Annals of Coloproctology

Original Articles

Benign proctology,Postoperative outcome & ERAS,Complication

Predictors of postoperative urinary retention after semiclosed hemorrhoidectomy: Hong Yoon Jeong, Seok Gyu Song, Jong Kyun Lee; Ann Coloproctol. 2022;38(1):53-59. Published online July 21, 2021; DOI: https://doi.org/10.3393/ac.2021.00304.0043

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8 Citations

Purpose
This study was performed to analyze the predictors that might contribute to urinary retention following semiclosed hemorrhoidectomy under spinal anesthesia.
Methods
This retrospective study enrolled 2,176 consecutive patients with symptomatic grade III to IV hemorrhoids who underwent semiclosed hemorrhoidectomy between September 2018 and September 2019.
Results
Among the 2,176 patients, 1,878 (86.3%) had no postoperative urinary retention, whereas 298 (13.7%) developed urinary retention after hemorrhoidectomy. The percentage of males was significantly higher in the retention group than in the non-retention group (60.4% vs. 48.1%; P=0.001). The risk of urinary retention was 1.52-fold higher in males than in females (95% confidence interval [CI], 1.13–2.04; P=0.005), 1.62-fold higher in old age (95% CI, 1.14–2.28; P=0.006), and 1.37-fold higher with high body mass index (BMI) (95% CI, 1.04–1.81; P=0.025). Patients with ≥4 resected hemorrhoids had a higher odds ratio (OR) of 1.46 (95% CI, 1.12–1.89; P=0.005) than patients with <4 resected hemorrhoids. Among the supplementary medication, patients who used analgesics had a higher OR of 2.06 (95% CI, 1.57–2.68; P=0.001) than those who did not.
Conclusion
Male sex, age, high BMI, number of resected hemorrhoids, and supplementary analgesics are independent risk factors for urinary retention after semiclosed hemorrhoidectomy.

Citations

Citations to this article as recorded by

Comparison of the effect of hot and cold compresses on post‐operative urinary retention in older patients: A clinical trial study
Tayebeh Mirzaei, Farkhondeh Roudbari, Ali Ravari, Sakineh Mirzaei, Elham Hassanshahi
International Journal of Urological Nursing.2024;[Epub] CrossRef
General anesthesia with local infiltration reduces urine retention rate and prolongs analgesic effect than spinal anesthesia for hemorrhoidectomy
Chun-Yu Lin, Yi-Chun Liu, Jun-Peng Chen, Pei-Hsuan Hsu, Szu-Ling Chang
Frontiers in Surgery.2024;[Epub] CrossRef
Effective non-surgical treatment of hemorrhoids with sclerosing foam and novel injection device
Juan Cabrera Garrido, Gonzalo López González
Gastroenterology & Endoscopy.2024; 2(4): 176. CrossRef
Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review
Cosmin Moldovan, Elena Rusu, Daniel Cochior, Madalina Elena Toba, Horia Mocanu, Razvan Adam, Mirela Rimbu, Adrian Ghenea, Florin Savulescu, Daniela Godoroja, Florin Botea
World Journal of Clinical Cases.2023; 11(2): 366. CrossRef
Effect of single spinal anesthesia with two doses ropivacaine on urinary retention after hemorrhoidectomy in male patients
Lei-lei Wang, Meng Kang, Li-xin Duan, Xu-fei Chang, Xiao-xin Li, Xiang-yang Guo, Zhi-yu Kang, Yong-zheng Han
Frontiers in Surgery.2023;[Epub] CrossRef
Efficacy of Low-Frequency Electroacupuncture on Urinary Retention After Spinal Anesthesia
Mina Olia, Aliakbar Jafarian, Masood Mohseni
Journal of PeriAnesthesia Nursing.2023; 38(5): 745. CrossRef
Laser hemorrhoidoplasty combined with blind hemorrhoidal artery ligation compared to Milligan–Morgan hemorrhoidectomy in patients with second and third degree piles; a prospective randomized study
Amir F. Abdelhamid, Mohamed M. Elsheikh, Osama H. Abdraboh
The Egyptian Journal of Surgery.2023; 42(3): 669. CrossRef
Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report
Zhexuan Chen, Chuxi Lin
BMC Anesthesiology.2023;[Epub] CrossRef

