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Article Dans Une Revue Colorectal Disease Année : 2012

Underlying functional bowel disorder may explain patient dissatisfaction after haemorrhoidal surgery.

Résumé

AIM: The aim of this study was to assess patient dissatisfaction and functional symptoms following haemorrhoid surgery, aspects of which are seldom covered in other published series. METHOD: A self-administered questionnaire was mailed to 359 consecutive patients (prospective database; 198 men, 161 women; median follow up, 59 [1-120] months) who underwent either Milligan-Morgan haemorrhoidectomy (n=205) or stapled haemorrhoidopexy (n=154). RESULTS: The response rate was 72%; 2.4% of patients had no opinion, 13.6% were dissatisfied, 33.0% were satisfied, and 51.0% were very satisfied with the treatment. Dissatisfied patients were more likely to be women and more likely to have a long history of constipation and irritable bowel syndrome. The duration of surgery and the rates of pre- and postoperative complications did not differ between groups. Residual bleeding (49% vs 32%), prolapse (67% vs 31%) and pain (91% vs 55%) occurred more frequently in the dissatisfied group compared with the satisfied group (P<0.001). Incontinence (4 [0-16] vs 1 [0-15]; P=0.0003) and constipation (19 [1-34] vs 8 [0-31]; P<0.0001) scores were significantly higher in the dissatisfied group compared with satisfied patients. Anal pain was the predominant symptom associated with dissatisfaction in a logistic regression model. CONCLUSION: Persistent pain remains the major long-term factor associated with dissatisfaction after surgery for haemorrhoids.

Dates et versions

hal-00865593 , version 1 (24-09-2013)

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Citer

C. Favreau, Laurent Siproudhis, M. Eleouet, Guillaume Bouguen, Jean-Francois Bretagne. Underlying functional bowel disorder may explain patient dissatisfaction after haemorrhoidal surgery.. Colorectal Disease, 2012, 14 (3), pp.356-61. ⟨10.1111/j.1463-1318.2011.02612.x⟩. ⟨hal-00865593⟩
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