Efficacy of Stapled Haemorrhoidopexy vs. Ferguson Haemorrhoidectomy in the Treatment of Haemorrhoidal Disease: A Prospective, Randomised, Single-Blind Comparison.

Objective: To evaluate the effectiveness of stapled (sutured) haemorrhoidopexy (SH) in the treatment of haemorrhoidal disease (HD) symptoms, and to compare it with the Ferguson haemorrhoidectomy (FH) technique.

Study design: Randomised, single-blind, experimental study. Place and Duration of the Study: Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkiye, from April 2024 to February 2025.

Methodology: Patients over 18 years of age who were diagnosed with haemorrhoidal disease, accepted surgical treatment, agreed to participate in the study, and did not meet any of the exclusion criteria were included in the study. Postoperative symptom management efficacy was assessed using the haemorrhoidal disease symptom score (HDSS). For data obtained from repeated measurements, the Mann-Whitney U test was performed to evaluate comparisons among groups at multiple time points.

Results: A total of 42 patients who completed the six-month follow-up period were included in the study, with 18 patients in the FH group and 24 patients in the SH group. Of the total patients, 29 were male (69.0%), and 13 were female (31%). The median age was 39 (IQR:23) years. Both groups showed significant differences in the HDSS when comparing preoperative scores with postoperative scores at months 1, 3, and 6 (p <0.001 for each comparison). However, no statistically significant difference in the HDSS was observed between the groups at any time point (0.573, <0.123, <0.679, <0.393).

Conclusion: SH was equally effective as FH in controlling symptoms associated with HD in the postoperative period and may be recommended as a minimally invasive treatment option for patients.

Key words: Ferguson haemorrhoidectomy, Haemorrhoidal disease symptom score, Sutured haemorrhoidopexy.