Evaluation of The Results of The Effect of Hemorrrhoid Surgery on Urological Patients

Dr. Bashar Mohammed Al-Saadi; Dr. Murtadha Qahtan  Hashim; Dr. Ahmed Fouad  Al-Saffar

doi:10.17605/cajmns.v6i4.2881

Dr. Bashar Mohammed Al-Saadi Iraqi Ministry of Health, Karbala Health Directorate, Department of General Surgery, Safeer Al-Emmam Al-Hussain Surgical Hospital, Karbala, Iraq
Dr. Murtadha Qahtan Hashim Iraqi Ministry of Higher Education and Scientific Research, Department of Surgery, College Of madecine, University of Karbala, karbala, Iraq
Dr. Ahmed Fouad Al-Saffar Iraqi Ministry of Health, Al-karkh health Directorate, Al-Yarmouk Teching Hospital, Baghdad, Iraq

DOI: https://doi.org/10.17605/cajmns.v6i4.2881

Keywords: Hemorrhoid surgery, Urological patients, Postoperative complications, Quality of life, Risk factors

Abstract

Hemorrhoid surgery is a common procedure in patients with hemorrhoids, but its impact in patients with urological conditions is unknown. We aimed to evaluate the outcomes of hemorrhoid surgery in urological patients over a 12-month follow-up. In this cross-sectional study, 98 urological patients who had undergone hemorrhoid surgery were evaluated. Preoperative and postoperative symptoms were quantified with the help of validated scales. Postoperative complications were noted, and health-related quality of life was evaluated preoperatively and postoperatively with the help of a standard QoL (SF-36). Univariate analysis was performed to search for risk factors affecting long-term health outcomes. The study found that the majority of patients were aged 41-60 years (74.3%), predominantly male (71.4%), with a high rate of comorbidities, including hypertension (50.0%) and diabetes mellitus (26.5%). Following surgery, there was a dramatic alleviation of urological symptoms, as seen in reductions in dysuria (3.4 ± 1.1 to 1.2 ± 0.5, p < 0.001) and nocturia (2.8 ± 1.3 to 0.8 ± 0.4, p < 0.001). Postoperative morbidity was minimal, with 8.2% of patients developing urinary retention. Quality of life was greatly improved in all domains assessed (p < 0.001). Age, BMI, and ASA grade were identified as risk factors for adverse long-term outcomes on univariate analysis (ORs between 1.05 and 2.10). Hemorrhoid surgery appears to significantly enhance health-related quality of life and urological symptoms in patients for as long as a 12-month follow-up. The postoperative outcome and recovery may be influenced by the presence of certain comorbidities and demographic factors.

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