Quality of Life of Patients Before and After Hemorrhoid Surgery: A Single-Center Study in Vietnam

Abstract

Background: Hemorrhoids are a prevalent condition that significantly impacts the quality of life (QoL) of affected patients. Despite their common occurrence, few studies have thoroughly investigated the changes in health-related QoL in patients undergoing hemorrhoid surgery, particularly in Vietnam. Objectives: This study aims to assess and compare the mean quality of life (QoL) scores across various dimensions before and after hemorrhoid surgery, providing insights into the effectiveness of surgical interventions. Methods: This before-and-after study was conducted on 246 patients at the University Medical Center HCMC, Vietnam, from February 2023 to February 2024. Participants were evaluated using the HEMO-FISS-QoL questionnaire before and eight weeks post-surgery. The Wilcoxon Signed Rank test was used to determine the association between the patients' quality of life (QoL) and the scores of each dimension before and after hemorrhoid surgery at eight weeks, with statistical significance set at P < 0.05. Results: The study included 246 participants with a mean age of 42.80 ± 14.22 years. The results indicated a significant enhancement in QoL post-surgery, with mean scores decreasing from 42.37 ± 12.74 before surgery to 23.54 ± 2.19 after surgery (P < 0.001), reflecting considerable improvements across all measured dimensions. Conclusions: The findings demonstrate a statistically significant improvement in both overall QoL and individual health dimensions following hemorrhoid surgery, confirming the procedure's effectiveness. This study contributes valuable data to the limited existing literature on the impact of hemorrhoid surgery on patient outcomes in Vietnam.