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NCT Number: NCT06884774

Hemorrhoidectomy With or Without Lateral Internal Sphincterotomy in Management of Patients With Hemorrhoids

This study aims to compare the lateral internal sphincterotomy versus no lateral internal sphincterotomy during hemorrhoidectomy in the management of patients with hemorrhoids.

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Key information

Conditions

Lateral Internal Sphincterotomy Cardiovascular Diseases Digestive System Diseases Gastrointestinal Diseases Hemorrhoidectomy Hemorrhoids Intestinal Diseases Rectal Diseases Vascular Diseases

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Minia University

Minya, 61611, Egypt

About this study

Hemorrhoidectomy is associated with postoperative pain, and no single surgical technique has been proven to reduce the pain significantly.

However, there are many drawbacks to such techniques, such as postoperative pain and constipation. The cause of this postoperative pain is multifactorial. Spasm of the internal anal sphincter (IAS) is one of the factors which is exposed and impinged after EH. Therefore, Lateral internal sphincterotomy (LIS) is a widely used adjunct treatment after EH, which can abolish spasms of the IAS and subsequently relieve postoperative pain.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age above 18 years old.
  • Both sexes.
  • All patients indicated for surgical Hemorrhoidectomy (2nd, 3rd, and 4th degree piles).

Exclusion criteria

  • Patients with 1st degree piles.
  • Patients with piles plus fissure.
  • Age above 70 years old
  • Unfit for surgery.

Treatment and study plan

Hemorrhoidectomy with lateral internal sphincterotomy

Procedure

Patients undergoing Hemorrhoidectomy with lateral internal sphincterotomy.

Hemorrhoidectomy

Procedure

Patients undergoing Hemorrhoidectomy without lateral internal sphincterotomy.

Primary outcomes

  1. Anal pain score

    Time frame: 4 weeks postoperatively

    The pain was measured by visual analog scoring (VAS) described as : 0-no pain, at score 1 to 3- mild pain, score 4 to 6-moderate pain, at score 7 to 10- severe pain. Post-operative pain was observed on subsequent visits after 48 hours, one week and 4 weeks postoperatively.

Secondary outcomes

  1. Degree of incontinence

    Time frame: 48 hours postoperatively.

    Incontinence was assessed by Wexner's incontinence score for solid, liquid, and gas until 48 hours postoperatively

Sponsors and collaborators

Lead sponsor

Minia University

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 19, 2025
Registry last updated
Jan 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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