EFFECTIVITY OF INJECTION SCLEROTHERAPY WITH POLIDOCANOL IN EARLY HAEMORRHOIDS

BACKGROUND: Hemorrhoids are one of the most common complaints that coloproctologists must evaluate. Polidocanol is widely used as a sclerosing agent for the treatment of hemorrhoids. OBJECTIVES: To study the efficacy and safety of polidocanol for sclerotherapy in the treatment of hemorrhoids. METHODS: A prospective study of 58 patients over a period of one year. The treatment details, efficacy and adverse effects were studied. RESULTS: In our study the male to female ratio was 1.52:1. The age ranged from 22 to 60 years. Out of 58 patients, 36(62.07%) patients were having first degree haemorrhoids and 22(37.93%) patients had early second degree haemorrhoids. In our study, after three doses of injection (89.66%) patients had satisfactory results. After the first dose of injection 39(67.24%) patients had satisfactory results. Rest 19 patients were given second dose of injection, of which 11(57.89%) patients had satisfactory results. Third dose of injection given to the remaining 8 patients proved satisfactory only in 2 cases. After three doses of injection, 6(10.34 %) cases failed to show any response. All the six cases had early second degree haemorrhoids. CONCLUSION: Polidocanol is an effective sclerosant for the treatment of early hemorrhoids.