Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .
Embolization of the Superior Rectal Arteries for Hemorrhoidal Disease: Prospective Results in 25 Patients.
PURPOSE To evaluate efficacy and safety of superior rectal artery embolization of hemorrhoidal disease as a first-line invasive treatment . MATERIAL S AND METHODS This prospect i ve study was conducted between 2014 and 2015 on 25 consecutive patients ( 16 men and 9 women with a mean age of 53 y [ range , 30 - 76 y ] ) with grade II-III hemorrhoids refractory to medical treatment . A transfemoral superselective superior rectal artery branch embolization was performed using 2- and 3-mm diameter microcoils . Over the following 12 months , clinical outcomes were evaluated using the French bleeding score , Goligher prolapse score , visual analog scale ( VAS ) score for pain , quality -of-life score . The primary endpoint was relief of symptoms by 12 months based on a 2-point minimum improvement on VAS score and bleeding score . RESULTS At 12 months after embolization , clinical success was obtained in 18 patients ( 72 % ) , 8 of whom had 2 embolizations . VAS score decreased from 4.6 to 2.3 ( P < .01 ) , and bleeding score decreased from 5.5 to 2.3 ( P < .01 ) . Quality -of-life and prolapse scores also showed improvement ( P < .05 ) , and no patients experienced any early or late complications . Complete clinical failure was observed in 7 patients . After coil embolization , the collateral supply to the hemorrhoidal cushions was significantly related to any recurrence ( P = .001 ) . CONCLUSIONS Hemorrhoidal artery coil embolization was found to be a safe and effective treatment for grade II-III hemorrhoids
Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .