Haemorrhoids

Recurrence

The prognosis for patients following treatment of haemorrhoidal disease is good. Treatment results in resolution or improvement of symptoms with low rates of recurrence, although residual symptoms or recurrent symptoms may be higher in patients with continuing strong risk factors. Surgical haemorrhoidectomy confers the best long-term effect with less than 20% symptom recurrence and equally low re-treatment rates when compared to rubber band ligation. This effect is more pronounced for grade 3 haemorrhoids than for grade 2 haemorrhoids.[34]Shanmugam V, Thaha MA, Rabindranath KS, et al. Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev. 2005 Jul 20;(3):CD005034. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005034.pub2/full http://www.ncbi.nlm.nih.gov/pubmed/16034963?tool=bestpractice.com