Aim: We aimed in this randomized clinical trial to compare the results of traditional versus stapled 
hemorrhoidectomy for treatment of third and fourth degree hemorrhoids.
Methods: Thirty patients admitted for surgical treatment of prolapsing hemorrhoids were randomly 
assigned to traditional (n=15) or stapled hemorrhoidectomy (n=15). All patients received standardized 
preoperative and postoperative analgesic and laxative regimens. Postoperative pain measured by Visual 
Analog Scale (VAS) was used as the primary outcome measure. Secondary outcome measures were;
operative time, use of analgesia, postoperative complications, hospital stay duration, time to first bowel 
motion, and return to normal activity.
Results: Stapled procedure for hemorrhoids is associated with a significant improvement in postoperative 
pain control and with an earlier return to normal activity. Operative time and duration of hospital stay were 
shorter for the stapled procedure. . A trend towards earlier bowel function after the stapled procedure, although not 
significant in this study, would be consistent with less perianal pain and spasm.
Conclusion: Stapled hemorrhoidectomy is an effective treatment for third and fourth degree hemorrhoids 
with significant advantages for patients compared with traditional hemorrhoidectomy.