Transanal Haemorrhoidal Dearterialisation and Rectal Mucopexy: Clinical Outcomes and Patient Perspectives

Abstract

Introduction: Transanal Haemorrhoidal Dearterialisation (THD) has evolved as a surgical technique over time. THD can be combined with Rectal Mucopexy (THD-RM) to aid in the reduction of haemorrhoidal prolapse. Aims: Our aims were to assess short and long term clinical outcomes after THD-RM and to assess patients’ satisfaction following THD-RM. Methods: All patients who underwent THD-RM at our Hospital from 2014 were included. Data analysis included a structured questionnaire administered via telephone. Results: A total of 55 patients underwent a THD-RM between 2014 and 2019. There was a response rate of 87.27%, 48 patients. The most common presenting symptom was bleeding (85.42%). Within 48 h post-operative, 32 patients (66.67%) complained of discomfort or mild pain. Length of time to normal activities varied between 1 day to 57 days (median 14 days). Long term, 37 patients (77.08%) described complete resolution of symptoms. The patient satisfaction questionnaire found 40 patients (83.33%) were very satisfied with their outcomes. Follow-up ranged from 3-65 months (mean 27 months). Seven patients (14.58%) reported recurrence of some symptoms. Conclusion: Our initial experience with short and long term follow up after THD-RM procedure has been very positive and our results are in line with many others. Waterman JL1, Abdeldayem MA1* and Haray PN1,2 1Department of Colorectal Surgery, Prince Charles Hospital, Merthyr Tydfil, UK 2Department of Colorectal Surgery, University of South Wales, UK