Benign proctology

Puborectalis Muscle Involvement on Magnetic Resonance Imaging in Complex Fistula: A New Perspective on Diagnosis and Treatment: Hong Yoon Jeong, Seok Gyu Song, Woo Jung Nam, Jong Kyun Lee; Ann Coloproctol. 2021;37(1):51-57. Published online September 18, 2020; DOI: https://doi.org/10.3393/ac.2020.08.26.1

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106 Download
5 Web of Science
5 Citations

Abstract PDF

Purpose
According to recent studies, magnetic resonance imaging (MRI) assessment of complex fistulas provides a significant benefit compared to fistulography, computed tomography, and ultrasonography. The aim of this study was to describe the accuracy of MRI and the importance of identifying puborectalis muscle involvement on MRI in patients with complex fistula.
Methods
All patients who were clinically diagnosed with ‘complex’ or showed multiple fistula tracts underwent fistula MRI. Eligible patients were consecutive patients who underwent fistula MRI between September 2018 and September 2019 at our hospital.
Results
A total of 83 patients (74 males, 9 females; 116 tracts) were included in this study. The sensitivity and specificity of MRI in diagnosing fistula tracts were 94.8% and 98.2%, respectively. The sensitivity and specificity in identifying internal opening were 93.9% and 97.3%, respectively. Of the 35 patients with puborectalis muscle involvement in the MRI, 31 images of suprasphincteric-type patients on the Park’s classification were classified. The patients of puborectalis involvement were divided into 2 groups according to the surgical procedure that was performed. There were 12 sphincter-saving procedures and 19 sphincter division procedures performed. Recurrence was seen in 2 patients in the sphincter-saving procedure group, while no case was seen in the sphincter division procedure group. Five complications were found in the sphincter division procedure group, of which 2 reported incontinence.
Conclusion
Fistula MRI is a highly accurate examination for evaluating complex fistulas, and the puborectalis muscle involvement findings are very important for diagnosis and treatment.

Citations

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Efficacy and safety of transanal opening of intersphincteric space in the treatment of high complex anal fistula: A meta‑analysis
Chunqiang Wang, Tianye Huang, Xuebing Wang
Experimental and Therapeutic Medicine.2024;[Epub] CrossRef
Comparison of loose combined cutting seton and traditional cutting seton for high anal fistula: a meta-analysis
Yi SUN, Chunqiang WANG, Tianye HUANG, Xuebing WANG
Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub] CrossRef
Guidelines to diagnose and treat peri-levator high-5 anal fistulas: Supralevator, suprasphincteric, extrasphincteric, high outersphincteric, and high intrarectal fistulas
Pankaj Garg, Vipul D Yagnik, Sushil Dawka, Baljit Kaur, Geetha R Menon
World Journal of Gastroenterology.2022; 28(16): 1608. CrossRef
What Does Puborectalis Muscle Involvement on Magnetic Resonance Imaging Indicate in Patients With Complex Anal Fistula?
Sung Uk Bae
Annals of Coloproctology.2021; 37(1): 3. CrossRef
Anal fistula at roof of ischiorectal fossa inside levator-ani muscle (RIFIL): a new highly complex anal fistula diagnosed on MRI
Pankaj Garg, Sushil Dawka, Vipul D. Yagnik, Baljit Kaur, Geetha R. Menon
Abdominal Radiology.2021; 46(12): 5550. CrossRef

Reviews

Optimal Treatment of Symptomatic Hemorrhoids: Seok-Gyu Song, Soung-Ho Kim; J Korean Soc Coloproctol. 2011;27(6):277-281. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.277

10,936 View
108 Download
18 Citations

Abstract PDF

Hemorrhoids are the most common anorectal complaint, and approximately 10 to 20 percent of patients with symptomatic hemorrhoids require surgery. Symptoms of hemorrhoids, such as painless rectal bleeding, tissue protrusion and mucous discharge, vary. The traditional therapeutic strategies of medicine include surgical, as well as non-surgical, treatment. To alleviate symptoms caused by hemorrhoids, oral treatments, such as fiber, suppositories and Sitz baths have been applied to patients. Other non-surgical treatments, such as infrared photocoagulation, injection sclerotherapy and rubber band ligation have been used to fixate the hemorrhoid's cushion. If non-surgical treatment has no effect, surgical treatments, such as a hemorrhoidectomy, procedure for prolapsed hemorrhoids, and transanal hemorrhoidal dearterialization are used.

