Laser Therapy for Grade II and III Hemorrhoids: Threeyear Clinical Experience

Abstract

Aim: Hemorrhoids are difficult to treat. Multiple treatment options are available, supported by heterogeneous evidence. In our study, we aimed to analyze laser therapy’s clinical outcomes and effectiveness. Material and Method: Our study was conducted on 1096 patients who underwent Hemorrhoidal Laser Procedure (HeLP) and were diagnosed with grade II and III hemorrhoids in our general surgery clinic between 2018 and 2021. The patients pre- and postoperative clinical data were obtained from patient files, electronic records, and telephone interviews. Results: Bleeding and urinary retention were the most common complications in the early period. In the long term, the anal fissure was found to be the most common complication. We detected hemorrhoidal diseases 1.25 times more frequently in males. The patients presented to our clinic with the most common complaints of bleeding and hemorrhoidal syndrome. Conclusion: The use of laser therapy is an appropriate procedure for grade II and grade III hemorrhoids that do not respond to conservative approaches, which require minimal analgesic use, less need for wound care and very short duration of pain and discomfort, with high patient satisfaction.

Keywords

• hemorrhoids
• laser therapy;
• prognosis

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