Hemorrhoids Clinical Trial
Official title:
Multi-center, Non-randomized Prospective Observation Study Comparing Ferguson Hemorrhoidectomy and Transanal Hemorrhoidal Dearterialization (THD) for Prolapsed, Nonincarcerated, Reducible Hemorrhoids in Terms of 1-year Recurrence
This study will compare Ferguson hemorrhoidectomy and THD in terms of one-year recurrence in a large population (N=492). Recurrence is defined as prolapsing internal hemorrhoids at physical examination performed by a colorectal surgeon.
Status | Recruiting |
Enrollment | 492 |
Est. completion date | August 2019 |
Est. primary completion date | August 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: Patient must be: - At least 18 years-old - Able to sign informed consent - Presenting with prolapsed, non-incarcerated, reducible hemorrhoids in at least 3 columns at physical examination and scheduled for either Ferguson or THD hemorrhoidectomy. Exclusion Criteria: - Any prior anorectal surgery except for conventional office-based interventions (rubber band ligation, sclerotherapy, and infrared coagulation) - Prior pelvic radiotherapy - Inflammatory bowel diseases - Pre-existing fecal incontinence (Wexner score5 =8) - Pre-existing chronic anal diseases - Grades III and IV gynecological and obstetrical trauma per medical history and/or physical examination - Connective tissue disorders - Subject is pregnant - Subject is under incarceration |
Country | Name | City | State |
---|---|---|---|
United States | Stony Brook University | Stony Brook | New York |
Lead Sponsor | Collaborator |
---|---|
Stony Brook University | THD America |
United States,
FERGUSON JA, HEATON JR. Closed hemorrhoidectomy. Dis Colon Rectum. 1959 Mar-Apr;2(2):176-9. — View Citation
Ratto C, Parello A, Veronese E, Cudazzo E, D'Agostino E, Pagano C, Cavazzoni E, Brugnano L, Litta F. Doppler-guided transanal haemorrhoidal dearterialization for haemorrhoids: results from a multicentre trial. Colorectal Dis. 2015 Jan;17(1):O10-9. doi: 10.1111/codi.12779. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 1-year recurrence rates | The primary endpoint of this study is to compare Ferguson hemorrhoidectomy and THD in terms of recurrence rates at one-year. Recurrence is defined as prolapsing internal hemorrhoids at physical examination performed by a colorectal surgeon. | 1-year | |
Secondary | Postoperative complications | The secondary outcomes include postoperative complications (i.e. urinary retention, constipation, dysuria, pruritis ani, anal pain, anal stenosis, unhealed wound, fissure, fecal urgency, incontinence- flatus, incontinence- stool) | 30 days |
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