Annals of Coloproctology

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Benign proctology,Postoperative outcome & ERAS

Is There a Relationship Between Stool Consistency and Pain at First Defecation After Limited Half Hemorrhoidectomy? A Pilot Study: Takaaki Yano; Ann Coloproctol. 2021;37(5):306-310. Published online September 18, 2020; DOI: https://doi.org/10.3393/ac.2020.08.10

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Purpose
While the first defecation pain is a problem following hemorrhoidectomy, it is unknown whether the stool consistency has an influence on pain. This pilot study aimed to investigate whether the intensity of defecation pain varied according to stool consistency.
Methods
This prospective cohort study evaluated patients who underwent hemorrhoidectomy in combination with injection sclerotherapy for grade III or IV hemorrhoids. The pain intensity and stool form during the first postoperative defecation were self-recorded by the patients using a visual analogue scale (score of 0–10) and Bristol Stool Form Scale, respectively. The patients were classified into 3 groups according to stool consistency, and the intensity of defecation pain was compared among the groups using analysis of variance.
Results
A total of 61 patients were eligible for this study and were classified into the hard stool (n=15), normal stool (n=21), and soft stool groups (n=25). No significant intergroup differences were identified in the intensity of pain at defecation (P=0.29).
Conclusion
This pilot study demonstrated that there were no clear differences in pain intensity during the first defecation after surgery among the 3 groups with different levels of stool consistency.

Citations

Citations to this article as recorded by

Comparison of oral ketorolac and oral magnesium for postoperative pain management in anorectal surgery: A randomized double-blind clinical trial
Seyed Jalal Eshagh Hoseini, Farzaneh Sadat Ghazi, Mohsen Eshraghi, Mostafa Vahedian, Mohammad Reza Pashaei, Mojdeh Bahadorzadeh, Sajjad Ahmadpour
Journal of International Medical Research.2026;[Epub] CrossRef
Pain at the First Post-hemorrhoidectomy Defecation Is Associated with Stool Form
Takaaki Yano, Daijiro Kabata, Seiichi Kimura
Journal of the Anus, Rectum and Colon.2022; 6(3): 168. CrossRef
Treatment of Hemorrhoid in Unusual Condition-Pregnancy
Hyo Seon Ryu
The Ewha Medical Journal.2022;[Epub] CrossRef

Comparison of Injection Sclerotherapy Between 5% Phenol in Almond Oil and Aluminum Potassium Sulfate and Tannic Acid for Grade 3 Hemorrhoids: Takaaki Yano, Kenji Yano; Ann Coloproctol. 2015;31(3):103-105. Published online June 30, 2015; DOI: https://doi.org/10.3393/ac.2015.31.3.103

8,415 View
68 Download
23 Web of Science
24 Citations

Abstract PDF

Purpose

Injection sclerotherapy for hemorrhoids has been performed for many years. Currently, 5% phenol in almond oil (PAO) and aluminum potassium sulfate and tannic acid (ALTA) are used as the agents. The purpose of this study was to compare the efficacy of the two agents.

Methods

A retrospective study was conducted involving 135 patients who underwent injection therapy for grade 3 hemorrhoids for the first time between 2013 and 2014 (PAO, 55 patients; ALTA, 80 patients). The efficacy was established as the proportion (%) of patients without symptoms such as hemorrhage and prolapse one year after treatment. We investigated four factors—sex, age, number of hemorrhoids, and agent—that might have an influence on the efficacy.

Results

The efficacies of ALTA and PAO one year after treatment were 75% and 20%, respectively. Only the agent was a significant independent factor (P < 0.01).

Conclusion

The results suggest that ALTA is markedly more useful than PAO for injection sclerotherapy for grade 3 hemorrhoids.

