Clinical Outcomes After Laser Hemorrhoidoplasty

Hemorrhoidal disease is a common benign anorectal condition that can significantly impair quality of life. Conventional excisional techniques may be associated with postoperative pain, bleeding, prolonged recovery, and lower patient satisfaction. Laser hemorrhoidoplasty is a minimally invasive technique based on coagulation and shrinkage of hemorrhoidal tissue without excision. This prospective observational study will be conducted at the General Surgery Clinic of Sanliurfa Education and Research Hospital. Adult patients with symptomatic internal hemorrhoidal disease who are scheduled to undergo laser hemorrhoidoplasty will be enrolled. Preoperative symptoms, hemorrhoid stage, and physical examination findings will be recorded. Intraoperative data will include laser wavelength, total delivered energy, number of hemorrhoidal packages treated, and any additional surgical procedures. Postoperative pain will be assessed at predefined time points using the Visual Analog Scale. Analgesic requirement and duration, length of hospital stay, time to return to daily activities, early complications within 30 days, late complications, symptom status, and recurrence at 6 months will be documented. The study is designed to clarify the clinical role of laser hemorrhoidoplasty and help define appropriate patient selection criteria.

Inclusion criteria

• Age 18 years or older
• Symptomatic internal hemorrhoidal disease
• Scheduled to undergo laser hemorrhoidoplasty
• Willingness to participate and provision of informed consent

Exclusion criteria

• Grade IV hemorrhoidal disease
• Acute thrombosed hemorrhoids
• Additional anorectal pathology such as anal fissure, fistula, or perianal abscess
• History of inflammatory bowel disease or colorectal malignancy
• Previous major anal surgery'