Impact of Patient Characteristics on Outcome of Laser Hemorrhoidoplasty

Abstract

Background:Haemorrhoidal disease is common and impacts quality of life. While conventional haemorrhoidectomy is effective, it carries significant postoperative morbidity. Laser Hemorrhoidoplasty (LHP) offers a minimally invasive alternative, but data on factors influencing its outcomes are limited.

Methodology:This retrospective study included 41 patients (aged 20–80) undergoing LHP at KS Hegde Medical Academy between January 2023 and June 2024. Patients with Grade I haemorrhoids, other anorectal diseases, or pregnancy were excluded. Data on demographics, BMI, smoking, haemorrhoid grade, and outcomes were analyzed using the chi-square test (p < 0.05).

Results:Better symptom resolution was seen in males, non-smokers, and patients with normal BMI. Higher complications were noted in males, those aged 40–59, and patients with Grade III haemorrhoids. Recurrence was more common in the 20–39 age group, males, and those with BMI > 25. Hospital stay tended to be longer in older patients, females, and those with higher-grade haemorrhoids.

Conclusion:LHP is a safe and effective option for haemorrhoidal disease. Outcomes are influenced by age, gender, BMI, and smoking status. Larger studies are needed to validate these findings and refine patient selection.