HEMORRHOIDAL DISEASE - CONTEMPORARY ASPECTS OF THE PATHOGENESIS, CLINICAL COURSE, DIAGNOSIS AND TREATMENT

The hemorrhoidal disease affects mainly individuals in their active age, as the reported incidence is much lower than the actual number, due to the nature of the complaints and the "subjective feeling of discomfort" when contacting a healthcare professional. Although in a large part of the cases the disease is successfully treated by non-surgical methods, the persisting symptoms greatly lower patients' quality of life, and the development of complications is related to a high morbidity rate. The defining, diagnosis and determining of the stages of the disease do not pose any difficulties to the modern medical practice, which - however - is not the case with the selection of the optimal and most efficient treatment method. There are a great number of treatment procedures, including surgical, for the treatment of the hemorrhoidal disease. Although there are certain recommended schemes and algorithms for therapeutic behavior, the selection of the method, ensuring individualized and optimal therapy, depends on the judgment of the surgeon.