The Effect of Hemorrhoids and Hemorrhoidectomy on the Sexual Activity of Yemeni Male Patients: A Prospective Study of 600 Cases

Export Objective: Hemorrhoidal disease (HD) is prevalent and known to significantly impact patients’ quality of life, including sexual health. Despite this, the relationship between HD and erectile dysfunction (ED) is often underreported and inadequately addressed. The study aims to evaluate the effect of hemorrhoids and hemorrhoidectomy on the sexual activity of Yemeni male patients from January 2009 to June 2021. Methods: A prospective cohort study was conducted with 600 male patients diagnosed with HD and coexisting ED. Patients underwent hemorrhoidectomy, and erectile function was assessed using the International Index of Erectile Function (IIEF) before, 3 and 6 months after surgery. Statistical analyses included paired t-tests to compare pre- and postsurgical IIEF scores, with P-values determining the significance of observed changes. Results: The study revealed a significant improvement in erectile function posthemorrhoidectomy. The mean presurgery IIEF score was 14.0 (SD=4.5), which increased to 22.0 (SD=5.0) at 6 months postsurgery (P-value<0.001). Each domain of the IIEF showed significant improvement, with notable increases in erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction. Conclusions: Hemorrhoidectomy not only alleviates symptoms of HD but also significantly improves erectile function in affected male patients. These findings underscore the importance of considering sexual health in the management of HD and suggest that hemorrhoidectomy can provide comprehensive benefits. Healthcare providers should include discussions about sexual health in consultations with patients suffering from HD and ensure follow-up to monitor long-term outcomes. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings and explore the underlying mechanisms.