{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:20:32Z","timestamp":1787052032131,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,2,7]],"date-time":"2012-02-07T00:00:00Z","timestamp":1328572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> The aim of this study was to assess patient dissatisfaction and functional symptoms following haemorrhoid surgery, aspects of which are seldom covered in other published series.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> A self\u2010administered questionnaire was mailed to 359 consecutive patients (prospective database; 198 men, 161 women; median follow up, 59 [1\u2013120] months) who underwent either Milligan\u2010Morgan haemorrhoidectomy (<jats:italic>n<\/jats:italic>\u2003=\u2003205) or stapled haemorrhoidopexy (<jats:italic>n<\/jats:italic>\u2003=\u2003154).<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> The response rate was 72%; 2.4% of patients had no opinion, 13.6% were dissatisfied, 33.0% were satisfied, and 51.0% were very satisfied with the treatment. Dissatisfied patients were more likely to be women and more likely to have a long history of constipation and irritable bowel syndrome. The duration of surgery and the rates of pre\u2010 and postoperative complications did not differ between groups. Residual bleeding (49%<jats:italic>vs<\/jats:italic> 32%), prolapse (67%<jats:italic>vs<\/jats:italic> 31%) and pain (91%<jats:italic>vs<\/jats:italic> 55%) occurred more frequently in the dissatisfied group compared with the satisfied group (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Incontinence (4 [0\u201316] <jats:italic>vs<\/jats:italic> 1 [0\u201315]; <jats:italic>P<\/jats:italic>\u2003=\u20030.0003) and constipation (19 [1\u201334] <jats:italic>vs<\/jats:italic> 8 [0\u201331]; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001) scores were significantly higher in the dissatisfied group compared with satisfied patients. Anal pain was the predominant symptom associated with dissatisfaction in a logistic regression model.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Persistent pain remains the major long\u2010term factor associated with dissatisfaction after surgery for haemorrhoids.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2011.02612.x","type":"journal-article","created":{"date-parts":[[2011,3,17]],"date-time":"2011-03-17T15:02:36Z","timestamp":1300374156000},"page":"356-361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Underlying functional bowel disorder may explain patient dissatisfaction after haemorrhoidal surgery"],"prefix":"10.1111","volume":"14","author":[{"given":"C.","family":"Favreau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Siproudhis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Eleouet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Bouguen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010F.","family":"Bretagne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,7]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.591"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0611-0"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-0308-4"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-005-0786-6"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.12.1395"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107680409700303"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0249-8"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9353-x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.12.1209"},{"key":"e_1_2_7_11_2","first-page":"CD006761","article-title":"Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids","volume":"21","author":"Nienhuijs S","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0524-y"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4349"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5351.216"},{"key":"e_1_2_7_15_2","first-page":"87","article-title":"Une h\u00e9morro\u00efdectomie de s\u00e9curit\u00e9. 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