Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy?

İbrahim Doğan; Fırat Canlıkarakaya; Serhat Ocaklı

doi:10.18614/dehm.1735281

Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy?

Abstract

Background: Hemorrhoidal disease is a common anorectal condition affecting approximately 40% of the population. Routine histopathological examination of excised hemorrhoidal tissue is debated, with some studies recommending it for all cases, while others suggest it only when clinical suspicion is present. This study aims to evaluate the necessity of routine histopathological examination following hemorrhoidectomy. Methods: A retrospective analysis was conducted on 1227 patients who underwent hemorrhoidectomy at Van Training and Research Hospital and Amasya University Sabuncuoglu Serefeddin Training and Research Hospital between January 1, 2015, and December 31, 2024. Patient data, including age, gender, and pathology results, were reviewed. Results: Of the 1227 patients, 863 (70.3%) were male, with a mean age of 41.3 years. Pathological examination revealed no malignancy; however, 1 case of tubulovillous adenoma and 1 case of high-grade squamous intraepithelial lesion (AIN 3) were detected. A total of 1211 patients had hemorrhoids, while other benign and premalignant lesions were also found incidentally. Discussion: Routine histopathological examination after hemorrhoidectomy is controversial, with studies indicating low malignancy rates. Some experts advocate for examination in high-risk patients or when clinical suspicion is raised. This study supports the need for histopathological examination in such cases, although further research is required to establish clear guidelines. Routine histopathological examination after hemorrhoidectomy may be unnecessary for most patients, but should be performed in cases with clinical suspicion or specific risk factors to enhance cost-effectiveness and reduce unnecessary interventions.

Keywords

References

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Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Research Article

Authors

İbrahim Doğan
0000-0001-7413-1837
Türkiye

Fırat Canlıkarakaya ^*
0000-0003-4858-7480
Türkiye

Serhat Ocaklı
0000-0002-3176-4914
Türkiye

Early Pub Date

April 29, 2026

Publication Date

April 29, 2026

Submission Date

July 4, 2025

Acceptance Date

September 18, 2025

Published in Issue

Year 2026 Volume: 40 Number: 2

DOI

https://doi.org/10.18614/dehm.1735281

IZ

https://izlik.org/JA66GH47SC

Cite

RIS / Bibtex

APA

Doğan, İ., Canlıkarakaya, F., & Ocaklı, S. (2026). Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy? Developments and Experiments in Health and Medicine, 40(2), 178-183. https://doi.org/10.18614/dehm.1735281

AMA

1.Doğan İ, Canlıkarakaya F, Ocaklı S. Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy? Dev Exp Health Med. 2026;40(2):178-183. doi:10.18614/dehm.1735281

Chicago

Doğan, İbrahim, Fırat Canlıkarakaya, and Serhat Ocaklı. 2026. “Histopathological Analysis After Hemorrhoidectomy: A Necessity or a Redundancy?”. Developments and Experiments in Health and Medicine 40 (2): 178-83. https://doi.org/10.18614/dehm.1735281.

EndNote

Doğan İ, Canlıkarakaya F, Ocaklı S (April 1, 2026) Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy? Developments and Experiments in Health and Medicine 40 2 178–183.

IEEE

[1]İ. Doğan, F. Canlıkarakaya, and S. Ocaklı, “Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy?”, Dev Exp Health Med, vol. 40, no. 2, pp. 178–183, Apr. 2026, doi: 10.18614/dehm.1735281.

ISNAD

Doğan, İbrahim - Canlıkarakaya, Fırat - Ocaklı, Serhat. “Histopathological Analysis After Hemorrhoidectomy: A Necessity or a Redundancy?”. Developments and Experiments in Health and Medicine 40/2 (April 1, 2026): 178-183. https://doi.org/10.18614/dehm.1735281.

JAMA

1.Doğan İ, Canlıkarakaya F, Ocaklı S. Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy? Dev Exp Health Med. 2026;40:178–183.

MLA

Doğan, İbrahim, et al. “Histopathological Analysis After Hemorrhoidectomy: A Necessity or a Redundancy?”. Developments and Experiments in Health and Medicine, vol. 40, no. 2, Apr. 2026, pp. 178-83, doi:10.18614/dehm.1735281.

Vancouver

1.İbrahim Doğan, Fırat Canlıkarakaya, Serhat Ocaklı. Histopathological analysis after hemorrhoidectomy: A necessity or a redundancy? Dev Exp Health Med. 2026 Apr. 1;40(2):178-83. doi:10.18614/dehm.1735281