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Rubber band ligation is a simple and effective procedure for the management of hemorrhoidal disease. However, 90% of patients have some degree of discomfort associated with the procedure and up to 40% develop clinically significant pain. Some studies have used local anesthesia to reduce pain with promising results, but the use of topical anesthesia has not been reported before.
The investigators hypothesize that the use of topical anesthesia before rubber band ligation significantly reduces post procedure pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Topical anesthesia | Experimental | Application of topical 2,5% lidocaine + 2,5% prilocaine gel to the anal canal before the procedure |
|
| Placebo | Placebo Comparator | Application of placebo gel into the anal canal before the procedure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Topical 2,5% lidocaine + 2,5% prilocaine gel | Drug | The topical gel is administered in the anal canal at the moment of the anoscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain measured in analog visual scale | up to 72 hours post procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Procedure morbidity | up to 30 days post procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Pain measured in visual analog scale in subgroups | up to 72 hours |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gellona Jose, MD | Pontificia Universidad Catolica de Chile | Principal Investigator |
| Bellolio Felipe, MD | Pontificia Universidad Catolica de Chile | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Clínico Universidad Católica de Chile | Santiago | Santiago Metropolitan | 8330024 | Chile |
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| ID | Term |
|---|---|
| D006484 | Hemorrhoids |
| D010146 | Pain |
| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Placebo | Drug | Placebo gel to mimic topical anesthesia administered in the anal canal at the moment of the anoscopy |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |