Transanal Haemorrhoidal Dearterialisation and Rectal Mucopexy: Clinical Outcomes and Patient Perspectives

Waterman J., Abdeldayem M., Haray P.
Clinics in Surgery 2019 - Volume 4 - Article 2656

Transanal Haemorrhoidal Dearterialisation (THD) has evolved as a surgical technique over time. THD can be combined with Rectal Mucopexy (THD-RM) to aid in the reduction of haemorrhoidal prolapse. AIMS: Our aims were to assess short and long term clinical outcomes after THD-RM and to assess patients’ satisfaction following THD-RM.

All patients who underwent THD-RM at our Hospital from 2014 were included. Data analysis included a structured questionnaire administered via telephone.

A total of 55 patients underwent a THD-RM between 2014 and 2019. There was a response rate of 87.27%, 48 patients. The most common presenting symptom was bleeding (85.42%). Within 48 h post-operative, 32 patients (66.67%) complained of discomfort or mild pain. Length of time to normal activities varied between 1 day to 57 days (median 14 days). Long term, 37 patients (77.08%) described complete resolution of symptoms. The patient satisfaction questionnaire found 40 patients (83.33%) were very satisfied with their outcomes. Follow-up ranged from 3-65 months (mean 27 months). Seven patients (14.58%) reported recurrence of some symptoms.

Our initial experience with short and long term follow up after THD-RM procedure has been very positive and our results are in line with many others.