The primary aim of the current study is to evaluate and compare 6-month complication rates after thrombectomy and local excision treatments.

The investigators aim to compare thrombectomy and local excision treatments in many different aspects:

• The investigators will follow these patients for 6 months by scheduling follow-up visits (or by phone if the patient cannot attend) 4 times during this period (1st week, 1st month, 3rd month, 6th month).
• The investigators will examine bleeding, pain, anal stricture/stenosis, infection, time until return to normal daily activity, relapse and incontinence after treatment
• To assess quality of life outcomes, the investigators use the 36-Item Short Form Health Survey (SF-36). These measures rely upon patient self-reporting and are utilized for routine monitoring and assessment of care outcomes in patients.
• The investigators will use the Wexner incontinence score for assessment of incontinence.

In each hospital, medical students, residents and surgeons can be involved in the study. In the following 6-month period, all collaborators will be collecting the data of the patients who have been operated for external hemorrhoids via the thrombectomy or local excision procedures.

Inclusion Criteria:

• Patients who are diagnosis with thrombosed external hemorrhoids.
• Providing a written informed consent form for the surgeries and for participation in the study
• Patients aged 18 years and over should be included

Exclusion Criteria:

• Patients younger than 18 years of age,
• Pregnancy
• Patients who have a history of cancer or inflammatory bowel disease(IBD)
• Patients who have a history of anorectal fistula
• Patients with metabolic disorders
• Patients with alcohol or substance addiction
• Patients who refuse to participate in the study and do not provide informed consent
• Patients who, at any stage of the study, indicate that they want to leave the study.

Patients who apply (or are referred) to general surgery departments and are diagnosis with thrombosed external hemorrhoids will be included in the study.

Derived anonymised data at the patient-level may be able to be made available for sharing

Following publication of the main results