{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:48Z","timestamp":1791186948751,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laser hemorrhoidoplasty (LHP) is a minimally invasive procedure for the treatment of hemorrhoids. Early sitz baths are recommended after conventional hemorrhoidectomy; however, their effectiveness following LHP has not been evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the timing of sitz baths for postoperative recovery in patients undergoing LHP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on patients with grade I\u2013IV hemorrhoids who underwent LHP between March 2023 and December 2025. Patients were grouped by sitz bath timing: operation day, postoperative day 1, or after discharge. Primary outcomes were maximum and mean visual analog scale (VAS) pain scores and change in VAS scores (\u0394VAS) between operation day and postoperative day 1. Secondary outcomes included intraoperative parameters, recovery outcomes, and complications (urinary retention and bleeding).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 310 patients, 92 began sitz baths on operation day, 146 on postoperative day 1, and 72 after discharge. Mean initiation times were 6.6 and 21.0 h for the operation\u2010day and postoperative\u2010day\u20101 groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). The operation\u2010day group had significantly higher mean VAS pain score (1.31\u2009\u00b1\u20090.77 vs. 0.91\u2009\u00b1\u20090.57 vs. 0.93\u2009\u00b1\u20090.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0022) on the operation day and \u25b3VAS pain score (mean) (\u22120.27\u2009\u00b1\u20090.67 vs. 0.12\u2009\u00b1\u20090.63 vs. 0.14\u2009\u00b1\u20090.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0018) compared with other groups. Complication rates did not differ among groups. Multivariable analysis showed that delayed sitz bath was independently associated with lower mean VAS pain score on postoperative Day 1 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u20130.374, 95% CI: \u20130.551 to \u20130.196,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and after discharge (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u20130.364, 95% CI: \u20130.572 to \u20130.156,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although this study failed to show advantages of early sitz baths, it does not exclude potential benefits for sitz baths after LHP. Prospective studies with larger cohorts are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73214","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:50:30Z","timestamp":1789451430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Timing of Sitz Baths After Laser Hemorrhoidoplasty: An Exploratory Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9329-1235","authenticated-orcid":false,"given":"Yu\u2010Tso","family":"Liao","sequence":"first","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho\u2010Hsien","family":"Chuan","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Hsing","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9803-498X","authenticated-orcid":false,"given":"Bin\u2010Chi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan\u2010Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Chi","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"},{"name":"Department of Surgery National Taiwan University Hospital and College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jui\u2010Yun","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9900-7266","authenticated-orcid":false,"given":"Ting\u2010Ju","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Medical Research National Taiwan University Hospital, Hsin\u2010Chu Branch Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6375-8714","authenticated-orcid":false,"given":"Kai\u2010Wen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital and College of Medicine Taipei Taiwan"},{"name":"Center of Mini\u2010invasive Interventional Oncology National Taiwan University Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-7735","authenticated-orcid":false,"given":"Jin\u2010Tung","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Surgery National Taiwan University Hospital and College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-025-05010-9"},{"key":"e_1_2_15_3_1","first-page":"624","article-title":"Evaluation and Management of Common Anorectal Conditions","volume":"85","author":"Fargo M. 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