Pain at the First Post-hemorrhoidectomy Defecation Is Associated with Stool Form.
defecation
hemorrhoidectomy
postoperative pain
stool form scale
Journal
Journal of the anus, rectum and colon
ISSN: 2432-3853
Titre abrégé: J Anus Rectum Colon
Pays: Japan
ID NLM: 101718055
Informations de publication
Date de publication:
2022
2022
Historique:
received:
02
02
2022
accepted:
08
04
2022
entrez:
18
8
2022
pubmed:
19
8
2022
medline:
19
8
2022
Statut:
epublish
Résumé
Post-hemorrhoidectomy defecation pain is problematic, and pain associated with the first defecation is particularly important for patients. The present study aimed to investigate whether stool form consistency affected defecation pain after hemorrhoidectomy. A prospective, cohort, observational study where patients scheduled for hemorrhoidal surgery were analyzed. This study used two patient-reported scales to study parameters based on the first postoperative defecation. The Bristol Stool Form Scale (BSFS) and visual analog scale (VAS) assessed stool consistency and defecation pain. The association between stool consistency and defecation pain intensity was assessed using multiple linear regression analysis. Where there was evidence of non-linearity, we applied a restricted cubic spline with three knots to explore the non-linear association. We performed a non-linear regression analysis to estimate the association. A total of 179 patients were analyzed. The regression model results demonstrated that these scales negatively correlated with statistical significance ( This study showed that the softer the stool, the less painful the defecation. Surgeons should attempt to induce a patient to avoid hard stool after surgery. The Ethics Review Committee of the Japan Medical Association approved the study. The study was registered with the Japan Registry of Clinical Trials (jRCT1030190224, https://jrct.niph.go.jp/latest-detail/jRCT1030190224).
Identifiants
pubmed: 35979270
doi: 10.23922/jarc.2021-052
pmc: PMC9328793
doi:
Types de publication
Journal Article
Langues
eng
Pagination
168-173Informations de copyright
Copyright © 2022 by The Japan Society of Coloproctology.
Déclaration de conflit d'intérêts
Conflicts of Interest There are no conflicts of interest.
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