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A personal experience in comparing three nonoperative techniques for treating internal hemorrhoids
S S Zinberg1, D H Stern, D S Furman
1Gastrointestinal Laboratories, Brea Community Hospital, California.
The American Journal of Gastroenterology
|May 1, 1989
Summary
Infrared photocoagulation, heater probe, and Ultroid d.c. current therapies are effective for hemorrhoids. Ultroid therapy offers less discomfort and fewer complications for patients with hemorrhoids.
Area of Science:
- Colorectal surgery
- Minimally invasive procedures
Background:
- Hemorrhoids affect a significant portion of the adult population.
- Various outpatient therapies exist for hemorrhoid treatment.
Purpose of the Study:
- To compare the efficacy and complication rates of three outpatient hemorrhoid treatments: infrared photocoagulation, heater probe coagulation, and Ultroid d.c. current therapy.
- To evaluate treatment outcomes for different degrees of hemorrhoids.
Main Methods:
- Infrared photocoagulation therapy (n=302)
- Heater probe coagulation therapy (n=264)
- Ultroid d.c. current therapy (n=192)
Main Results:
- Infrared photocoagulation: Good results in 1st/2nd-degree hemorrhoids; 20% minor bleeding, 30% discomfort.
- Heater probe: 90% good results in 1st/2nd-degree hemorrhoids; 10% minor pain/bleeding; one failure in 3rd-degree.
- Ultroid: 95% good results; minimal bleeding; effective for some 3rd/4th-degree hemorrhoids.
Conclusions:
- All three therapies are effective for 1st/2nd-degree hemorrhoids as outpatient procedures.
- Ultroid d.c. current therapy demonstrates fewer complications and less patient discomfort.
- Ultroid therapy shows promise for treating more advanced degrees of hemorrhoids.
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