Abstract
Stapled hemorrhoidopexy is becoming a widely accepted surgical treatment for third- and fourth-degree hemorrhoids because it is associated with much less postoperative pain than open hemorrhoidectomy. After the procedure, a circular line of staples is left in the anal canal; therefore, there is a risk of penile injury or condom damage during anal intercourse, which increases the risk of exposure to sexually transmitted diseases. We report the case of a male homosexual patient who engaged in anal intercourse after recovering from a stapled hemorrhoidopexy, resulting in condom damage. We did not consider this possibility and neglected to discuss the issue with the patient. With an estimated 2.5% of the general population being exclusive, male homosexuals, it is necessary to inform such patients to refrain from anal intercourse after hemorrhoidopexy, although there are no reports stating how long this restraint should last.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
JF Gravie PA Lehur N Huten M Papillon M Fantoli B Descottes et al. (2005) ArticleTitleStapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up Ann Surg 242 29–35 Occurrence Handle15973098 Occurrence Handle10.1097/01.sla.0000169570.64579.31
R Bleday JP Pena DA Rothenberger SM Goldberg JG Buls (1992) ArticleTitleSymptomatic hemorrhoids: current incidence and complications of operative therapy Dis Colon Rectum 35 477–81 Occurrence Handle1568400 Occurrence Handle10.1007/BF02049406 Occurrence Handle1:STN:280:By2B3szns1I%3D
RD Madoff JW Fleshman InstitutionalAuthorNameClinical Practice Committee, American Gastroenterological Association (2004) ArticleTitleAmerican Gastroenterological Association Technical Review on the Diagnosis and Treatment of Hemorrhoids Gastroenterology 126 1463–73 Occurrence Handle15131807 Occurrence Handle10.1053/j.gastro.2004.03.008
AJ Sengamore M Singer H Abcarian J Fleshman M Corman S Wexner et al. (2004) ArticleTitleProcedure for Prolapse and Hemorrhoids Multicenter Study Group. A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and one-year results Dis Colon Rectum 47 1824–36 Occurrence Handle10.1007/s10350-004-0694-9
J Van de Stadt A D'Hore M Duinslaeger E Chasse F Penninckx InstitutionalAuthorNameBelgian Section of Colorectal Surgery Royal Belgian (2005) ArticleTitleLong-term results after excision haemorrhoidectomy versus stapled haemorrhoidopexy for prolapsing haemorrhoids; a Belgian prospective randomized trial Acta Chir Belg 105 44–52 Occurrence Handle15790202 Occurrence Handle1:STN:280:DC%2BD2M7lslCktQ%3D%3D
ML Corman FJ Gravie T Hager MA Loudon D Mascagni PO Nystrom et al. (2003) ArticleTitleStapled haemorrhoidopexy: a consensus position paper by an international working party — indications, contra-indications and technique Colorectal Dis 5 304–10 Occurrence Handle12814406 Occurrence Handle10.1046/j.1463-1318.2003.00483.x Occurrence Handle1:STN:280:DC%2BD3szkslajtw%3D%3D
D Black G Gates S Sanders L Taylor (2000) ArticleTitleDemographics of the gay and lesbian population in the United States: Evidences from data sources Demography 37 139–54 Occurrence Handle10836173 Occurrence Handle10.2307/2648117 Occurrence Handle1:STN:280:DC%2BD3cvitVeksA%3D%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kekez, T., Bulic, K., Smudj, D. et al. Is Stapled Hemorrhoidopexy Safe for the Male Homosexual Patient? Report of a Case. Surg Today 37, 335–337 (2007). https://doi.org/10.1007/s00595-006-3378-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-006-3378-3