire)
Results: We compared the various WHOQOL-BREF parameters before and one month after SH.
The important factors responsible for a dramatic improvement in overall perception and physical
and psychological domains were relief of the symptoms of haemorrhoids and the minimal postoperative pain. This allowed the patients greater freedom to go through their daily routine and
ability to focus better on their work. The score returned to the pre-operative level on the 7th postoperative day and reached a significantly higher level at the end of one month. Conclusion: there
was dramatic improvement in the quality of life after stapled hemorrhoidopexy.