Stapled Procedure for Prolapse and Hemorrhoids (PPH) for Severe Prolapsed Internal Hemorrhoids

Objective To explore the value of the procedure for prolapse and hemorrhoids (PPH) for severe prolapsed internal hemorrhoids. Methods 32 cases with severe prolapsed internal hemorrhoids underwent PPH. Results The average operation time was 13.5 minutes. In the 32 cases, most of the prolapsed hemorrhoids drew back into the anus tube at the end of operation,26 completely drew back within 2 days, and the others was in 7 to 10 days after operation. Five patients had mild pain in lower abdomen during operation. 7 had urinary retention, 4 had mild and 2 had moderate anal pain after operation. No hemorrhage occured. The hospital stay was 1 to 3 days. All patients were follewed up for 1 to 20 months, no complications of PPH such as anal stricture and fecal incontinence occurred. No case relapsed. Conclusions PPH is a safe and effective method with short operation time and fast recovery for severe prolapsed internal hemorrhoids. PPH is expected to be the primary choice for severe prolapsed internal hemorrhoids, but long term outcome needs further observation.