Publication Details
Abstract
Hemorrhoid surgery is a common procedure in patients with hemorrhoids, but its impact in patients with urological conditions is unknown. We aimed to evaluate the outcomes of hemorrhoid surgery in urological patients over a 12-month follow-up. In this cross-sectional study, 98 urological patients who had undergone hemorrhoid surgery were evaluated. Preoperative and postoperative symptoms were quantified with the help of validated scales. Postoperative complications were noted, and health-related quality of life was evaluated preoperatively and postoperatively with the help of a standard QoL (SF-36). Univariate analysis was performed to search for risk factors affecting long-term health outcomes. The study found that the majority of patients were aged 41-60 years (74.3%), predominantly male (71.4%), with a high rate of comorbidities, including hypertension (50.0%) and diabetes mellitus (26.5%). Following surgery, there was a dramatic alleviation of urological symptoms, as seen in reductions in dysuria (3.4 ± 1.1 to 1.2 ± 0.5, p < 0.001) and nocturia (2.8 ± 1.3 to 0.8 ± 0.4, p < 0.001). Postoperative morbidity was minimal, with 8.2% of patients developing urinary retention. Quality of life was greatly improved in all domains assessed (p < 0.001). Age, BMI, and ASA grade were identified as risk factors for adverse long-term outcomes on univariate analysis (ORs between 1.05 and 2.10). Hemorrhoid surgery appears to significantly enhance health-related quality of life and urological symptoms in patients for as long as a 12-month follow-up. The postoperative outcome and recovery may be influenced by the presence of certain comorbidities and demographic factors.