Citations

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A Hospital-Based Longitudinal Study of Rubber Band Ligation and Sclerotherapy Treatment for Internal Hemorrhoids From South India
Samrobinson J, Jeyaganesh R, Geetha Arumugam, Nawin J Vignesh
Cureus.2024;[Epub] CrossRef
A comparative study of rubber band ligation versus BANANA-Clip in grade 1 to 3 internal hemorrhoids
Dong Wan Kang, Byoung Soo Kim, Ji Hun Kim, Kyong Rae Kim, Gyong Suk Kang
Annals of Coloproctology.2023; 39(1): 41. CrossRef
Treatment of haemorrhoids: rubber band ligation or sclerotherapy (THROS)? Study protocol for a multicentre, non-inferiority, randomised controlled trial
J. Y. van Oostendorp, T. C. Sluckin, I. J. M. Han-Geurts, S. van Dieren, R. Schouten
Trials.2023;[Epub] CrossRef
Finding Molecular Inhibitors of the Inflammatory Pathway in the Large Intestine Along with Molecular Dynamics with Emphasis on the Use of TCM Database
Ali Sargazi, Baratali Fakheri, Abbas Ali Bahari, Nafiseh Mahdinezhad
Gene, Cell and Tissue.2023;[Epub] CrossRef
Possibile ruolo della terapia nutraceutica nel trattamento medico della malattia emorroidaria
Claudio TOSCANA, Leonardo GALLI, Edoardo TOSCANA, Laura BALDINI, Gabriella GIARRATANO, Maria VADALÀ, Beniamino PALMIERI
Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub] CrossRef
Hybrid methods treatments for III and IV grade hemorrhoids
E. A. Zagriadskiǐ
Koloproktologia.2023; 22(4): 53. CrossRef
Risk factors for hemorrhoidal disease among healthy young and middle-aged Korean adults
Yun Soo Hong, Kyung Uk Jung, Sanjay Rampal, Di Zhao, Eliseo Guallar, Seungho Ryu, Yoosoo Chang, Hyung Ook Kim, Hungdai Kim, Ho-Kyung Chun, Chong Il Sohn, Hocheol Shin, Juhee Cho
Scientific Reports.2022;[Epub] CrossRef
Doppler-guided hemorrhoidal dearterialization. Technical evolution and results of treatment (review)
E. A. Zagriadskiǐ, V. S. Tolstyh
Koloproktologia.2021; 20(1): 87. CrossRef
Treatment for Hemorrhoids: Conservative Treatment and Office-based Treatments
Tsutomu Masuda, Naoki Inatsugi, Shusaku Yoshikawa, Seiji Terauchi, Hideki Uchida, Takeshi Nakao, Kentaro Yamaoka, Mizumi Inagaki, Takashi Yokoo, Kohei Okamoto
Nihon Daicho Komonbyo Gakkai Zasshi.2021; 74(10): 521. CrossRef
Comparative Study of Postoperative Complications after Rubber Band Ligation (RBL) and RBL Combined with Sclerotherapy in Treatment of Second- and Third-Degree Internal Hemorrhoids
Zhixian Liu, Xianqing Song, Feng Ye
Indian Journal of Surgery.2020; 82(3): 345. CrossRef
THE CHOICE OF TREATMENT IN PATIENTS WITH HEMORRHOIDAL DISEASE (THE RESULTS OF THE OBSERVATIONAL PROGRAM RE-VISION)
E. A. Zagriadskiy, A. M. Bogomazov, E. В. Golovko
Koloproktologia.2019; 18(4): 100. CrossRef
Postoperative Pain as a Decision-Making Tool in Treating Hemorrhoids on an In- or Out-Patient Basis After Stapled Mucosectomy (Longo Procedure)
D. Kovacevic, G. Gubler, M. Turina, M. K. Muller, A. Nocito, N. Attigah, M. Weber
International Surgery.2019; 104(9-10): 461. CrossRef
Transanal Hemorrhoidal Dearterialization Versus Stapled Hemorrhoidopexy: Long-Term Follow-up of a Prospective Randomized Study
Gabriella Giarratano, Edoardo Toscana, Claudio Toscana, Giuseppe Petrella, Mostafa Shalaby, Pierpaolo Sileri
Surgical Innovation.2018; 25(3): 236. CrossRef
Conservative Treatment of Hemorrhoids: Results of an Observational Multicenter Study
Evgeny A. Zagriadskiĭ, Alexey M. Bogomazov, Evgeny B. Golovko
Advances in Therapy.2018; 35(11): 1979. CrossRef
CONSERVATIVE TREATMENT OF HEMORRHOIDS. AN ALTERNATIVE TO SURGICAL METHODS OR COMPONENTS? CHORUS PROGRAM RESULTS
E. A. Zagryadskiy, A. M. Bogomazov, E. B. Golovko
Koloproktologia.2018; (1): 27. CrossRef
Haemorrhoids are associated with internal iliac vein reflux in up to one-third of women presenting with varicose veins associated with pelvic vein reflux
JM Holdstock, SJ Dos Santos, CC Harrison, BA Price, MS Whiteley
Phlebology: The Journal of Venous Disease.2015; 30(2): 133. CrossRef
A prospective, randomized, three arm, open label study comparing the safety and efficacy of PP110, a novel treatment for hemorrhoids to preparation-H® maximum strength cream in the treatment of grade 2–3 hemorrhoids
Ehud Klein, Ron Shapiro, Jose Ben-Dahan, Moshe Simcha, Yosef Azuri, Ada Rosen
Molecular and Cellular Therapies.2015;[Epub] CrossRef
Recombinant streptokinasevshydrocortisone suppositories in acute hemorrhoids: A randomized controlled trial
Francisco Hernández-Bernal, Georgina Castellanos-Sierra, Carmen M Valenzuela-Silva, Karem M Catasús-Álvarez, Osmany Martínez-Serrano, Odalys C Lazo-Diago, Cimara H Bermúdez-Badell, José R Causa-García, Juan E Domínguez-Suárez
World Journal of Gastroenterology.2015; 21(23): 7305. CrossRef

