Assessment of a Slotted Anoscope That Facilitates Hemorrhoidectomy

This trial is designed to assess intra-operative procedure outcomes (e.g.,procedure duration) and post-operative patient outcomes (e.g., pain)following a modified Ferguson hemorrhoidectomy procedure using the Slotted Anoscope with Harmonic or monopolar energy.

Inclusion Criteria:

• Are at least 18 years of age
• Are willing to give consent and comply with evaluation and treatment schedule
• Meet institutional criteria for excisional hemorrhoidectomy
• Are able to understand and complete study questionnaires.

Exclusion Criteria:

• Previous Hemorrhoid surgery
• Chronic daily narcotic use
• Chronic Nonsteroidal Anti-inflammatory Drug use two weeks prior to procedure
• Internal hemorrhoids that may be suitable for office management (surgeon discretion)
• Fecal or urinary incontinence
• Inflammatory Bowel Disease (Crohns, ulcerative colitis)
• Acutely thrombosed hemorrhoids (surgeon discretion)
• Evidence of acute sepsis or the presence of a fistula
• Anal stricture.