Hemorrhoidal laser procedure: short- and long-term results from a prospective study

Am J Surg. 2014 Jul;208(1):21-5. doi: 10.1016/j.amjsurg.2013.10.020. Epub 2014 Jan 16.


Background: We report the results of 2-year regular use of the hemorrhoidal laser procedure (HeLP) in 97 patients with symptomatic second- to third-grade hemorrhoids with minimal or moderate internal mucosal prolapse.

Methods: Data on duration of the procedure, perioperative complications, postoperative pain, downgrading of hemorrhoids, resolution or persistency, and recurrence of hemorrhoidal disease (HD) were prospectively collected.

Results: No significant intraoperative complications occurred. The median follow-up was 15 months. Postoperative pain was null in most patients. There were no cases of rectal tenesmus or alteration of defecation habits. Symptoms and HD downgrading reached a "plateau" at 3 to 6 months after the HeLP. At this evaluation, frequency of bleeding, pain, itching, and hemorrhoidal acute syndrome decreased by 76% to 79%. HD grade showed a significant reduction. HD recurrence rate was 5% at 2 years.

Conclusions: Our study demonstrates that the HeLP is a safe, effective, and painless technique for the treatment of symptomatic second- to third-grade hemorrhoids with minimal or moderate mucosal prolapse, ideally suitable as ambulatory treatment.

Keywords: Hemorrhoidal laser procedure; Hemorrhoids; Treatment.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Hemorrhoids / surgery*
  • Humans
  • Laser Therapy / methods*
  • Male
  • Middle Aged
  • Pain, Postoperative / epidemiology
  • Postoperative Complications / epidemiology
  • Prospective Studies
  • Recurrence
  • Treatment Outcome
  • Young Adult