Citations

Citations to this article as recorded by

Curative Potential and Limitations of Aluminum Potassium Sulfate and Tannic Acid Therapy: Long-term Results and Evaluation ofRecurrence Factors Using Multivariate Analysis
Masaaki Uchida, Yoshio Yamamoto
Nihon Daicho Komonbyo Gakkai Zasshi.2026; 79(2): 54. CrossRef
Rubber band ligation or shaobei injection for the endoscopic treatment of symptomatic hemorrhoids? A retrospective study
Juan Li, Yongcheng Chen, Sen Liao, Dezheng Lin, MingliSu, Jiancong Hu, Qinghua Zhong, Jiaxin Deng, Jiawei Zhang, Xuefeng Guo
Surgical Endoscopy.2025; 39(3): 1555. CrossRef
The effect of endoscopic polidocanol carbon dioxide foam for internal hemorrhoids: a retrospective study
Jiahui Xiang, Shichao Li, Tengjiang Yu, Qingfeng Jiang, Xia Jiang, Yong Lan
PeerJ.2025; 13: e20252. CrossRef
Sclerotherapy for hemorrhoidal disease: systematic review and meta-analysis
G. Gallo, A. Picciariello, C. Armellin, E. Lori, G. Tomasicchio, G. L. Di Tanna, G. A. Santoro, M. Alharbi, S. Sorrenti, U. Grossi
Techniques in Coloproctology.2024;[Epub] CrossRef
Aluminum potassium sulfate and tannic acid (ALTA) sclerotherapy for hemorrhoidal disease: a systematic review and meta-analysis
Vasiliki Manaki, Vangelis Bontinis, Alkis Bontinis, Argirios Giannopoulos, Ioannis Kontes, Angeliki Chorti, Kiriakos Ktenidis
Acta Chirurgica Belgica.2024; 124(4): 253. CrossRef
The Italian Unitary Society of Colon-Proctology (Società Italiana Unitaria di Colonproctologia) guidelines for the management of acute and chronic hemorrhoidal disease
Antonio Brillantino, Adolfo Renzi, Pasquale Talento, Luigi Brusciano, Luigi Marano, Maurizio Grillo, Mauro Natale Maglio, Fabrizio Foroni, Alessio Palumbo, Maria Laura Sandoval Sotelo, Luciano Vicenzo, Michele Lanza, Giovanna Frezza, Massimo Antropoli, Cl
Annals of Coloproctology.2024; 40(4): 287. CrossRef
Efficacy and Safety of a New Technique Combining Injection Sclerotherapy and External Hemorrhoidectomy for Prolapsed Hemorrhoids: A Single-center Observational Study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Akane Ito, Kenji Watanabe, Shigenori Ota, Kei Ohara, Mitsuhiro Inagaki, Yusuke Saitoh, Masanori Murakami
Journal of the Anus, Rectum and Colon.2024; 8(4): 331. CrossRef
Shifting Paradigms in Hemorrhoid Management: The Emergence and Impact of Cap-Assisted Endoscopic Sclerotherapy
Xianglu Wang, Xia Wu, Quan Wen, Bota Cui, Faming Zhang
Journal of Clinical Medicine.2024; 13(23): 7284. CrossRef
Sclerotherapy in Hemorrhoids
Anling He, Mingkai Chen
Indian Journal of Surgery.2023; 85(2): 228. CrossRef
Minimally Invasive Treatment for Advanced Hemorrhoids
Hidenori Miyamoto
Journal of the Anus, Rectum and Colon.2023; 7(1): 8. CrossRef
Mid-term outcome of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids
A. Tsunoda, H. Kusanagi
Techniques in Coloproctology.2023; 27(12): 1335. CrossRef
Long-term Outcomes of Aluminum Potassium Sulfate and Tannic Acid Sclerotherapy for Prolapsed Hemorrhoids: A Single-Center, Observational Study
Tatsuya Abe, Masao Kunimoto, Yoshikazu Hachiro, Kei Ohara, Mitsuhiro Inagaki
Diseases of the Colon & Rectum.2022; 65(2): 271. CrossRef
The comeback of hemorrhoidal sclerotherapy?
V. de Parades, M. Aubert, N. Fathallah, A. A. Alam, L. Spindler, P. Benfredj
Techniques in Coloproctology.2022; 26(8): 599. CrossRef
Early postoperative outcomes of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids
Shunya Takada, Akira Tsunoda, Tomoko Takahashi, Hiroshi Kusanagi
Annals of Coloproctology.2022; 38(4): 290. CrossRef
A Stepwise Proposal for Low-Grade Hemorrhoidal Disease: Injection Sclerotherapy as a First-Line Treatment and Rubber Band Ligation for Persistent Relapses
Roberta Tutino, Marco Massani, Leonel Jospin Kamdem Mambou, Paolina Venturelli, Immacolata Della Valle, Giuseppina Melfa, Matilde Micheli, Gaia Russo, Gregorio Scerrino, Sebastiano Bonventre, Gianfranco Cocorullo
Frontiers in Surgery.2022;[Epub] CrossRef
Short-Term Results of Sclerotherapy with 3% Polidocanol Foam for Symptomatic Second- and Third-Degree Hemorrhoidal Disease
Pierluigi Lobascio, Rita Laforgia, Eugenio Novelli, Fabrizio Perrone, Maria Di Salvo, Angela Pezzolla, Mario Trompetto, Gaetano Gallo
Journal of Investigative Surgery.2021; 34(10): 1059. CrossRef
Medical uses for phenol in the urinary tract: A possible forgotten treatment (Review)
Takuya Sadahira, Yuki Maruyama, Toyohiko Watanabe, Takanori Sekito, Yosuke Mitsui, Koichiro Wada, Motoo Araki, Masami Watanabe
Medicine International.2021;[Epub] CrossRef
Finding possible pharmacological effects of identified organic compounds in medicinal waters (BTEX and phenolic compounds)
István Szabó, Csaba Varga
International Journal of Biometeorology.2020; 64(6): 989. CrossRef
Hämorrhoidenoperation
T. Laubert, V. Kahlke
coloproctology.2020; 42(1): 30. CrossRef
Le traitement instrumental : « Qu’en reste-t-il aujourd’hui ? »
L. Spindler, E. Pommaret, V. de Parades
Côlon & Rectum.2020; 14(1): 15. CrossRef
Effectiveness of Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid as a Non-Surgical Treatment for Internal Hemorrhoids
Yuichi Tomiki, Jun Aoki, Shunsuke Motegi, Rina Takahashi, Toshiaki Hagiwara, Yu Okazawa, Kosuke Mizukoshi, Masaya Kawai, Shinya Munakata, Shun Ishiyama, Kiichi Sugimoto, Kazuhiro Sakamoto
Clinical Endoscopy.2019; 52(6): 581. CrossRef
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids
Bradley R. Davis, Steven A. Lee-Kong, John Migaly, Daniel L. Feingold, Scott R. Steele
Diseases of the Colon & Rectum.2018; 61(3): 284. CrossRef
Alles beim Alten in der Hämorrhoidalchirurgie?
M. H. Roblick, S. Farke
coloproctology.2018; 40(4): 271. CrossRef
Aluminum Potassium Sulfate and Tannic Acid - A New Option for the Treatment of Grade 3 Hemorrhoids
Yong Hee Hwang
Annals of Coloproctology.2015; 31(3): 83. CrossRef

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