Time to change? Present and prospects of hemorrhoidal classification

Abstract

As a common benign anal condition, the high incidence and recurrence of hemorrhoids pose challenges for both patients and doctors. The classification of hemorrhoids plays a crucial role in assessing, diagnosing, and treating the condition. By using appropriate classification and corresponding treatment strategies, we can achieve higher cure rates and lower recurrence rates of hemorrhoids. Since the introduction of the Miles classification in 1919, various classifications have been developed, which include objective classifications based on anatomical or instrumental assessment and subjective classifications based on symptoms and patient sensations. These classifications aim to accurately evaluate the condition. In this study, we discuss the evaluation values of each classification in terms of their advantages, disadvantages, treatment relevance, reproducibility, practicality, and assessment value. We also analyze the significant and essential factors, principles of use, and components of assessment indicators of hemorrhoidal classification. This study proposes several strategies to address the limitations of current hemorrhoidal assessment methods. All these will provide a reference for the development regarding the assessment and classification of hemorrhoids and clinical diagnosis and management of hemorrhoids.

Comprehensive Review on Hemorrhoids: From Epidemiology to Preclinical Assessment of Anti-Hemorrhoidal Agents

“…To perform Fig. 1: Hemorrhoid: Internal and external [14] Table 1: Different classification of hemorrhoids [27] S. No. In 2008, Gerjy and colleagues presented an algebraic grading system for hemorrhoids that prolapse.…”

Edukasi Pencegahan Hemoroid Dalam Meningkatkan Pengetahuan Tenaga Kesehatan

“…Apabila gejala sedang kambuh, pasien biasanya akan merasakan nyeri yang amat mengganggu, sedangkan bagi tenaga kesehatan, biasanya membutuhkan penilaian hemoroid yang obyektif dan efektif untuk memilih teknik pengobatan yang tepat. Beberapa tahun belakangan ini, beragam metode klasifikasi hemoroid telah diusulkan oleh berbagai ahli; namun, belum ada kesepakatan yang dicapai (Wang et al, 2023). Sehingga kegiatan semacam pemberdayaan masyarakat diharapkan dapat berperan penting dalam upaya mengakselerasi pencegahan hemoroid.…”