Guidelines for the treatment of hemorrhoids (short report)

J Visc Surg. 2016 Jun;153(3):213-8. doi: 10.1016/j.jviscsurg.2016.03.004. Epub 2016 May 18.

Abstract

Hemorrhoids are a common medical problem that is often considered as benign. The French Society of Colo-Proctology (Société nationale française de colo-proctologie [SNFCP]) recently revised its recommendations for the management of hemorrhoids (last issued in 2001), based on the literature and consensual expert opinion. We present a short report of these recommendations. Briefly, medical treatment, including dietary fiber, should always be proposed in first intention and instrumental treatment only if medical treatment fails, except in grade ≥III prolapse. Surgery should be the last resort, and the patient well informed of the surgical alternatives, including the possibility of elective ambulatory surgery, if appropriate. Postoperative pain should be prevented by the systematic implementation of a pudendal block and multimodal use of analgesics.

Keywords: Guidelines; Hemorrhoids; Treatment.

Publication types

  • Practice Guideline

MeSH terms

  • Ambulatory Surgical Procedures
  • Analgesics / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Combined Modality Therapy
  • Diet Therapy
  • Elective Surgical Procedures
  • Gastrointestinal Agents / therapeutic use
  • Hemorrhoidectomy
  • Hemorrhoids / complications
  • Hemorrhoids / diagnosis
  • Hemorrhoids / therapy*
  • Humans
  • Laxatives / therapeutic use
  • Pain, Postoperative / prevention & control

Substances

  • Analgesics
  • Anti-Inflammatory Agents
  • Gastrointestinal Agents
  • Laxatives