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Current Status of the Procedure for Prolapse and Hemorrhoids

Richard G Molloy and Mohammed A Titi

Hemorrhoidal disease is one of the most common anorectal disorders. Accurate pre­valence figures are difficult to ascertain due to cultural, social, and economic differences that influence attendance at doctors’ surgeries, hospital admission, and operation rates. However, the condition is common in Western countries, accounting for approximately 1177 physician visits annually per 100 000 people in the US compared with 1123 physisican visits annually per 100000 people in England and Wales [1]. Hemorrhoidal disease is equally prevalent in men and women, although the former may be more likely to present to their General Practitioners (GPs) with symptoms [2,3]. Epidemiogical studies have shown that at least 10 million people in the US have reported hemorrhoids, with a prevalence rate of 4.4% [4]. A peak in prevalence has been noted in both sexes between the ages of 45 and 65 years; the development of hemorrhoids before the age of 20 years is unusual. Further­more, Caucasians are affected more frequently than African–Americans [2–4]. However, it is felt that most studies underestimate the true prevalence of this disease, as up to one-third of patients with hemorrhoid-related symptoms do not present to their GPs [4].

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