Polidocanol Foam VS Artery Ligation in Hemorrhoidal Disease
Status:
Completed
Trial end date:
2020-03-25
Target enrollment:
Participant gender:
Summary
Background: Hemorrhoidal disease is extremely frequent in the adult population and, as a
benign pathology, the treatment should be guided by the patient's symptoms. Treatment of
hemorrhoidal disease includes a conservative approach, office-based treatments and surgery.
This study is aimed to evaluate and compare the efficacy and safety of the treatment of
hemorrhoidal disease with non-surgical office-based method polidocanol foam sclerotherapy
(SP) and the surgical technique doppler-guided hemorrhoidal artery ligation with recto-anal
repair.
Methods: Prospective, unicentric study including patients with symptomatic hemorrhoidal
disease grade II and III refractory to conservative therapy, submitted either to SP (n=24) or
to HAL-RAR procedure (n=21), during a recruitment period of 6 months.
Patients were evaluated for efficacy (Sodergren's scale of symptoms and severity of bleeding)
and safety (complications and implication in personal and professional life), up to one month
after treatment. In follow-up period (6 months) participants were evaluated for hemorrhoidal
disease recurrence.