Long-term Results of Haemorrhoidectomy

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Abstract
To assess the long-term functional results of Milligan-Morgan haemorrhoidectomy. Retrospective multicentre study. One university hospital, one county hospital, and two community hospitals, Sweden. 507 of 556 patients who were operated on for haemorrhoids by the Milligan-Morgan technique between January 1987 and December 1995. A questionnaire was sent to all 507 patients, the questions in which focused on functional results and satisfaction. Patients' satisfaction and symptoms of anal incontinence after haemorrhoidectomy. 418 of the 507 responded (82%). Altogether 279 patients (67%) reported a successful result, while 139 patients (33%) reported impaired anal continence. 40 of the 139 patients (29%) claimed that the incontinence was a direct result of the haemorrhoidectomy. Female sex (p = 0.005) and an operation for hygienic problems (p = 0.02) were associated with a higher risk of incontinence. Impaired anal continence is common after Milligan-Morgan haemorrhoidectomy and a large proportion of affected patients relate their problems to the operation.

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