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

Last updated: January 10, 2026
Sponsor: Minia University
Overall Status: Completed

Phase

N/A

Condition

Hemorrhoids

Treatment

Hemorrhoidectomy

Hemorrhoidectomy with lateral internal sphincterotomy

Clinical Study ID

NCT06884774
1230/08/2024
  • Ages 18-70
  • All Genders

Study Summary

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

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age above 18 years old.

  • Both sexes.

  • All patients indicated for surgical Hemorrhoidectomy (2nd, 3rd, and 4th degreepiles).

Exclusion

Exclusion Criteria:

  • Patients with 1st degree piles.

  • Patients with piles plus fissure.

  • Age above 70 years old

  • Unfit for surgery.

Study Design

Total Participants: 200
Treatment Group(s): 2
Primary Treatment: Hemorrhoidectomy
Phase:
Study Start date:
December 20, 2024
Estimated Completion Date:
December 01, 2025

Study Description

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.

Connect with a study center

  • Minia University

    Minya, 61611
    Egypt

    Site Not Available

  • Minia University

    Minya 360686, 61611
    Egypt

    Site Not Available

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