Pruritus Ani: Seok-Gyu Song, Soung-Ho Kim; J Korean Soc Coloproctol. 2011;27(2):54-57. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.54

8,912 View
105 Download
9 Citations

Abstract PDF

Pruritus ani is an unpleasant cutaneous sensation that induces the desire to scratch the skin around the anal orifice. It may start insidiously and appears in 1% to 5% of the population. It is classified as primary (idiopathic) pruritus ani when no cause can be found. However, as 25% to 75% of cases have co-existing pathology, a detailed history and examination are necessary. The goal of treatment is asymptomatic, intact, dry, clean perianal skin with reversal of morphological changes. The management of pruritus ani is directed towards the underlying cause. If the diagnosis is idiopathic pruritus ani, the patients can still be managed with great success by eliminating of irritants and scratching, by giving general advice regarding hygiene and lifestyle modification and by using active treatment measures.

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Pruritis ani
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Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef
SOOTHER TRIAL: Observational study of an over-the-counter ointment to heal anal itch
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Akira Tsunoda, Tomoko Takahashi, Kaori Arika, Sachiyo Kubo, Takeshi Tokita, Shogo Kameda
Environmental Health and Preventive Medicine.2016; 21(6): 547. CrossRef
Anorectal Complaints in the Emergency Department
Christina Lynn Tupe, Thuy Van Pham
Emergency Medicine Clinics of North America.2016; 34(2): 251. CrossRef
Efficacy of topical tacrolimus for the treatment of persistent pruritus ani in patients with atopic dermatitis
Haydar Ucak, Betul Demir, Demet Cicek, Selma Bakar Dertlioglu, Zeynep Meltem Akkurt, Derya Ucmak, Nurhan Halisdemir
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