HEMOVAR Study on Hemorrhoids and Varicose Veins

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAydin Adnan Menderes University

About this trial

The HEMOVAR Study is a prospective observational study designed to evaluate the association between hemorrhoidal disease and lower extremity varicose veins. A total of 400 adult patients presenting to the general surgery proctology outpatient clinic of Aydın Adnan Menderes University Hospital will be included. The study will consist of two groups: 200 patients diagnosed with hemorrhoids and 200 patients with other non-hemorrhoidal benign proctologic conditions serving as controls.

All participants will undergo routine clinical evaluation and demographic data collection. Cardiovascular surgeons will voluntarily perform physical examination and Doppler ultrasonography of the lower extremities to assess venous insufficiency and varicose veins. No experimental intervention or treatment will be applied. The study will not require any consumable materials and will not impose any additional financial burden on the hospital, patients, or the national health insurance system. The primary outcome is the prevalence of lower extremity venous insufficiency in patients with hemorrhoids compared with controls.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 years or older

Patients presenting to the general surgery proctology outpatient clinic of Aydın Adnan Menderes University Hospital

Patients diagnosed with hemorrhoidal disease or other non-hemorrhoidal benign proctologic conditions

Ability to understand the study procedures and provide written informed consent

Disqualifiers

Patients younger than 18 years

History of lower extremity varicose vein surgery, endovenous ablation, or sclerotherapy

Presence of systemic venous disorders such as portal hypertension or liver cirrhosis

Pregnant women

Trial population

Adult patients presenting to the general surgery proctology outpatient clinic with hemorrhoidal disease or other benign non-hemorrhoidal proctologic conditions.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

400 Participants
are grouped into 2 trial groups
Group A: Hemorrhoid Group
Group B: Control Group

Trial outcomes

Primary outcomes

1

Correlation between Hemorrhoidal Disease and Lower Extremity Venous Insufficiency

The correlation between the presence of hemorrhoidal disease (yes/no) and lower extremity venous insufficiency will be assessed using color Doppler ultrasonography. Venous insufficiency will be defined as the presence of venous reflux lasting ≥0.5 seconds in superficial veins or ≥1.0 second in deep veins. The outcome will be expressed as the percentage of patients with Doppler-confirmed venous insufficiency in each study group.

Time frame
Baseline (single visit)

Secondary outcomes

1

Correlation between Hemorrhoid Grade and Severity of Venous Insufficiency

The correlation between hemorrhoid grade (Grade I-IV, assessed by clinical examination) and the severity of lower extremity venous insufficiency will be evaluated. Venous severity will be assessed using the CEAP clinical classification determined by Doppler ultrasonography. The outcome will be analyzed using correlation coefficients between hemorrhoid grade and CEAP class.

Time frame
Baseline (single visit)

Other outcomes

Sponsors and contacts

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